Curriculum Quiz: Resus

You receive a telephone call from an ambulance crew. They are bringing in a 5-year-old child with a previous allergic reaction to nuts. Whilst at a party he ate a cupcake and now has stridor, facial swelling, a respiratory rate of 50/ minute and is pale with an urticaral rash.

The first pharmacological treatment that you should give is:

Which of the following airway items is the most important to have in the resuscitation room?

Which one of the following statements regarding basic airway management is true?

Which one of the following broad group of triggers of anaphylaxis is most likely to cause breathing difficulties leading to cardiac arrest?

What is the absolute contraindication for the administration of adrenaline in anaphylaxis?

In the presence of the echographic finding of LV standstill during cardiac arrest, which of the following is the expected percentage of failure to regain spontaneous circulation.

Select one option from the answers below.

Your junior is assisting you in stabilising a patient post-return of spontaneous circulation (ROSC) post-cardiac arrest. They check a BM and it is 18. They ask if they need to act on this.

What is the appropriate response?

A 75-year-old man presents with abdominal pain. It is central but radiates to the left loin. He has a history of hypertension and angina. The pain is constant but he has not vomited and his bowels are opening normally. He is tachycardic and pale with a BP of 100/70. Looking at his abdominal x-ray, which of the following statements are true? (Select all that apply)

Click on the x-ray to enlarge.

Which of the following factors should alert the emergency physician to an increased likelihood of the presence of primary blast injury?

A 52-year-old front seat passenger presents following a head on collision. His airbag was deployed. He has since walked and now complains of anterior chest pain only. You detect decreased breath sounds at the right apex. He is not short of breath and appears otherwise well. His chest x-ray is as demonstrated (image, right). Aside from addressing his analgesic requirements, which of the following management options is most sensible?

Whilst taking a handover from the pre-hospital team for the major trauma patient, what should you do? (Select all that apply)

In major trauma, a FAST scan is ideally carried out under which of the following circumstances?

A 55-year-old man presents with dyspnoea of sudden onset associated with left sided chest pain. On examination, he is clearly in significant respiratory distress with tachypnoea, tachycardia, pallor and peripheral cyanosis.

Which of the following investigations is not immediately indicated in this patient?

A 46-year-old man undergoing chemotherapy for acute myeloid leukaemia has suspected neutropenic sepsis.

His heart rate is 120/min, BP 95/50, his oxygen saturation is 91% on 4 l of oxygen, his haemoglobin is 6.8 g/dl, temperature 40.1oC.

Which of the following interventions will increase oxygen delivery to the tissues the most within the next 2 hours?

A 12-month-old child presents with a reduced level of consciousness. The child’s coma score is 4/15 and BM is 18.0 mmol/L. There is no history of trauma or significant past medical history. The following is also seen:

HR: 70
CR: 3 sec
RR: 7
Sats 84% (10 L/min of O2)
Temp 36.6oC

Regarding the management of this patient, which of the following statements is correct?

A 43-year-old unconscious patient has a capillary blood glucose of 2.4mmol/L. He appears thin and unkempt. There is no past medical history available. He was found in a doorway.

The most appropriate treatment is which of the following?

A 33-year-old woman presents with breathlessness; on examination she is tachypnoeic and tachycardic. You suspect that she may not have a primary cardiovascular or respiratory pathology.

Which one of the following is most likely to support your suspicion of a non-cardiorespiratory cause for her presentation?

Which of the following statements regarding shock resistant ventricular fibrillation is the most appropriate?

Which of the following is most likely to cause respiratory acidosis?

Which one of the following episodes is likely to fit the definition for a BRUE?

A 23-year-old has been involved in a car crash. He requires intubation for respiratory failure secondary to pulmonary contusions. Following one failed attempt at intubation, his saturations have dropped from 98% to 92%.

What is the most appropriate course of action?

Which of the following features would classify a child of being high-risk of having a serious underlying diagnosis or a recurrent event? Select all that apply.

Which of the following statements regarding airway assessment is correct?

Which one of the following statements regarding chest compressions in hypothermic cardiac arrest is correct?

Which of the following pre-cardiac arrest risk factors is associated with adverse outcome?

A 12-week-old is brought in to the Emergency Department having been found unresponsive. There are clear signs of rigor mortis and the crew haven’t been able to get an airway. The rhythm has been asystole throughout. CPR has been ongoing for 25 mins.

Which of the following is the most appropriate management?

What is considered optimal pre-oxygenation time/parameter prior to intubation?

Which one of the following statements regarding hypothermic peri-arrest and cardiac arrest situations is true?

Which of the following is not a risk factor for necrotising fasciitis?

Which of the following statements concerning status epilepticus (SE) is correct?