MISC

Question 1

alternatives to pelvic binder

Answer 1

sheets or towels tied togther
c spine collars
belt

Question 2

why is FAST scan not validated in kids

Answer 2

negative does not exclude bleed

Question 3

list requirements to optimise parental presence in resus room

Answer 3

member of staff assigned to parents
not allowed to interfere eg stand in way or give opionion
organasation guideline or policy to guide behavious and procesees for parental presence plus training
safe physical contact
appropriate positionining

Question 4

precipitating factors DKA

Answer 4

acute illness
incorrect dose of meds
new onset or undiagnsed
drugs eg steroids
pregnancy
vascualar issue eg MI/Stroke

Question 5

torsion in history

Answer 5

sudden onset
nausea and vomiting
turning in bed
short history
age
no proceeding urinary sx

Question 6

AHPRA notifibale for doctors

Answer 6

intoxicated at work
impaired at work physical or mental
abuse to cohorts eg sexual
departure from professional standards

Question 7

pericardiocentesis approaches

Answer 7

apical
parasternal
subxiphoid

Question 8

supracpondylar fracture nerve

Answer 8

median due to spikes

Question 9

hip relocation

Answer 9

Allis
Captain Morgan

Question 10

lisfranc

Answer 10

tarsometatarsal

Question 11

causes torticollos in kids

Answer 11

retropharyngeal abscess
ocular dysunction
posteror fossa tumour
cervical spine fracture/dislocatin/tumour
juvenile idiopathuc arthritis

Question 11

risk factors intraparynchymal haemorhhage

Answer 11

AVM
amyloid
chronic hypertension

Question 12

what is this

Answer 12

asymmetrical septal wall thickening

Question 13

complications HOCM

Answer 13

sudden cardiac death
VF/VT
AF - stroke
heart failure
MR
IE

Question 14

factors causing access block

Answer 14

surges eg pandemic
aging population
less GP bulk billing
staff shortages
bed block - to rehab/weekens
prolonged mental health

Question 15

Answer 15

also sheehans syndrome

Question 16

post partum time for pre eclampsia

Answer 16

up to 6 weeks
more common 48 hours

Question 17

Answer 17

Question 18

what are the kanavel signs used for and what are they

Answer 18

Pyogenic flexor tenosynovitis
1. flexion of finger
2. pain along flexor sheath
3. fusiform swelling of affected digit
4. pain on passive extension

Question 19

causes pyogenic flexor tenosynotivits

Answer 19

s.aureus
strep
pseudomonas
eikenella or pasteurella

Question 20

SOB post chest pain
Usual cause
Other causes

Answer 20

UNILATERAL pulmonary oedema
no cardiomegaly

MR seconday to papiallary muscle rupture

other causes
Acute MI
IE
blunt chest trauma
chordae tendonae rupture eg rheumatic fever
prosthetc mitral valve dysfunction

Question 21

principles of management

Answer 21

• optimise oxygen
• minimise after load and preload - GTN
• avoid brady to promote forward flow
• anticipate worsening shock - pressors ecmo
• cardiothoracics to fix valve

Question 22

risk factors of elder abuse

Answer 22

female
alone
physical disabiity
cognitive
low socioecnomic
family disharmony

Question 23

Answer 23

hazy echogenic
normal retina

vitreous haemorrhage

Question 24

Answer 24

detached retina

Question 25

Answer 25

Question 26

Answer 26

Question 27

how to prepare airway

Answer 27

suction vomit optimse oxygen - NPA/OPA,, sit up, tragus sternal notch - want 92% pre induction seek reasons eg pneumothroax from CPR BP warm sugar

Question 28

pharmaco and non pharmco for ARDS

Answer 28

pharm - cover aspiration pneumonia eg taz non - ventilate prone/ECMO

Question 29

why are kids more prone to heat related illess

Answer 29

higher BMR - produce more heat per kg lower absolute blood volume - less blood to dissapte heat immature sweating response - lower and delayed higher surface area to mass ratio - absorb mpre hear

Question 30

contributing factors to hypothermia

Answer 30

enviroment SEPSIS tox - benzos, vasoldilators metabolic - hypoglycaemia, hypothyroid skin- eczema malnutrition psych

Question 31

posterior elbow nerve injury supracondylay

Answer 31

ulna median

Question 32

Answer 32

CVST

Question 33

most common causes trauma in pregnancy

Answer 33

falls mva DV

Question 34

causes high airway pressute asthmatics

Answer 34

pneumo/tension pneumo bronchospasm breathe stacking secretions blocking tube

Question 35

management pacemaker induced tachycardia

Answer 35

Question 36

non clinical services to be informed of major incident

Answer 36

exec ED director/HOD security media - public relations