Resus. & Anaes. 1 ~ Extended Matching

Question 1.

For each arrest scenario select the most appropriate deviation from the standard cardiac arrest protocol

Options List

A. 3 stacked shocks

B. Bilateral finger thoracostomies

C. Emergency department thoracotomy

D. Emergency department thoracotomy and pericardiotomy

E. Extracorporeal rewarming

F. Fibrinolytic therapy and continue CPR for at least 30 minutes before terminating resuscitation

G. Fibrinolytic therapy and continue CPR for at least 10 minutes before terminating resuscitation

H. Hyperbaric oxygen

I. IV Anti-digoxin Fab

J. IV Hydroxocobalamin

K. Place in left lateral tilt position

L. Place in right lateral tilt position

Question 1 ~ Stem 1

A 34 year old man is brought in by ambulance after being stabbed in the left side of the chest. FAST scan shows pericardial fluid. Minutes after arriving in ED he goes into cardiac arrest.

Show Answer

 Answer = D 

Question 1 ~ Stem 2

A 28 year old woman who is 37 weeks pregnant is brought into ED in cardiac arrest.

Show Answer

 Answer = K 

Question 1 ~ Stem 3

A 47 year old woman has presented to ED with acute onset of shortness of breath and pleuritic chest pain. She is hypotensive and a bedside ultrasound shows an enlarged right ventricle. She arrests in ED.

Show Answer

 Answer = F 

Question 1 ~ Stem 4

A 56 year old man is in your resuscitation bay diagnosed with an anterior STEMI. He has defibrillator pads and full monitoring on and is just about to go to the cath lab. He arrests.

Show Answer

 Answer = A 

Author: J Haire


 

Question 2.

For each drug select the side-effect.

Options List

A. Ataxia

B. Bradycardia

C. Histamine release

D. Increased risk of haematological malignancy

E. Methaemoglobinaemia

F. Myoclonic jerks

G. Rigid chest syndrome

H. Skin necrosis if given intra-arterially

 

Question 2 ~ Stem 1

Propofol

Show Answer

 Answer = F 

Question 2 ~ Stem 2

Suxamethonium

Show Answer

 Answer = B 

Question 2 ~ Stem 3

Thiopentone

Show Answer

 Answer = H 

Question 2 ~ Stem 4

Fentanyl

Show Answer

 Answer = G 

Question 2 ~ Stem 5

Ketamine

Show Answer

 Answer = A 

Author: J Haire

 

One Comment:

  1. DR ANIRBAN RASHID

    Well Organised and well presented! How can we get access to the full contents? It will be very helpful for us if you can mix and match the questions and set up a full paper like the written exams, so that we can keep on practicing!
    Please let me know.

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