Load QuizSave QuizThis quiz consists of 10 questions. Each question, you are required to provide 3 responses with an answer True [T] or False [F]. In total, you are required to provide 30 responses. To pass this quiz, you will need to answer correctly to 25 out of the 30 responses. Please note that you have only up to 3 attempts to pass the quiz. Your information 1. Please assess the following scenarios: During insertion of OGD, the patient is coughing continuously and secretions are seen in the mouth. The Sp02 showed a dropped from baseline 99% to 90%.a. Procedure can continue as usual after increasing oxygen flow rate True Falseb. An increase in the dose of opioids can be given to reduce tracheal irritation True Falsec. Patient’s vital signs and conscious level should be re-assessed True False2. Please assess the following scenario:A 50 year old male, ASA II, weighing 55kg, Mallampati score II, was given the following initial doses of sedative drugs. Midazolam 2 mg and Fentanyl 37.5 mcg prior to a routine gastroscopya. His sedation level should not be deepened within the first 2 minutes of initial drugs administered True Falseb. If he is struggling during insertion of the scope, an add-on dose of propofol 40mg can be given to rapidly deepen his sedation True Falsec. If his pulse oximeter reads 92% during the procedure and there is noisy breathing, head tilt chin lift and jaw thrust should be given True False3. In assessing your patients for risk of sedationa. A Mallampati score of I would predict risk of airway issues True Falseb. Patients with ASA 3 should be considered for monitored anaesthetic care True Falsec. Patient who had eaten a cheese sandwich 6 hours before an OGD is not at risk of aspiration True False4. Regarding the right selection of patients for moderate sedation in gastroscopy. The following patients are considered suitable for endoscopist-directed sedation:a. A 65 year male with well controlled diabetes mellitus and a Mallampati score of II True Falseb. A 35 year old male BMI 40, with a history of snoring and a Mallampati score III True Falsec. A 70 year old female admitted for giddiness and hypotension after several bouts of hematemesis True False5. The following are important aspects of safe monitoringa. The endoscopist is primarily responsible for the safe monitoring of patient during endoscopy True Falseb. Head tilt chin lift and jaw thrust should be performed in the presence of hypoxia True Falsec. Ephedrine can be used to counteract the hypotensive effects of sedatives True False6. Please assess the following scenario: During insertion of the endoscope, the patient is noted to have noisy breathing and Sp02 revealed a dropped from baseline 99% to 93%.a. Procedure can continue but examination should be hastened True Falseb. Sedation should be deepened to provide more comfort to the patient True Falsec. Laryngospasm is a potential complication True False7. Regarding drug use in sedationa. When used in a healthy 60 year old female with BMI 18, an initial dose of midazolam 4mg and fentanyl 75 mcg given over 2 min is safe True Falseb. In patients struggling during endoscopy, further top up with midazolam 1mg can be given every 1 minute until the patient is calm True Falsec. If the patient is not achieving adequate sedation despite standard doses, the IV cannula should be checked for possible extravasation True False8. Regarding drug use in sedationa. When used as combination in a healthy 40 year old female, the initial dose of midazolam is 4mg and fentanyl 75 mcg given over 1-2 min True Falseb. In patients struggling during endoscopy, drug top-up with midazolam 1mg should be given every 30 seconds until the patient is well sedated True Falsec. The usual starting dose for flumazenil to reverse sedation is 0.5 mg True False9. Regarding procedure room assessmenta. ‘Time out’ can be performed for an anxious patient after a small ‘calming’ dose of midazolam is given True Falseb. IV access should be maintained throughout the entire procedure True Falsec. Supplemental oxygen is recommended for all receiving moderate sedation unless there are specific contraindications True False10. Regarding a patient who had completed the procedure and is in recovery rooma. After flumazenil was provided to patient for reversal, the endoscopist should review the patient before discharge True Falseb. The patient with a blood pressure BP 80/40 mmHg and HR 100/min can be safely discharged without review if otherwise alert True Falsec. Patients who have undergo sedation can be allowed to drive home if they fulfil the hospital ‘fitness for discharge’ True False3 out of 2You have reached the end of the quiz. To review your answer from the previous page, click the previous button. If you are ready to submit your quiz, click the submit button. Thank you. Time is Up! Time's up
This quiz consists of 10 questions. Each question, you are required to provide 3 responses with an answer True [T] or False [F]. In total, you are required to provide 30 responses.
To pass this quiz, you will need to answer correctly to 25 out of the 30 responses. Please note that you have only up to 3 attempts to pass the quiz.
You have reached the end of the quiz.
To review your answer from the previous page, click the previous button.
If you are ready to submit your quiz, click the submit button.
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