7. Following chest auscultation an asthmatic patient is found to have a “silent chest”. Which of the following statements is correct?
This is a normal clinical finding in asthmatic patients
It indicates the patient’s asthma attack is of life threatening severity
Silent chest indicates the bronchospasm has resolved and the patient is probably improving
The patient needs to measure a peak flow and to step up medication in line with their asthma plan
8. What is the calculation for minimum urine output if the paitent weights 90kg?
30ml
45ml
90kg
90ml
9. 22) If you have an unresponsive patient, on cardiac monitor which shows sinus bradycardia, however they have no respirations and no palpable pulse, what rhythm are they in?
Ventricular fibrillation
Pulseless electrical activity
Still sinus bradycardia
Supraventricular tachycardia
10. What is the maximum amount of oxygen a simple face mask will deliver?
40-60%
100%
Less than 40%
25-45%
11. A patient suffering from shock may present with:
Vasodilatation and a low blood pressure
A high blood pressure and vasodilatation
Hypertension and vasoconstriction
Bronchodilation and a low urinary output
12. Shock can best be described as:
A hypermetabolic reaction
A poor urinary output
Inadequate tissue perfusion
An increase in cardiac output
13. Which one of the following breathing patterns can be seen in a patient with a completely obstructed airway?
Orthopnoea
Cheyne-stoke
See-saw
Kussmaul
14. 7) In acute severe asthma which of these is the expected peak expiratory flow?
They would not be able to perform a peak flow.
40-60% of predicted
33-50% of predicted
less than 33% of predicted
15. What drugs may be given for secondary prevention of MI?
Aspirin and beta blockers
Warfarin and fragmin
Amiodarone and furosemide
Streptokinase
16. One of the recognised features of hypovolemic shock is:
Metabolic Acidosis
Tachycardia
Warm Peripheries
Polyuria
17. Salbutamol is which of the following?
B2 agonist
A2 antagonist
B2 antagonist
A1 receptor
18. A patient with a chronic respiratory condition has a respiratory rate 28 of breaths a minute. His PO2 is below 8 kPa and the PCO2 is above 6.5 kPa. His C02 level is continuing to rise. What is the most appropriate therapy for this patient?
No action is required: you should wait and see if the patient deteriorate further.
Ventilation using a bag valve mask
Non invasive positive pressure ventilation using a face mask
Positive pressure ventilation using a ventilator
19. Which patient would you prioritise in an out of hospital trauma scene?
Patient with a partially amputated arm walking towards you
