Various Flashcards

1
Q

What are the shockable ECG rhythms?

A

Pulseless ventricular fibrillation and ventricular tachycardia

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2
Q

What are the non shockable ECG rhythms?

A

asystole and pulseless electrical activity

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3
Q

What do you administer to a patient with an unshockable ECG rhythm and how much?

A

adrenaline - 1mg

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4
Q

How do you calculate the HR on an ECG?

A

300 divided by the number of large squares between each R wave

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5
Q

What should the PR interval be?

A

less that 0.2 seconds/5 small squares

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6
Q

What should the QRS compelx be?

A

less than 0.12 seconds (3 small squares)

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7
Q

What shows up black on an Xray?

A

Gas

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8
Q

What shows up dark grey on an Xray?

A

fat

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9
Q

What shows up light grey on an Xray?

A

soft tissue and fluid

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10
Q

what shows up white on an xray?

A

bone/calcification

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11
Q

what shows up intense white on an xray?

A

metal

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12
Q

What are inappropriate sites/contraindications of venupuncture?

A

Oedematous or cellulitic areas, haematoma, scarred area, same area/arm as transfusion or infusion, arm on side of previous mastectomy, AV fistula or vascular grafts

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13
Q

What are you looking for in urinalysis?

A

Protein, glucose, ketones, nitrites, blood, leucocytes, bilirubin, pH and specific gravity

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14
Q

When should urine be tested and from what part of the stream?

A

mid stream and within 15 minutes of collecting sample

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15
Q

What might a UTI show on urinalysis?

A

nitrites and leucocytes

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16
Q

What are the main sies for IM injection and how much can be administered there?

A

Deltoid - 1ml Dorsal gluteal - 4ml Vastus lateralis - 5ml (fast) Ventral gluteal - 2.5ml

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17
Q
A

bladder

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18
Q
A

caecum and ascending colon

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19
Q
A

descending colon

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20
Q
A

kidneys

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21
Q
A

Large bowel dilatation

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22
Q
A

Liver

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23
Q
A

pneumoperitoneum

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24
Q
A

psoas muscles

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25
Q
A

Riglers sign - where both sides of the bowel wall become visible because of the free gas surrounding the bowel

26
Q
A

small bowel dilatation

27
Q
A

Spleen

28
Q
A

Stomach

29
Q

What is the blood tube order of draw?

A

Blood culture

Light blue - sodiumcitrate

red - no additive (rarely used)

Gold

Green (heparinised)

Purple - EDTA

Pink (cross-match)

Grey (fluoride oxalate)

Dark blue

30
Q

What dose of oxygen and what device would you give in cardiac or respiratory arrest?

A

100% 02 using non rebreather

31
Q

What dose of oxygen and what device would you give in hypoxaemia with a paCO2 less than 5.3kPa?

A

40-60% with a simple face mask

32
Q

How do you measure fundal height?

A

From pubic symphysis to highest fundal point

33
Q
A

Vitilligo

34
Q
A

Telengectasia

35
Q
A

Glossitis and angular stomatitis - fe deficiency

36
Q
A

BCC with pearling and telengectasia

37
Q
A

Urticaria

38
Q
A

SCC

39
Q
A

Acitinic keratoses

40
Q
A

A = splinter haemmorhages

B = oncholysis with pitting in psoriasis

C = beaus lines

41
Q
A

Target lesions of Steven-Johnsons syndrome

42
Q
A

Malignant melanoma

43
Q
A

thyroid acropachy

44
Q
A

Grade 1 hypertensive retinopathy - increased tortuosity of retinal vessel and silver wiring

45
Q
A

Grade 2 hypertensive retinopathy

double arrow: increased toruosity and silver wiring

single arrow: AV nipping

46
Q
A

Grade 3 hypertensive retinopathy: same as grade 2 but also flame shaped retinal haemmorhages and cotton wool spots

47
Q
A

Grade 4 hypertensive retinopathy: papillodema, hard exudates around the fovea (macula star), retinal oedema

48
Q
A

Arrow showing site of stenosis in circumflex coronary artery

LM: left main

LAD: left anterior descending

49
Q
A

CXR of Heart Failure

Patchy widespread consolidation

Kerly B Lines

Cardiomegaly

50
Q
A

Erythema nodosum

51
Q
A

Asterixis in CO2 retention

52
Q
A

Consolidation and cavitation in both upper zones (TB)

53
Q
A

Collapsed middle right lobe - straight line showing the collapsed lobe

54
Q
A

Right upper lobe consolidation containing air bronchograms

55
Q
A

CT thorax showing dilated bronchioles of bronchiectasis

56
Q
A

Left pleural effusion

57
Q
A

CT thorax showing left lung cancer

58
Q
A
59
Q
A
60
Q

Why do you get palmar erythema and spider naevi in liver disease?

A

Increased oestrogen levels due to decreased breakdown of sex steroids