MPHEC

Question 1

5 Most Common Deployed Abdo Pathologies?

Answer 1

TAPER

Testicular Torsion
Appendicitis
Pyelonephritis
Ectopic Pregnancy
Renal Colic

Question 2

Dull Umbilical Pain Radiating To RIF?

Answer 2

Appendicitis

Question 3

Child Bearing Age + 4-8/40 + PV Bleed?

Answer 3

Ectopic Pregnancy

Question 4

Fever + Dull Bladder Ache?

Answer 4

Pyelonephritis

Question 5

Severe Testicle Pain + Absent Cremasteric Reflex?

Answer 5

Testicular Torsion

Question 6

Severe Loin To Groin Pain + Microscopic Haematuria?

Answer 6

Renal Colic

Question 7

Describe This ECG?

Answer 7

AF

Question 8

Describe This ECG?

Answer 8

VF

Question 9

Describe This ECG?

Answer 9

VT

Question 10

Describe This ECG?

Answer 10

Asystole

Question 11

Describe This ECG?

Answer 11

PEA

[ECG NORMALLY ASSOCIATED WITH PULSE]

Question 12

Shockable Rhythms?

Answer 12

VF + VT

Question 13

Non Shockable Rhythms?

Answer 13

PEA + Asystole

Question 14

Meds For Shockable Rhythms?

Answer 14

Amioderone 300mg IV
Adrenaline 1mg IV [1:10 000]

After 3 Shocks
Continue Giving Adrenaline Every Odd Shock

Question 15

Meds For Non Shockable Rhythms?

Answer 15

Adrenaline 1mg IV [1:10 000] ASAP

Give Adrenaline Every Odd Shock

Question 16

Reversible Causes Of Cardiac Arrest?

Answer 16

4H + 4T

Question 17

Describe 4H Of Cardiac Arrest?

Answer 17

Hypoxia
Hypovolaemia
Hypothermia
Hypokalaemia/Metabolic

Question 18

Describe 4T Of Cardiac Arrest?

Answer 18

Tension Pneumothorax
Tamponade
Thrombosis
Toxins

Question 19

Describe Canadian C Spine Rules?

Answer 19

Scan = Age >65 + Parasthesia + Dangerous Mechanism
[Fall >1M / Axial Load / >60mph RTA / Bicycle Crash]

OR

Scan = No Low Risk Factors
[Rear End RTA / Sat Up In ED / Ambulatory / Delayed Onset Neck Pain / No Midline Tenderness]

Rotate Neck If Low Risk Factors > Able = No Scan + Unable = Scan

Question 20

Describe Ottawa Ankle Rules?

Answer 20

XR If:

Malleolus Zone Pain AND

Lateral Mal Pain AND/OR
Medial Mal Pain AND/OR
Navicular Pain AND/OR
Can’t Walk

Question 21

Ottawa Knee Rules?

Answer 21

XR If:

>55
Fibula Head Pain
Patella Pain
Can’t Flex >90
Can’t Walk

Question 22

Expected Capnography Levels?

Answer 22

4.5-5.5 kPa

Question 23

Describe This Capnography?

Answer 23

Hyperventilation

Question 24

Describe This Capnography?

Answer 24

Hypoventilation

Question 25

Describe This Capnography?

Answer 25

Lower Airway Obstruction

Question 26

Describe This Capnography?

Answer 26

Oesophageal Intubation

Question 27

Define Mass Casualty Incident [MASCAL]?

Answer 27

Major Medical Incident That Despite Extraordinary Measures, Results In Over-Whelming The Medical Capability/Capacity

Question 28

MASCAL Communication Tool?

Answer 28

METHANE ``` Major Incident Declared? Exact Location Type Of Incident Hazards Access Number/Severity Of Casualties Emergency Services Present/Required ```

Question 29

Order For MASCAL Scenario?

Answer 29

CSCATT ``` Command + Control Safety Communication Assessment Triage Treatment Transport ```

Question 30

Actions Required To Carry Out Capacity Assessment?

Answer 30

1] Does Person Have Impairment/Disturbance In Function Of Brain/Mind? No = CAPACITY + Yes = 2nd Q 2] Can The Patient Understand + Retain + Weigh Up + Communicate A Decision? No = NO CAPACITY + Yes [TO ALL] = CAPACITY

Question 31

Meds For Seizure?

Answer 31

``` 1st = Individual Treatment Plan 2nd = Midazolam 10mg Buccal 3rd = Diazepam 20mg PR ```

Question 32

Drugs For Pre Hospital Emergency Anaesthesia?

Answer 32

Fentanyl 3mcg/kg [Analgesia] Ketamine 2mg/kg [Hypnotic] Rocuronium 1mg/kg [Neuro Block]

Question 33

Indications For Pre Hospital Emergency Anaesthesia?

Answer 33

CAVPU ``` Compromised Airway Anticipated Course Ventilator Failure Patient Unmanageable Unconscious ```

Question 34

Drug Ratios For Pre Hospital Emergency Anaesthesia?

Answer 34

Isolated Head Injury = 3F:2K:1R Trauma = 1F:1K:1R Massive Haemodynamically Compromised = 0F:1K:1R Peri Arrest = 0F:0K:1R

Question 35

Ketamine Mechanism Of Action?

Answer 35

NMDA Receptor Antagonist

Question 36

What Dose Do You Draw Ketamine Up To?

Answer 36

10mg/ml

Question 37

Analgesic Dose Of Ketamine?

Answer 37

0.1-0.5 mg/kg IV

Question 38

Sedation Dose Of Ketamine?

Answer 38

0.5-1 mg/kg IV

Question 39

Anaesthesia Dose Of Ketamine?

Answer 39

2mg/kg IV [10mg/kg IM]

Question 40

Major Risks Of Ketamine?

Answer 40

HALE HTN Apnoea Laryngospasm Emergence Phenomena

Question 41

How To Mitigate Risks Of Ketamine?

Answer 41

HTN = Midazolam Apnoea = Pre Oxygenate + Anticipate Laryngospasm = Jaw Thrust Emergence Phenomena = Quiet Environment + Midazolam

Question 42

Key Details For Paeds Emergencies/Trauma?

Answer 42

WETFLAG ``` Weight = [Age + 4] x 2 = Kg Energy = 4 x Weight = Joules Tube = [Age/4] + 4 = mm Fluids = 10 x Weight = ml Glucose = 2ml/kg 10% Dextrose ```

Question 43

Describe Management Differences In Obstetric EMERGENCY/TRAUMA?

Answer 43

``` Airway = Early Definitive Airway Breathing = Early High Flow O2 + Thoracostomy in 2nd/3rd ICS Circulation = 15-30 Degree Left Tilt + Early Fluids ```

Question 44

1st Stage Labour?

Answer 44

Cervical Dilation > Cervic @ 10cm

Question 45

2nd Stage Labour?

Answer 45

Cervix Fully Dilated > Baby Delivered

Question 46

3rd Stage Of Labour?

Answer 46

Baby Delivered > Placenta Delivered

Question 47

Obstetric Emergencies?

Answer 47

Ectopic Pregnancy Miscarriage Haemorrhage Pre Eclampsia

Question 48

Triad Of Pre Eclampsia?

Answer 48

Proteinuria HTN Abdo Pain

Question 49

Management Of Traumatic Cardiac Arrest?

Answer 49

HOT Protocol Hypovolaemia [Cat Hem Control + Reduce Long Bone # + Pelvic Splint + Blood/TXA] Oxygenation [Airway + BVM] Tension Pneumothroax [Bilateral Needle Decompression] THEN CONSIDER ALS