Breathing emergencies MCQ ALS for Pacific Family Medicine pre-course test. This is an open book exam, and candidates may refer to the Youtube videos, ALS handbook, or other resources. However, candidates may not ask other candidates for their answers - this is cheating! OK Question Title * 1. Please enter your name in the text box ... OK Question Title * 2. Which of the following does NOT assess the effort (or work) of breathing: Observing the self positioning of the patient. Use of accessory muscles. Audible stridor or wheezing. Pulse oximetry. OK Question Title * 3. Which of the following does NOT assess the effectiveness of breathing? Chest expansion. Percussion note. Volume of breath sounds. Signs of hypoxia. OK Question Title * 4. Stridor does NOT occur in: Epiglottitis. Anaphylaxis. Bronchiolitis. Foreign body obstruction. OK Question Title * 5. Wheeze (rhonchi) or crackles (rales) are NOT features of: epiglottitis bronchiolitis bronchitis pneumonitis OK Question Title * 6. What flow rate of oxygen via mask would you prescribe for a 30 year old man presenting with 2 hours worsening dyspnoea and pulse oximetry of 80% saturation ? 1 litre /min. 5 litres /min. 10 litres /min. 15 litres /min. OK Question Title * 7. A 25 year old known asthmatic presents during a thunderstorm with an acute exacerbation which doesn't respond to repeated nebulisers of salbutamol and ipratropium and IV hydrocortisone. What do you do next? Give IV aminophylline bolus followed by infusion. Give IV magnesium sulphate bolus followed by infusion. Assist respiration using a Bag-Valve-Mask. Perform Rapid Sequence Intubation and provide Positive Pressure Ventilation. OK Question Title * 8. A 16 year old boy who has been knocked off his bicycle has increasing dyspnoea, hyper-resonance to percussion and absent breath sounds on the right side of his chest, and pulse oximetry falling to 80% saturation. What do you do next? Check pulse, BP and capillary refill. Obtain urgent chest Xray. Insert intercostal catheter between the mid-axillary and anterior axillary lines in the 5th or 6th intercostal space on the right side. Perform needle thoracocentesis in the 2nd intercostal space in the mid-clavicular line on the right side. OK Question Title * 9. 1 week after his fractured ankle has been placed in a below knee cast, a 45 year old smoker presents with 1 hour shortness of breath. His observations and examination all seem normal. What is the first thing you would do next? Blood tests including FBE, VBG's and D-dimer. Arrange an ECG and CXR. Commence enoxaparin (LMW heparin) 1mg /kg SC twice daily. Transfer for urgent radiological investigation such as CTPA. OK Question Title * 10. A 2 year old child presents with a 1 day history of a barking cough, and now worsening inspiratory stridor. The child doesn't look septic and is afebrile, but is working hard to breath with marked intercostal and sternal recession. What initial treatment would you prescribe? Nebulised salbutamol 2.5 mg. Nebulised adrenaline 5 mg (5 mls of 1:1,000). Oral prednisolone 1 mg /kg. Oral amoxycillin 15 mg /kg. OK DONE