STAGE 2 QUESTIONS
Q1 A SOLUTION HAVING A CONCENTRATION OF SOLUTE MOLECULES HIGHER
THAN THAT INSIDE THE CELLS IS KNOWN AS
A) ELECTROLYTE
B) HYPERTONIC
C) ISOTONIC
D) DEPOLARISED
Q2 THE AMOUNT OF INTRAVENOUS FLUID TO BE GIVEN BY AN AMBULANCE
PARAMEDIC SHOULD NOT EXCEED WITHOUT MEDICAL ADVICE
A) 250ml
B) 500ml
C) 1000ml
D) 2000ml
Q3 WHICH OF THE FOLLOWING IS NOT A POTENTIAL PROBLEM FOR INTUBATION
A) PUPILLARY DILATION
B) VOMITING AND REGURGITATION
C) DISPLACEMENT OF TUBE
D) STIMULATION OF THE VAGUS NERVE
Q4 THE NORMAL SIZE OF E.T.TUBE FOR AN ADULT MALE IS
A) 8cm
B) 9mm
C) 8mm
D) 9cm
Q5 A SUBCUTANEOUS INJECTION IS MADE AT AN ANGLE OF
A) 30DEGREES
B) 35DEGREES
C) 45DEGREES
D) 90DEGREES
Q6 HYPOVOLAEMIC SHOCK WILL OCCUR IN
A) DIABETIC COMA
B) MYOCARDIAL INFARCTION
C) RUPTURED SPLEEN
D) SEVERE HEAD INJURY
Q7 DIMINISHED CARDIAC OUTPUT BROUGHT ABOUT BY SEVERE BLEEDING WILL
RESULT IN
A) > SYSTOLIC BP
B) <PULSE RATE
C) < SYSTOLIC BP
D) INCREASED JUGULAR VENOUS PRESSURE
Q8 THE A.V.P.U. SCALE IS USEFUL IN ASSESSING WHICH OF THE FOLLOWING
A) NEWBORN INFANTS
B) HEAD INJURED PATIENTS
C) BURNS PATIENTS
D) DIABETICS
Q9 A SHOCKED PATIENT WITH PAIN AT THE TIP OF THE RIGHT SHOULDER
CHARACTERISTICALLY MAY HAVE A
A) RUPTURED SPLEEN
B) RUPTURED STOMACH
C) RUPTURED PANCREAS
D) RUPTURED LIVER
Q10 THE NORMAL SYSTOLIC BP IN A CHILD 5-12 YEARS OLD IS
A) 65 - 70 mmhg
B) 80 - 90 mmhg
C) 90 - 100 mmhg
D) 60 - 80 mmhg
Q11 IN BABIES MOST OF THE WORK OF BREATHING IS PERFORMED BY THE
A) INTERCOSTAL MUSCLES
B) ABDOMINAL WALL MUSCLES
C) THE ACCESSORY MUSCLES OF RESPIRATION
D) THE DIAPHRAGM
Q12 DURING C.P.R. IN AN INFANT ONE SHOULD
A) COMPRESS THE CHEST ONE FINGER BREADTH DOWN FROM THE MID-NIPPLE
LINE WITH TWO FINGERS TO 1.5 TO 2.5cm
B) USE A FINGER TO COMPRESS THE UPPER HALF OF THE STERNUM
C) ALWAYS TRY TO INTUBATE
D) USE A LARYNGOSCOPE TO ASPIRATE SECRETIONS FROM THE LARYNX
Q13 A CHILD AGED 6 MTHS WHO IS HOARSE AND HAS A HIGH PITCHED STRIDOR
SHOULD BE SUSPECTED SUFFERING FROM
A) ASTHMA
B) CROUP
C) BRONCHIOLITIS
D) BRONCHITIS
Q14 THE COMPRESSION RATE FOR CHILD C.P.R. IS
A) 1.5
B) 6.1
C) 5.1
D) 5.2
Q15 THE CORRECT DIAMETER TUBE FOR A 2 YEAR OLD IS
A) 3.5
B) 4.5
C) 5.0
D) 6.0
Q16 DEPOLARISATION AWAY FROM THE ELECTRODES RESULTS IN
A) NO DEFLECTION
B) HALF UPWARDS-HALF DOWNWARDS DEFLECTION
C) UPWARDS DEFLECTION
D) DOWNWARDS DEFLECTION
Q17 WHICH RHYTHM HAS THE FOLLOWING CHARACTERISTICS. NO VISIBLE P WAVE
IRREGULAR BASELINE, AND IRREGULAR VENTRICULAR RESPONSE
A) ATRIAL FLUTTER
B) SINUS RHYTHM
C) ATRIAL FIBRILLATION
D) SINUS BRADYCARDIA
Q18 THE CIRCUMFLEX BRANCH OF THE CORONARY CIRCULATION SUPPLIES
A) RIGHT ATRIUM - LEFT VENTRICLE
B) LEFT ATRIUM - LEFT VENTRICLE
C) RIGHT ATRIUM - LEFT ATRIUM
D) LEFT VENTRICLE - RIGHT VENTRICLE
Q19 THE INTRINSIC RATE AT THE A.V. NODE IS
A) 60 - 100 BPM
B) 50 - 70 BPM
C) 40 - 60 BPM
D) 20 - 40 BPM
Q20 DURING DEPOLARISATION OF MYOCARDIAL CELLS
A) POTASSIUM MOVES INTO THE CELL
B) MAGNESIUM MOVES INTO THE CELL
C) SODIUM MOVES OUT OF THE CELL
D) SODIUM MOVES INTO THE CELL
Q21 WHICH OF THE FOLLOWING DOES NOT INCREASE THE HEART RATE
A) ADRENALINE
B) ATROPINE
C) LIGNOCAINE
D) SALBUTAMOL
Q22 WHICH OF THE FOLLOWING IS NOT ACHIEVED WITH LIGNOCAINE
A) RAISING THE STIMULATION THRESHOLD OF MYOCARDIA
B) SUPPRESSING THE AUTOMATICITY OF HIS/PURKINJE FIBRES
C) LOCAL ANAESTHETIC
D) REDUCES THE REFRACTORY PERIOD OF JUNCTIONAL TISSUE
Q23 THE RECOMMENDED MAXIMUM CUMULATIVE DOSE OF DEXTROSE 50%
FOR A HYPOGLYCAEMIC PATIENT IS
A) 50 mls OF 50 %
B) THERE IS NO MAXIMUM DOSE
C) 100 mls OF 50%
D) 150 mls OF 50%
Q24 WHICH OF THE FOLLOWING IS A CONTRAINDICATION FOR THE USE OF
ASPIRIN
A) MYOCARDIAL INFARCTION
B) DIABETES
C) BRONCHITIS
D) PEPTIC ULCER
Q25 ONE OF THE SIDE EFFECTS OF SALBUTAMOL MAY BE
A) TREMORS
B) PERIPHERAL VASOCONSTRICTION
C) BRADYCARDIA
D) CONFUSION
Q26 KUSSMAULS RESPIRATION IS IN RESPONSE TO
A) RESPIRATORY ACIDOSIS
B) METABOLIC ACIDOSIS
C) PERIODS OF APNOEA
D) RESPIRATORY ALKALOSIS
Q27 THE EFFECT OF VAGAL TONE ON THE HEART IS TO
A) INCREASE THE HEART RATE
B) INCREASE THE FORCE OF CONTRACTIONS
C) DILATE THE CORONARY ARTERIES
D) REDUCE THE RATE
Q28 THE DEFINITION OF EMPHYSEMA IS
A) PUS IN THE PLEURAL CAVITY
B) AIR IN THE PLEURAL CAVITY
C) COLLAPSE OF THE LUNG
D) OVER DISTENTION OF THE ALVEOLI
Q29 TENSION PNEUMOTHORAX IS NOT LIKELY TO OCCUR DUE TO
A) ASTHMA
B) EXCESSIVE POSITIVE PRESSURE VENTILATION
C) CHEST TRAUMA
D) ENDOCARDITIS
Q30 WHICH OF THE FOLLOWING FACTORS IS MOST IMPORTANT IN DETERMINING
THE LIKELYHOOD OF A CHEST INJURY
A) THE MECHANISM OF INJURY
B) THE RESPIRATORY RATE
C) THE PULSE RATE
D) THE LEVEL OF CONSCIOUSNESS