Читать книгу How to Pass the FRACP Written Examination - Jonathan Gleadle - Страница 17

You are the co‐leader for Medical Emergency Response Team. When you attend the following medical emergency, what is the most appropriate immediate management?

1 intravenous amiodarone.

2 intravenous appropriate antibiotics.

3 intravenous calcium chloride.

4 intravenous calcium gluconate.

5 intravenous epinephrine.

6 intravenous fluid.

7 intravenous dextrose.

8 intravenous hydrocortisone.

9 intravenous insulin.

10 intravenous magnesium.

11 intravenous naloxone.

32. A 26‐year‐old woman known to have asthma and type 1 diabetes presents to emergency department with severe dyspnoea and wheeze. She is unable to speak in a full sentence. Her HR is 120 bpm, respiratory rate of 26/min and BP is 90/60 mmHg. Oxygen saturation while breathing 4 L of oxygen is 91%. She is using her accessory muscles; has quiet breath sounds and few wheezes. Her BGL is 26 mmol/L [3.2–5.5]. She has been given three consecutive salbutamol nebulisers.

33. A 59‐year‐old man who has end stage kidney disease due to diabetic nephropathy presents to haemodialysis centre for dialysis. He has missed his previous dialysis because he is worried about contracting COVID‐19 at the dialysis centre. He collapses just before commencing dialysis. CPR is started, ECG shows ventricular tachycardia, and VBG shows a potassium level of 7.9 mmol/L [3.5–5.2].

34. A 53‐year‐old man known to have cirrhosis due to alcoholic hepatitis is admitted to the Acute Medical Unit after binge drinking. He has been given intravenous thiamine and 5% dextrose infusion. He is found to have an irregular and difficult to palpate pulse with a BP of 110/70 mmHg. His cardiac monitor shows intermittent runs of the following rhythm.

35. An 85‐year‐old man is transferred from a peripheral hospital due to a fracture of neck of right femur. He has been given analgesia, settled in the ward and is fasting and waiting for surgery. He is a fit farmer apart from stage 3B CKD. However, the nurse finds him unconscious 4 hours later. He is afebrile, BP 120/80 mmHg, HR 76 bpm, respiratory rate 8/min, SaO2 90% on 6 L of oxygen. He has bilateral pin‐point pupils.