Emergency aid- OSCE June 2021

Question 1

The nurse invited you to see a patient who suddenly collapsed. You have checked vital signs: the patient is unconscious, not breathing, the pulse is present. What will you do next?

Select one (1p)

Accepted Answer

You will start ventilating with bag and mask

Answer

You will perform intubation

Answer

Position the patient in a stable lateral position - an unconscious patient may have airway obstruction due to a fallen tongue root

Answer

You will perform CPR, starting with chest compressions

Question 2

You ventilate with bag and mask, but the chest does not rise.
What actions would be correct in this situation?

Select one or more (4p)

Accepted Answer

Check for secretions or foreign bodies that may cause airway obstruction

Accepted Answer

Try to open the airways better: tilt the head, lift the mandible

Accepted Answer

Insert an airway device

Accepted Answer

Squeeze the mask to the face harder

Answer

Ventilate at higher pressure to open the airway

Answer

Inflate a larger volume

Answer

Supply extra oxygen

Question 3

An improperly sized oropharyngeal tube (too large) can injure the throat and/or cause airway obstruction

Accepted Answer

true

Question 4

The size of the oropharyngeal tube is appropriate

Accepted Answer

true

Question 5

The oropharyngeal tube can also be used with an intact gag reflex

Accepted Answer

false

Answer

true

Question 6

An oropharyngeal tube is inserted. When ventilating the bag with the mask, the chest does not rise - the tube must be removed

Accepted Answer

true

Question 7

Which statements about helping an unconscious choked person
are correct?

Select one or more (3p)

Accepted Answer

Before rescue breaths, check the mouth for foreign bodies

Accepted Answer

CPR for unconscious choked person is performed at 30 to 2 ratio

Answer

The victim should be first laid on their back and 5 abdominal thrusts performed. If these action do not help, perform CPR at 30 to 2 ratio

Answer

Rescue breaths should be given even if the chest doesn't rise

Question 8

Which statements about helping a choking baby are correct?

Select one or more (3p)

Accepted Answer

The mouth should be inspected for foreign bodies before compressions

Accepted Answer

Do not shake the choked baby by the legs as blood may spill into the brain

Accepted Answer

For a conscious baby with complete obstruction, instead of abdominal thrusts press the chest with two fingers

Answer

If you are alone with a completely choked unconscious baby, resuscitate for 2 minutes first and then call for help

Question 9

Watch the video and answer below which steps were done
correctly and which were not:

Selected the appropriate size oropharyngeal tube. [blank_start]Incorrect[blank_end]

Started ventilation with bag valve mask. [blank_start]Correct[blank_end]

Checked the pulse after 2 min when ventilation was provided. [blank_start]Incorrect[blank_end]

Assessed consciousness. [blank_start]Correct[blank_end]

Ventilated at the appropriate frequency. [blank_start]Incorrect[blank_end]

Assessed the effectiveness of ventilation -whether the chest rises.
[blank_start]Correct[blank_end]

Accepted Answer

Incorrect

Accepted Answer

Correct

Accepted Answer

Incorrect

Accepted Answer

Correct

Accepted Answer

Incorrect

Accepted Answer

Correct

Answer

Inorrect

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Emergency aid- OSCE June 2021

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	Created by Lit Med over 2 years ago