Medications
Adults
Paediatrics
Common Presentations
Resus
100
The medication used as first-line for anaphylaxis?
A) Salbutamol
B) IM Adrenaline
C) Loratadine
B) IM Adrenaline
100
What is the recommended dosage of adrenaline in an adult patient during anaphylaxis (via intramuscular injection)?
A) 0.1 mg
B) 0.5 mg
C) 1 mg
B) 0.5 mg
100
Which symptom is most typical of a simple migraine?
A) Unilateral headache with nausea
B) Bilateral weakness
C) Dizziness
A) Unilateral headache with nausea
100
Which mask delivers the highest FiO₂ without positive pressure?
A) Nasal prongs
B) Non-rebreather mask
C) Simple face mask
B) Non-rebreather mask
200
What is the usual concentration of IV adrenaline used during cardiac arrest? Is this a nurse initiated medications?
A) 1:1000, yes
B) 1:10,000, yes
C) 1:1, no
B) 1:10,000, yes
(minijets also available for first rounds)
200
A typical early sign of sepsis in adults is:
A) Bradycardia
B) Tachycardia
C) Hypothermia
B) Tachycardia
200
Which condition is most associated with a barking cough?
A) Asthma
B) Croup
C) Pneumonia
What is the treatment for this type of cough?
A) Prednisolone
B) Dexamethasone
C) Nurofen
B) Croup
B) Dexamethasone
200
A 25-year-old with flank pain and haematuria likely has:
A) Kidney stone
B) Appendicitis
C) Pancreatitis
A) Kidney stone
200
What is the correct dose for a Noradrenaline infusion?
A) 3mg Noradrenaline in 100mls N/saline
B) 6mg Noradrenaline in 100mls 5% Glucose
C) 6mg Noradrenaline in 100mls N/saline
D) 3mg Noradrenaline in 50mls 5% Glucose
Both B and D are correct and are both a concentration of 60mcg/ml
300
Which drug is used for rapid termination of SVT in stable patients?
A) Adenosine
B) Atropine
C) Amiodarone
A) Adenosine
300
Which ECG change is classic for STEMI?
A) ST elevation
B) U waves
C) Tall, peaked T waves
A) ST elevation
300
A paediatric patient with fever, drooling, and leaning forward may have:
A) Otitis media
B) Epiglottitis
C) Constipation
B) Epiglottitis
300
Which combination strongly suggests DKA?
A) High BGL + low ketones + normal pH
B) High BGL + ketones + metabolic acidosis
C) Low BGL + high ketones + alkalosis
B) High BGL + ketones + metabolic acidosis
300
What is the purpose of an Arterial line and are you able to give anything through them?
The purpose of an Arterial line is to use as a monitoring device for patients who are critically unwell.
You cannot give anything through them other than the n/saline flush line when taking blood gases from the line
400
Which medication is preferred for status epilepticus as first-line?
A) Midazolam
B) Phenytoin
C) Levetiracetam
A) Midazolam
400
Which acid–base result is most consistent with septic shock?
A) Respiratory alkalosis
B) High lactate with metabolic acidosis
C) Normal lactate and respiratory acidosis
B) High lactate with metabolic acidosis
400
A child with high fever, petechiae, and prolonged cap refill is most concerning for:
A) Viral infection
B) Meningococcal disease
C) Scarlet fever
B) Meningococcal disease
400
In acute pancreatitis, which lab result correlates most with severity?
A) Amylase
B) Lipase
C) Rising lactate and acidosis
C) Rising lactate and acidosis
400
In the case of an intubated patient with a deteriorating oxygen saturation, what is the first action you should take?
A) Increase the FiO2 to 100%
B) Check tube placement by auscultating the chest and checking the tube position and check the patients breathing
C) Administer a dose of atropine
D) Immediately insert a second airway device
B) Check tube placement by auscultating the chest and checking the tube position
Always check your patient first.
500
How is Ketamine prepared and what is the final concentration?
A) 200mg/2ml, drawn up with 18mls N/Saline = conc 10mg/ml
B) 200/2ml, drawn up with 8mls N/Saline = conc 20mg/ml
C) 100mcg/ml, drawn up in 8mls N/Saline = conc 10mg/ml
A) 200mg/2ml, drawn up with 18mls N/Saline = conc 20mg/ml
500
Using the Lund-browder, what is the estimated TBSA for burns to the entire right arm and anterior chest in an adult?
approx 22%
500
In paediatric head injury, which sign strongly suggests raised ICP?
A) Photophobia
B) Cushing’s triad
C) Rhinorrhoea
B) Cushing’s triad
