A patient in c5 informed you she was breathless. She could tell you that her chest felt tight and you heard no wheeze/stridor. Which of the following is the most correct statement?

HO CME 1

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Yuan Ye Beh
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10 questions
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1.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
Her airway is most likely obstructed
You should scoop the mouth to make sure no foreign body
Airway is intact, move on to breathing assessment
She needs a full clerking and full set of bloods with CXR
2.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
You moved on to assess her breathing. Which of the following is NOT part of breathing assessment?
Saturation
Bedside Swallowing Test
Respiratory Rate
Chest Examination
3.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
Her Spo2 is 92% under RA. RR is 30. What should you do next?
Move on to circulation assessment
Order a CXR
>90% is acceptable range
Put the patient on face mask oxygen
4.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
After you put her on FM 5L/min, her Spo2 improved to 98% and appeared less tachypnoiec. You quickly auscultated the lungs and noted bilateral fine inspiratory crackles up to mid zones. Which of the following is the least likely diagnosis?
Acute Pulmonary Oedema
Inferior MI with RV involvement
Pulmonary Fibrosis
Fluid overload with worsening AKI
5.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
You proceeded to circulation assessment. Her BP was noted to be 220/140mmHg. Which of the following is wrong?
Start IVI Norad
Give IV lasix 40mg stat
T amlodipine 10mg stat
Start IVI GTN
6.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
Your MO attended the case and stabilised the patient. However, after 1hour, the staff nurse informed that the patient is not responsive. What is your next step?
Ask SN to inform back MO
Order a CT brain
Start CPR
Re-assess the airway, breathing, circulation
7.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
After your assessment, you noticed her GCS is now E2V2M5. Which of the following management is incorrect?
Check her reflo
Request urgent CT brain
Empirically give aspirin 300mg stat to treat for stroke
Check the pupils
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