Multiple Choice Questions (MCQ)

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Category: Emergency Medicine--->Adult Resuscitation
Page: 1

Question 1# Print Question

For confirming endotracheal tube placement following intubation of a patient in cardiac arrest, which ONE of the following methods is the most reliable?

A. Waveform capnography
B. Calorimetric end-tidal carbon dioxide (ETCO2)
C. Oesophageal detector device
D. Pulse oximetry

Question 2# Print Question

Regarding the use of bilevel positive airway pressure (BiPAP) in acute hypercapnic respiratory failure in chronic obstructive pulmonary disease (COPD), adjustment of which ONE of the following parameters will most effectively reduce PCO2 levels?

A. Increase positive end-expiratory pressure (PEEP)
B. Increase inspiratory positive airway pressure (IPAP)
C. Increase PEEP and IPAP proportionally
D. Decrease the timed ventilations when in spontaneous/timed (S/T) mode

Question 3# Print Question

Regarding non-invasive ventilation (NIV) in acute cardiogenic pulmonary oedema, which ONE of the following is TRUE?

A. BiPAP has been shown to be superior to continuous positive airway pressure (CPAP)
B. PEEP should never be increased above 5 cm H2O
C. It has a proven short-term mortality benefit
D. It improves cardiac output

Question 4# Print Question

Regarding NIV in COPD, which ONE of the following is FALSE?

A. It has no mortality benefit in hospital, but there may be a survival advantage after discharge
B. It reduces preload and therefore may reduce cardiac output
C. Oxygen saturation of 85–90% is acceptable
D. Application of external PEEP worsens intrinsic PEEP and lung hyperinflation and should not be used

Question 5# Print Question

Regarding severe life-threatening asthma, which ONE of the following is the most appropriate indication for intubation?

A. PCO2 > 70 mmHg
B. pH < 7.35
C. SaO2 85%
D. Respiratory exhaustion

Category: Emergency Medicine--->Adult Resuscitation
Page: 1 of 7