Special Groups

Question 1

WETFLAG

W?

Calculation?

Answer 1

WEIGHT

(Age + 4) x 2

Kg

Question 2

WETFLAG

E?

Calculation?

Answer 2

ENERGY

4 joules / kg

Question 3

WETFLAG

T?

Calculation?

Answer 3

TUBE

(Age / 4) + 4 = Diameter

Mm

Question 4

WETFLAG

F?

Calculation?

Answer 4

FLUID

10 ml/kg Bolus

[2025 RCUK Update]

Question 5

WETFLAG

L?

Calculation?

Answer 5

LORAZEPAM

0.1 mg/kg

Question 6

WETFLAG

A?

Calculation?

Answer 6

ADRENALINE (Cardiac Arrest)

0.1 ml/kg

1: 10 000

Question 7

WETFLAG

G?

Calculation?

Answer 7

GLUCOSE

2 ml/kg

10% Dextrose

Question 8

EPALS

Seizure Management?

Answer 8

< 5 MIN
ABCDE / MARCH Assessment
Check Blood Glucose (Treat < 3)

5 MIN
Midazolam 0.3 mg / kg Buccal / Intranasal (10mg MAX)

10 MIN
Repeat Midazolam 0.15mg / kg Buccal / Intranasal (10mg MAX)

15 MIN
Levetiracetam 40 mg / kg IV (3g MAX)

20 MIN
Call Anaesthetist/ ICU

Question 9

Maternity

Painful Abdomen + Hard Uterus + Bloody Discharge?

Answer 9

Placental Abruption

Separation of Placenta from Uterine Wall

Question 10

Maternity

Painless Abdomen + Soft Uterus + Bloody Discharge?

Answer 10

Placenta Praevia

Placenta Implants Across Cervical Os

Question 11

Maternity

Painful Abdomen + Soft Uterus + No Discharge?

Answer 11

Uterine Rupture

Disruption of Uterine Wall Post 28 Weeks

Question 12

Maternity

High BP + Proteinuria + Odema?

Answer 12

Pre-Eclampsia

Presents Post 26 Weeks

Question 13

Maternity

High BP + Abdominal Pain + Visual Disturbance?

Answer 13

Severe Pre-Eclampsia

Question 14

Maternity

High BP + Convulsion?

Answer 14

Eclampsia

Question 15

Maternity

Management of Pre-Eclampsia?

Answer 15

Labetelol 20mg IV

Question 16

Maternity

Management of Severe Pre-Eclampsia / Eclampsia?

Answer 16

Magnesium Sulphate 4g IV

Transfer to Consultant Led Obstetric Unit

Question 17

Maternity

First Stage of Labour?

Answer 17

Regular Contractions (3 per 10min) + Dilation to 10cm

Question 18

Maternity

Second Stage of Labour?

Answer 18

Full Cervical Dilation to Delivery of Baby

Question 19

Maternity

Third Stage of Labour?

Answer 19

Delivery of Baby to Delivery of Placenta

Question 20

Maternity

Cord Prolapse Management?

Answer 20

Gently Replace Cord + Urgently Transfer to Consultant Led Obstetric Unit

Question 21

Maternity

Pre Hospital Delivery Management?

Answer 21

Gentle Pressure on Baby Head
Catch + Fingers Under Arms
Dry Vigerously
Place on Mother Skin to Skin

Question 22

Maternity

Pre Hospital Placenta Delivery?

Answer 22

2x Clamps 15cm from Baby + Cut
Inspect Placenta for Completeness
Retain for Midwife / Obstetrician

Question 23

Maternity

Normal Blood Loss Volume?

Answer 23

200-300ml

Question 24

Maternity

Post Partum Haemorrhage Definition?

Answer 24

> 500ml Blood Loss

Within 24hrs OR 6 Weeks

Question 25

Maternity Post Partum Haemorrhage Causes?

Answer 25

4T Tone Trauma Tissue Thrombin

Question 26

Maternity Post Partum Haemorrhage Management?

Answer 26

Syntometrine 1ml IM / IV (NO HTN) OR Misoprostol 800mcg SL (HTN) TXA 1g IV Biannual Compression IF Catestophic

Question 27

Maternity Normal Neonatal Management?

Answer 27

Assess (60 Sec) Dry + Heat + Stimulate Tone + HR (>60) + RR OK = Place on Mother Skin

Question 28

Maternity Abnormal Neonatal Management? [Neonatal Life Support]

Answer 28

5 Inflation Breaths [REASSESS] 5 Inflation Breaths w/2 Person Technique [REASSESS - Chest Wall Movement?] 30sec Ventilation Breaths [REASSESS - HR >60?] 3:1 CPR + 100% O2 [REASSESS EVERY 30SEC] Update Parents + Convey to Consultant Led Obstetric Unit w/NICU

Question 29

Maternity Breech Delivery Management?

Answer 29

All 4s + Encourage to Push + Pinnard Manoeuvre (Press Behind Knees)

Question 30

Maternity Shoulder Dystocia Management?

Answer 30

McRoberts Manouvre (Knees to Chest) Axial Traction Suprapubic Pressure (Baby Back) All 4s + Rocking Time Critical Transfer to Consultant Led Obstetric Unit (2min Total Time)

Question 31

Maternity Pre Hospital Resuscitative Hysterectomy Indication?

Answer 31

> 20 Weeks Gestation Cardiac Arrest After 4min ALS

Question 32

Maternity Pre Hospital Resuscitative Hysterectomy Timing

Answer 32

Within 5min

Question 33

Maternity Patient Positioning?

Answer 33

LEFT Lateral Manual Displacement of Uterus to LEFT

Question 34

Maternity Shoulder Dystocia Diagnosis?

Answer 34

Baby Shoulders NOT Born within 2x Contractions [Head Bobbing]

Question 35

Mental Health Act Section 2?

Answer 35

Detention in Hospital Recommendation by 2x Doctors 28 Days for Treatment

Question 36

Mental Health Act Section 3?

Answer 36

Detention in Hospital Recommendation by 2x Doctors 6 Months for Treatment

Question 37

Mental Health Act Section 4?

Answer 37

Detention in Hospital Recommendation by 1x Doctor 72hrs

Question 38

Mental Health Act Section 135?

Answer 38

Police Officer Removal from Home To a Place of Safety

Question 39

Mental Health Act Section 136?

Answer 39

Police Officer Removal from Public Area To a Place of Safety 24hrs for Assessment

Question 40

Suicide Risk Assessment?

Answer 40

SAD PERSONS Sex (Male) Age (< 19 + > 45) Depression Prev Suicide Attempt Excess ETOH Rational Thinking Loss Seperate / Single Organised Plan No Social Support Sickness LOW = < 4 HIGH = > 7