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chest pain Exam prep & osce prep > OSCE questions > Flashcards

OSCE questions Flashcards

1
Q

What is an ECG

A

Electrocardiogram. Shows electrical activity through the heart and rate.

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2
Q

Why is correct lead placement important?

A

To avoid diagnostic errors and misinterpretation

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3
Q

What are chest lead landmarks

A

V1 - 4th intercostal right of sternum
V2 - 4th intercostal left of sternum
V3 - Between V2 and V4
V4 - 5th intercostal left mid clavicular line
V5 - Between V4 and V6
V6 - 5th intercostal left mid axillary line

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4
Q

When is ECG indicated

A

Chest pain
Sycope
Unexplained falls

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5
Q

What is a normal heart rate

A

60 - 100 bpm
>60 bradycardia
<100 tachycardia

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6
Q

What is blood pressure

A

Pressure in blood vessels in mmHg

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7
Q

What is systolic/ diastolic

A

Systolic is pressure when heart beats (bigger number)
Diastolic is pressure between beats (smaller number

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8
Q

What factors can affect blood pressure

A

Cardiac output
Volume of blood
Stress
Caffeine
Medication

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9
Q

What is normal blood pressure

A

Systolic 90-120
Borderline hypertensive 120-140

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10
Q

What are indications for measuring blood pressure

A

Chest pain
Unexplained falls
syncope

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11
Q

What are contra indications for measuring blood pressure

A

Patient refusal
IV line in arm
Recent open wounds on arm
Other procedures required as priority

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12
Q

Advantages/ disadvantages of automatic blood pressure

A

Easier
Cuff placement is less important
Less accurate as estimates systolic/ diastolic based on mean arterial pressure

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13
Q

Advantages/ disadvantages of manual blood pressure

A

More accurate
Noise/ movement can interfere
User error

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14
Q

When is ECG contra indicated

A

Allergy to adhesive
Patient refusal
Other procedures needed as priority

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15
Q

What does peak flow measure

A

The amount of air that can be forcefully exhaled measured in L/min

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16
Q

What can impact peak flow

A

Conditions affecting lung capacity e.g. pneumonia/ copd/ asthma
Age
Gender

17
Q

Indications for peak flow

A

Chronic conditions (asthma) to measure severity of exacerbation and improvement

18
Q

Contra indications for peak flow

A

Severe exacerbation of breathlessness
Patient refusal
Not indicated

19
Q

What can peak flow identify

A

Severity of asthma attack
Lung function
If treatment is having an impact

20
Q

What do you do if you get a needle stick injury

A

Bleed it, wash it, cover it, report it

21
Q

What factors affect needle size selection

A

SC/IM injection
Fat/muscle
Size / age

22
Q

Complication of injections

A

Abscess
Anaphylaxis/ allergy
Bleeding/ pain

23
Q

Factors affecting drug absorption

A

Exercise
Blood flow to area
Temperature

24
Q

Contra indications for site selection

A

Burns
Inflammation
Oedema

25
Q

Medicine legislation allowing paramedics access and administration of medication

A

Human medicines regulations schedules 17 and 19
Patient Group Directives

26
Q

Purpose of primary survey

A

Establish if patient is time critical

27
Q

How long does a primary survey take

A

60-90 seconds

28
Q

Who requires primary survey

A

Every patient

29
Q

What to do if there is a concern during primary survey

A

Correct if possible before moving on

30
Q

What is the purpose of safety netting

A

Instructions for the patient on if the conditions worstens or impacts their activities of daily living.
Management of the condition for exacerbations

31
Q

When should you safety net

A

Every patient especially if you are leaving them at home

32
Q

How would you alter safety netting in those with cognitive impairment

A

Simple words
Ensure understanding by asking them to reword and repeat
Write things down for them to refer to

33
Q

Types of communication we can use for taking history

A

Verbal
Written
Body language
Signing

34
Q

What are barriers to communication and solutions

A

Cognitive - writing, simple language
Language - translate/ languageline
Hearing - writing

35
Q

Why is accurate documentation important

A

Legal document of the care received
Recorded events for continuation of care

chest pain Exam prep & osce prep (12 decks)

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