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Pete FFICM SOE/OSCE > Gen - miscellaneous facts > Flashcards

Gen - miscellaneous facts Flashcards

1
Q

Where in the oesophagus is a temperature probe most accurate

A

Distal 1/3

in upper third its affected by airway gas flow

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2
Q

Which is faster a thermadot chemical temperature or mercury

A

Thermadot

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3
Q

What does a pulmonary artery catheter use to measure temperature

A

Thermistor

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4
Q

Do you need high or low rates of urine flow for accurate core bladder temp

A

High

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5
Q

Does MDMA cause hepatotoxicity

A

Yes - acute hep to fulminant failure

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6
Q

Do you get high or low sodium with MDMA

A

Low - it releases ADH, they get water intoxicated and sweat sodium

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7
Q

Do you get hyper or hypotension with MDMA

A

Hyper - sympathetic stimultation

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8
Q

Hypo or hyperthemia with MDMA

A

Hyperthermia

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9
Q

What are the independent variables or the Steward acid bases hypothesis

A

PaCO2
Atot (weak acids)
SID

(Hydrogen ions and bicarb are not)

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10
Q

Is there good evidence to support restritie strategies in both child and adults

A

Yes to both

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11
Q

Is CO2 elimation proportion to minute volume or alveolar MV,

A

Alveolar - total takes dead space

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12
Q

Eqn for plateau pressure

A

Ppeak - Presistance

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13
Q

which MEN syndromes causes hypercalcaemia

A

I and IIa (not IIB)

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14
Q

does hyperthyroidism cause hypercalcaemia

A

yes

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15
Q

Can theophylline cause hypercalcaemia

A

yes

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16
Q

Can loop diuretics cause hypercalcaemia

A

no

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17
Q

Which trial advocated tight sugar controls

A

Leuven studies

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18
Q

Which trials did not advocate tight sugar control

A

NICE sugar

VISEP

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19
Q

What is the range of BM needed

A

4-10

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20
Q

Normal R time

A

8-12 minutes

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21
Q

What does R time measure

A

Initial fibrin formation rate

22
Q

Normal K time

A

2-4 minutes when curve amplitude is 20mm

23
Q

What does K time measure

A

Fibrin accumation and cross link

24
Q

Normal a slope

A

60-70 degrees between R and K

25
Q

A slope meaning

A

Speed of clot formation

26
Q

Maximum amplitude in TEG normal

A

60-70mm

27
Q

What does max amp mean

A

Strength of clot

28
Q

LY30 meaning

A

%lysis of clot 30 min after max amp

29
Q

Normal LY30%

A

<7.5%

30
Q

What does LY30 measure

A

Loss of clot integrity to lysis./ Reflects fibrinolysis

31
Q

What decreases the a angle

A

Thrombocytopenia

Hypofibrinogenaemia

32
Q

What is A60, its normal value and its meaning

A

Amplitude 60 minutes after MA
Amplitude of 5mm

Represents clot retraction lysis

33
Q

Does R time represent time to solid clot fomration

A

NO - the time to fibrin formation

34
Q

Is the Revised Trauma Score anatomical or physiological

A

Physiological

Compare to AIS which is anatomical regions, and ISS which sums these scores

35
Q

Components of TRISS score

A

ISS
RTS
Age index
Mechanism of injury

36
Q

Pleural fluid cut off for trans/exudates

A

30g/dL

37
Q

Causes of low glucose in pleural fluid

A

Infection
RA
Malignancy
SLE

38
Q

Lights criteria

A

Fluid is exudate if:

Pleural : serum protein > 0.5
Pleura : serum LDH > 0.6
Pleural fluid is more than 2/3rd upper limit of normal serum LDH

39
Q

Is sex on the APACHE II score

A

no

40
Q

Is Ca on the APACHE II score

A

no

41
Q

Is MAP on the APACHE II score

A

yes (not systolic)

42
Q

Energy for defib a child

A

4J /jkg

43
Q

Estimated weight eqn for child

A

infant (0.5xage in months)+4
1 - 5 yrs (2xage)+8
6-12 (3 xage) +7

44
Q

Amiodarone dose for a child VT

A

5mg/kg

45
Q

ETT child eqn

A

(age/4)+4

46
Q

which comes first in necrotising fascitits, skin change or pain

A

pain by 24-48hrs

47
Q

Do you need muscle involement for nec fasc diagnosis

A

no

48
Q

Is nec fasc classified by location

A

no

49
Q

Types of nec fasc

A

1 - most common - polymicrobial , g pos, neg, anaerobes

2 - group A strep alone or with s aureus

3 - rare, gram neg, vibrio species

4 - fungal (candida) rare, immunocomprimised.burns

50
Q

Which type of nec fasc is associated with TSS

A

Type 2

Pete FFICM SOE/OSCE (199 decks)

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