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Medical OSCE Quiz - needlestick and cranial nerves

Rachael Eleanor Alexandra 34 questions

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Questions in this quiz (34)

  1. 1During office hours, who should be contacted if a needlestick incident happens?
    1. AOccupational health
    2. BClinical site manager
  2. 2Outside office hours, who should be contacted if a needlestick incident happens?
    1. AOccupational health
    2. BClinical site manager
  3. 3RIDDOR stands for:

    R[blank_start]eporting[blank_end] of
    I[blank_start]njuries[blank_end],
    D[blank_start]iseases[blank_end], and
    D[blank_start]angerous[blank_end]
    O[blank_start]ccurrences[blank_end]
    R[blank_start]egulations[blank_end]
    (2013)

    A report to RIDDOR should be made online rather than on paper.
    1. Aeporting
    2. Bnjuries
    3. Ciseases
    4. Dangerous
    5. Eccurrences
    6. Fegulations
  4. 4Should you acquire a needlestick injury (idiot) you should do the following FIRST BEFORE ANYTHING ELSE

    1. B[blank_start]leed[blank_end] it!
    2. W[blank_start]ash[blank_end] it!
    3. D[blank_start]ry[blank_end] it!
    4. C[blank_start]over[blank_end] it! - with a [blank_start]plaster[blank_end] or dressing

    (if it is a mucosal splash - gross - you should [blank_start]irrigate[blank_end] the site)

    Following this procedure, you should now think of the paperwork and stuff. So the first thing is to:

    - [blank_start]Report[blank_end] the incident to a senior [blank_start]dental nurse[blank_end]
    - During office hours, contact [blank_start]Occupational health[blank_end]. Outside office hours, contact the [blank_start]clinical site[blank_end] manager.
    - It is important that [blank_start]medical attention[blank_end] is sought as soon as possible as treatment needs to be carried out ASAP
    - A [blank_start]blood[blank_end] form should be completed for the recipient of the (IR1)
    - You should ask the patient the [blank_start]risk assessment[blank_end] questions for blood exposure and ideally gain a [blank_start]blood[blank_end] sample of both you and the patient
    - Post-exposure [blank_start]prophylaxis[blank_end] may be required if patient is [blank_start]high[blank_end] risk
    - Ensure results are reported to [blank_start]occupational health[blank_end] and the [blank_start]University[blank_end] (if university staff involved)
    - Follow up is carried out by occupational health.
    - Try and determine the cause of the needlestick and how practices can be improved to [blank_start]prevent[blank_end] them
    1. Aleed
    2. Bash
    3. Cry
    4. Dover
    5. Eplaster
    6. Firrigate
    7. Gdental nurse
    8. HReport
    9. IOccupational health
    10. Jclinical site
    11. Kmedical attention
    12. Lblood
    13. Mrisk assessment
    14. Nblood
    15. Oprophylaxis
    16. Phigh
    17. Qoccupational health
    18. RUniversity
    19. Sprevent
  5. 5You've had a needlestick. You've taken measures to protect your (and the patient's) wound and reported the incident. You now need to carry out the source patient risk assessment questions to assess your risk of contracting a blood borne disease.

    You MUST ensure you ask these questions in a polite and tactful manner. You should tell the patient:

    The health care worker (you?) has received an [blank_start]injury[blank_end] and been [blank_start]contaminated[blank_end] with your blood (or body [blank_start]fluid)[blank_end]. The questions I am about to ask you may seem [blank_start]intrusive[blank_end] but they are to assess your [blank_start]risk[blank_end] of [blank_start]HIV[blank_end] infection. This is solely to manage the injured health care worker (me??) who may require [blank_start]emergency treatment[blank_end]. Any information you give will be treated in complete [blank_start]confidence[blank_end] and will [blank_start]not[blank_end] be recorded in your medical [blank_start]records[blank_end]. If you do not [blank_start]understand[blank_end] any of the questions or have any other questions to ask do not hesitate to ask me.

    Then go on to ask the questions!
    1. Ainjury
    2. Bcontaminated
    3. Cfluid)
    4. Dintrusive
    5. Erisk
    6. FHIV
    7. Gemergency treatment
    8. Hconfidence
    9. Inot
    10. Jrecords
    11. Kunderstand
  6. 6HIV inoculation questions! Get ready.

    1. Are you [blank_start]HIV positive[blank_end] or do you think you may be [blank_start]HIV positive[blank_end]?
    2. Have you ever [blank_start]injected[blank_end] or [blank_start]been injected[blank_end] with [blank_start]illegal[blank_end] or non-prescribed drugs, including [blank_start]bodybuilding[blank_end] drugs?
    3. Have you ever [blank_start]had sex[blank_end] with people from parts of the world where AIDS or HIV is common? (For example, [blank_start]African[blank_end] countries, far East [blank_start]Asia[blank_end], the [blank_start]Caribbean[blank_end]?)
    4. Have you ever been given [blank_start]money[blank_end] or [blank_start]drugs[blank_end] for sex?
    5. Have you ever had sex with any of the following?
    - Anyone who is [blank_start]HIV positive[blank_end]
    - Anyone who has EVER been given [blank_start]money[blank_end] or [blank_start]drugs[blank_end] for sex
    - Anyone who has EVER [blank_start]injected[blank_end] or [blank_start]been injected[blank_end] with illegal drugs
    - Anyone who may EVER have [blank_start]had sex[blank_end] with people from parts of the world where HIV is common
    6. MEN ONLY - have you ever had [blank_start]oral[blank_end] or [blank_start]anal[blank_end] sex with [blank_start]another man[blank_end] with or without a condom or other form of protection?
    7. WOMEN ONLY - in the last 12 months have you had sex with [blank_start]a man[blank_end] who has ever had [blank_start]oral[blank_end] or [blank_start]anal[blank_end] sex with another man with or without a condom or other protection?
    8. In the last 12 months have you had an [blank_start]injury[blank_end] which could have put you at risk of [blank_start]hepatitis[blank_end] or [blank_start]HIV[blank_end] - eg. needle prick or broken [blank_start]skin[blank_end]?

    breathe...
    1. AHIV positive
    2. BHIV positive
    3. Cinjected
    4. Dbeen injected
    5. Ebodybuilding
    6. Fillegal
    7. Ghad sex
    8. HAfrican
    9. IAsia
    10. JCaribbean
    11. Kdrugs
    12. Lmoney
    13. MHIV positive
    14. Nmoney
    15. Odrugs
    16. Pinjected
    17. Qbeen injected
    18. Rhad sex
    19. Soral
    20. Tanal
    21. Uanother man
    22. Va man
    23. Woral
    24. Xanal
    25. Yinjury
    26. Zhepatitis
    27. AAHIV
    28. ABskin
  7. 7Olfactory nerve (CN1) can be tested with...
    1. AA tuning fork
    2. BLooking towards each ear
    3. CRaising shoulders
    4. DThe smell of coffee or soap
  8. 8CN2 can be tested with...
    1. ATesting peripheral vision
    2. BTesting eye movement to the side
    3. CTesting eye movement down
  9. 9CN4 is the...
    1. AOptic nerve
    2. BOculomotor nerve
    3. CTrochlear nerve
  10. 10CN3 (oculomotor) can be tested with...
    1. AA soft and sharp object on the skin
    2. BA penlight
    3. CAsking the patient to read their IV bag

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4th year dentistry
Language
English
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