Load QuizSave Quiz 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. Your information 1. The following statements are consistent with moderate sedation a. Patient's oxygen saturation usually drops to 95% b. Patient respiratory rate would be 4-6 breaths per minute c. Patient cannot be expected to give a proper consent 2. 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 b. A 35 year old male BMI 40, with a history of snoring and a Mallampati score III c. A 70 year old female admitted for giddiness and hypotension after several bouts of hematemesis 3. Regarding a patient who had completed the procedure and is in recovery room a. After flumazenil was provided to patient for reversal, the endoscopist should review the patient before discharge b. The patient with a blood pressure BP 80/40 mmHg and HR 100/min can be safely discharged without review if otherwise alert c. Patients who have undergo sedation can be allowed to drive home if they fulfil the hospital ‘fitness for discharge’ 4. In assessing your patients for risk of sedation a. Uvula is well-visualised with a Mallampati score of III b. A focused examination revealing rhonchi in the lungs during assessment should prompt further work up/treatment before elective scope c. A patient with uncontrolled hypertension is classified as ASA 2 5. The following are important aspects of safe monitoring a. The endoscopist is primarily responsible for the safe monitoring of patient during endoscopy b. Head tilt chin lift and jaw thrust should be performed in the presence of hypoxia c. Ephedrine can be used to counteract the hypotensive effects of sedatives 6. In assessing your patients for risk of sedation a. A Mallampati score of I would predict risk of airway issues b. Patients with ASA 3 should be considered for monitored anaesthetic care c. Patient who had eaten a cheese sandwich 6 hours before an OGD is not at risk of aspiration 7. Regarding drug use in sedation a. The standard initial dose for a healthy 50 year old patient weighing 53kg is as follows: midazolam 2mg and fentanyl 37.5 mcg b. Patients who received topical lignocaine spray can be allowed to eat immediately after completion of gastroscopy if they did not receive sedation c. Respiratory depression is a major side effect of midazolam 8. Regarding drug use in sedation a. 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 b. In patients struggling during endoscopy, further top up with midazolam 1mg can be given every 1 minute until the patient is calm c. If the patient is not achieving adequate sedation despite standard doses, the IV cannula should be checked for possible extravasation 9. 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 b. An increase in the dose of opioids can be given to reduce tracheal irritation c. Patient’s vital signs and conscious level should be re-assessed 10. Regarding drug use in sedation a. 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 b. In patients struggling during endoscopy, drug top-up with midazolam 1mg should be given every 30 seconds until the patient is well sedated c. The usual starting dose for flumazenil to reverse sedation is 0.5 mg 1 out of 2 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. Thank you. 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.
Thank you.
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