Quiz to help revise doses, routes, indications, contra-indications, cautions and side effects of paramedic drugs following the national guidelines (AACE 2013).
Questions and Answers
1.
Clopidogrel route
A.
Oral
B.
Intramuscular
C.
Intravenous
D.
Intraosseous
E.
Rectally
Correct Answer A. Oral
2.
GTN spray dose
A.
400-800mg (6 spray maximum)
B.
400-800mcg (6 spray maximum)
C.
400-800mcg (no maximum)
D.
400-800mg (no maximum)
Correct Answer C. 400-800mcg (no maximum)
Explanation Dose interval 5-10mins. Tablets of 2/3/5mg also available.
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3.
GTN Route (tick all that apply)
A.
Oral
B.
Sublingual
C.
Buccal
D.
Topical
E.
Intramuscular
F.
All of the above
Correct Answer(s) B. Sublingual C. Buccal
Explanation Spray under pt. tongue and close mouth.
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4.
GTN indications (tick all that apply)
A.
Acute cardiogenic pulmonary oedema
B.
Anti-emetic
C.
Hypertension
D.
CCP from angina
E.
CCP from MI
F.
All of the above
Correct Answer(s) A. Acute cardiogenic pulmonary oedema D. CCP from angina E. CCP from MI
5.
GTN contra-indications
A.
Head trauma
B.
Unconscious pt.
C.
Sidenafil (Viagra) within 24 hours
D.
Cerebral haemorrage
E.
Hypovolaemia
F.
Hypotension
G.
All of the above
Correct Answer G. All of the above
6.
Clopidogrel dose (tick all that apply)
A.
600mg anticipated PPCI
B.
400mcg initial
C.
800mcg anticipated PPCI
D.
No repeat dose
E.
Same repeat after 10 mins
F.
300mg initial
Correct Answer(s) A. 600mg anticipated PPCI D. No repeat dose F. 300mg initial
7.
Give a patient clopidogrel when they are having a ________?
Correct Answer(s) STEMI, ST segment elevation MI, MI, acute ST segment elevation myocardial infarction
Explanation As morphine can cause nausea/vomiting and respiratory depression
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29.
Cautions in administering morphine (tick all that apply)
A.
Chest injury
B.
Breastfeeding
C.
Head injury
D.
Minimal doses in pregnant pt.
E.
Hypotension
F.
Respiratory problems
G.
Renal impairment
H.
++Alcohol or sedative medications
I.
All of the above
Correct Answer(s) A. Chest injury C. Head injury D. Minimal doses in pregnant pt. F. Respiratory problems G. Renal impairment H. ++Alcohol or sedative medications
30.
Side effects of morphine administration (tick all that apply)
A.
Respiratory depression
B.
Cardiovascular depression
C.
Nausea and vomiting
D.
Drowsiness
E.
Pupil restriction
F.
All of the above
Correct Answer F. All of the above
31.
Indications of entonox (tick all that apply)
A.
Labour pains
B.
Anti-pyretic
C.
Anti-inflammatory
D.
Moderate/severe pain
E.
All of the above
Correct Answer(s) A. Labour pains D. Moderate/severe pain
32.
Contra-indications of entonox
A.
Known sensitivity
B.
Severe head injury with ALOC
C.
Decompression sickness
D.
Violently disturbed psychiatric pt.
E.
All of the above
Correct Answer(s) B. Severe head injury with ALOC C. Decompression sickness D. Violently disturbed psychiatric pt.
Explanation ALOC - altered level of consciousness
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33.
Pneumothorax is the only caution to consider with entonox
Explanation All cautions: angina, overactive thyroid, late pregnancy, hypertension (must be severe in pt. on beta blockers - then use half doses)
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46.
Tick all the side effects of salbutamol
A.
Tremor
B.
Tachycardia
C.
Palpitations
D.
Headache
E.
Feeling of tension
F.
Peripheral vasodilation
G.
Muscle cramps
H.
Rash
I.
All of the above
Correct Answer(s) A. Tremor B. Tachycardia C. Palpitations D. Headache E. Feeling of tension F. Peripheral vasodilation G. Muscle cramps H. Rash
47.
What is the administration route of Ipratropium Bromide (Atrovent)? ________
Correct Answer(s) NB, nebulised, nebulise
48.
The dose of Ipratropium Bromide (Atrovent) is ________
Correct Answer(s) 500mcg, 500 mcg, 500 micrograms
49.
Ipratropium Bromide (Atrovent) has no contra-indications in an emergency situation?
A.
True
B.
False
Correct Answer A. True
50.
What are the two indications for Ipratropium Bromide (Atrovent) to be used? 1 ________, 2 ________
Correct Answer asthma, acute asthma, severe asthma, acute severe/life-threatening asthma, life-threatening asthma, life threatening asthma, acute/severe/life-threatening asthma, asthma unresponsive to salbutamol, COPD, exacerbation of COPD, exacerbation of COPD unresponsive to salbutamol, COPD unresponsive to salbutamol asthma, acute asthma, severe asthma, acute severe/life-threatening asthma, life-threatening asthma, life threatening asthma, acute/severe/life-threatening asthma, asthma unresponsive to salbutamol, COPD, exacerbation of COPD, exacerbation of COPD unresponsive to salbutamol, COPD unresponsive to salbutamol
Explanation For acute/severe asthma unresponsive to salbutamol. For exacerbation of COPD unresponsive to salbutamol.
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