MOST IMPORTANT MCQ VS CLINICAL PROCEDURE

 MOST IMPORTANT MCQ VS CLINICAL PROCEDURE

(A)BLOOD TRANSFUSION

1. Blood is strored in refrigerator at ........ degrees centegrade

Ans.4°c

2.Delay transfusion if temp is ..........

Ans.more than 101.8ଂF

3........saline is the only crystalloid that is compartible with blood

Ans.NS

4.Safe storage of blood is limited t.........days  

Ans.35days

5.For first 15 minutes start infusion at the rate of ............

Ans.25-30ml/hours

6.Gently rotate blood bag periodically prevents........

Ans. clumping of cell

7.Cold blood can cause ......

Ans.Hypothyroidism,cardiac arrhythmias,

8.Hemophilia A is caused due to daficiency of ........

Ans.Factor 8

9. Hemophilia B is caused due to daficiency of.........

Ans. factor 9

10.Hemophilia C is caused due to daficiency of.........

Ans. factor 11

11.Hemophilia D is caused due to daficiency of.........

Ans.factor 12

(B)IM INJECTION

1..........method of pulling the skin is reccomended in during IM injection 

Ans.Z-track

2.Site of Injection includes ............

Ans.Deltoid,vastus lateralis,Ventrogluteal and dorso gluteals muscle

3. Reccomended needle length in adult according to Evidence practice are

*Vastus lateralis- 16 to 25mm( 5/8 to 1inch)

* Ventrogluteal - 38mm (1.5 inch)

*Deltoid -25mm to 38mm(1-1.5inch)

* Infant -25mm(1inch)

*Toddler -25 to 32mm(1-1.25Inch)

*Older children-38-51mm(1.5-2 inch)

4.Recommended site for IM injection

*For infant up to 12month-anterior lateral thigh

*Children 18months and older-Deltoid

*Children of all ages- Ventrogluteal muscle

*Newborn-Vastus lateralis

5............site use as administration of routine immunization in Toddler

Ans.Deltoid

6.Reccomended normal amount of IM Injection is that a can safely tolorate

*Adult -2 to 5ml

*Older infant and small children-1ml

7.......is the safe injection site for adult and children

 (C)CATHETERIZATION

1.For short term......... catheterization is done

Ans. intermittent

2.For Long term .......... catheterization is done

Ans. Indwelling

3.During catheterization

*For male-Supine with thigh straight

*For female-Dorsal recumbent with knee flexed

4. Sequence of Perineal cleaning in Female During Cetheterization is........

Ans. meatus>labia minora>labia majora

5.Depth of insertion in

*Male-15 to 25 cm

*Female-2.5 to 5 cm

6.Length of Urethra 

*Male-18 to 20cm

*Female-3.5cm

(D) INTRAVENOUS INFUSION

1. Contraindications of Venipuncture is.........

Ans. arterious venous fistula,arm on side of mastectomy, Phlebitis, infiltration, sclerosis

2.Iv set tube should change every ......hours

Ans.72 hours

3. Colour vs iv cannula

*Orange-14G

*Grey-16G

*Green-18G

*pink-20G

*Blue-22G

*Yellow-24

4.Saline vs Their example

*HYPOTONIC

0.45% NSor 0.25% NS 2.5% DNS, 

*HYPERTONIC

3%Ns,5%Ns,10%DNS, 5%DNS+0.9%NS

*ISOTONIC

0.9%NS,RL,

 (E)RYLES TUBE-

1.The length of RYLES tube to be inserted is NEX, that is from the tip of nose to the tip of ear lob and tip of xyphoid process 

2.During RYLES tube insertion , position is supine with Flex the head towards the chest to reduce the risk of entey of tube in to trachea

3.The main complications of NG tube insertion include aspiration and tissue trauma

4.Methods of confirming NG tube position

*Auscultation of air insufflated through the feeding tube ('whoosh' test)

 The whoosh test is undertaken by rapidly injecting air down an NGT while auscultating over the epigastrium

*Testing the acidity/alkalinity of aspirate using blue litmus paper.

Interpreting the absence of respiratory distress as an indicator of correct positioning.

*Monitoring bubbling at the end of the tube.

(F)BLOOD COLLECTION

1. Apply the tourniquet 5-15cm above the selected site

2.Clean the skin with alcohol swab in circular motion from center to periphery

3.After blood draw, request the patient to apply gentle and firm pressure to site for 2-4minutes

4.It is highly recommended blood samples should arrive in the laboratory within 24 hours of collection 

5. it should be in the laboratory for testing within eight hours of the blood collection event

 (G)Endotracheal intubation

1.Capnography is done for confirming of ET tube placement

2.VAP is defined as developing after 48hours of following intubation

3.Bracheocephalic artery supplies blood to ARM,head ,neck 

4.Magilies forceps is used to guide the ET tumhe into the laryngeal inlets

5.ET tube cuff pressusre is measured by .....

Ans.Manometer

6.Maintain ET Cuff pressure at 20cm H2o

7.Change ventilator Circuit Every 48 hours

 (H)DEFIBRILATION 

1.The most dangerious or lethal arrhythmias is ............

Ans.Pulseless VT ,and VF

2.The positions of client during defibrillation is supine with any pillow

3. Defibrillation is to be started within ........of onset and arrhythmias

Ans.10 to 20sec

4.The initial Defibrillation should be 200 joule of electric energy

*In 2nd attempt-200 to 300joule

*In 3Rd attempt-more than 300joule

5.High dose of shock cause .........

Ans.myocardiac damage

6.After the patient is defibrillated and rhythm is restored then ......medication is usually given to prevent recurrent episode

Ans.Lidocaine

7.In BIPHASIC, shock energy is 120 to 200joule

8.In MONOPHASIC , shock energy is 360joule

9.The dose of Ephidrine is 1mg Every 3 to 5 minutes

10.The dose of vasopressin is 40units 

10.The dose of amiodarone is 

*first dose-300mg

*Second dose-150mg