5011 Practice Exam Questions

Question 1

On an ECG the QRS represents

Answer 1

Ventricular depolarisation

Question 2

Is vestibular nausea a primary emergency indication for ondansetron?

Answer 2

No

Question 3

What sedation assessment tool score is required for the administration of Ketamine to the agitated patient?

Answer 3

+3

Question 4

What is the correct dosing of adrenaline to administer to a 13 year old female patient weighing 50kg suffering from anaphylaxis?

Answer 4

500mcg every 5 minutes as required

Question 5

Is it true that all COPD patients will be febrile?

Answer 5

No

Question 6

The term ‘Acute Coronary Syndrome’ refers to

Answer 6

Unstable angina, STEMI and Non-STEMI

Question 7

When administering salbutamol to a patient with severe asthma, what is the appropriate dosage?

Answer 7

10mg in 5ml then 5mg in 2.5ml every 5mins

Question 8

Adrenaline is indicated for the treatment of anaphylaxis. The correct dose for a 62kg adult is:

Answer 8

500mcg IM every 5 min as required

Question 9

When would you NOT use modified Valsalva to treat SVT?

Answer 9

SBP <90

Question 10

The correct IV dosing of Ondansetron is

Answer 10

8mg once only

Question 11

The range for a normal PR interval on an ECG is

Answer 11

0.12-0.2 secs

Question 12

Should a patient who has had an LOC post head strike and now agitated get sedation?

Answer 12

No

Question 13

If a patient is suffering from an Septal AMI, will have involvement of which coronary artery?

Answer 13

LCA

Question 14

When administering IN Fentanyl to a 66 year old 80kg male with a # NOF, the correct dose is

Answer 14

200mcg IN

Question 15

You attend a patient with Anaphylaxis who is SOB and hypotensive. The target SpO2 for this patient is?

Answer 15

100%

Question 16

List the 3 aspects of stroke volume

Answer 16

• contractility
• preload
• afterload
  (heart rate and stroke volume determine cardiac output)

Question 17

Why is adrenaline administered to patients suffering anaphylaxis?

Answer 17

• stabilises the mast cells and basophils preventing further mediator release
• alpha and beta-adrenergic receptor agonist
• Peripheral vasoconstriction (alpha)
• Increases rate and force of cardiac contractions (beta 1)
• Bronchodilation (B2)
• Relaxes gastrointestinal smooth muscle (alpha and beta)

Question 18

List the contraindications to the administration of Morphine.

Answer 18

• Known hypersensitivity to morphine
• Renal impairment/failure
• Late second stage labour

Question 19

What is surfactant and what role does it play in the lungs?

Answer 19

This is the material that lubricates the alveoli.
This allows them to stay “open”.
It is made of fats and proteins (phospholipids and lipoproteins).
It begins being produced at approximately 24 weeks gestation by cells in the alveoli known as Type II alveolar epithelial cells.

Question 20

When observing a patient during Mental Status Assessment (observation components) what are the four aspects we assess?

Answer 20

Safety
Appearance
Behaviour
Affect

Question 21

What is the recommended ventilation rate and tidal volume for an unconscious adult asthmatic patient that requires ventilation?

Answer 21

• 5-8bpm

- 6-7mls/kg

Question 22

What is the criteria for STEMI on a 12 lead ECG?

Answer 22

• ST elevation >1mm or more in contiguous limb leads
  OR
• ST elevation >2mm in chest leads (v1-6)
  OR
  New LBBB

Question 23

What are the 7 contraindications for the application of CPAP to a patient with APO?

Answer 23

Airway

• inability to MOA (ACS, active vomiting, excessive secretions)
• Upper airway obstruction

Breathing

• Hypoventilation
• Untreated pneumothorax

Circulation
- Haemodynamic instability

Other
- Injuries precluding mask application