MCQ Paper No.125th April 2017 by admin Please select True or False for the following questions. 1. A percutaneous tracheostomy: a. Has an improved cosmetic result versus a surgical tracheostomyTrueFalseb. Has an increased incidence of infection vs a surgical tracheostomyTrueFalsec. There is an increased risk of bleeding with a percutaneous technique vs a surgical techniqueTrueFalsed. Early tracheostomy (< 4 days) is associated with a significant reduction in VAP rates vs late (>7 days)TrueFalsee. A minimum of 4 people are required to safely insert a tracheostomy on an ICUTrueFalse 2. Myxoedemic coma: a. Hydrocortisone is often required in its managementTrueFalseb. Is associated with hyponatraemiaTrueFalsec. Is associated with hyperglycaemiaTrueFalsed. Is associated with hypothermiaTrueFalsee. Is associated with pericardial effusionsTrueFalse 3. With regards to percutaneous tracheostomies: a. Patients can be safely discharged to any wardTrueFalseb. Ward staff can undertake the first tracheostomy tube changeTrueFalsec. The cuff should be inflated when patients are taking oral fluidsTrueFalsed. The cuff should be inflated to a pressure of 30 cm H20TrueFalsee. It takes 4 days for a percutaneous stoma to become establishedTrueFalse 4. In the APACHE II scoring system the following variables are given a score: a.TemperatureTrueFalseb. Serum magnesiumTrueFalsec. Arterial pHTrueFalsed. Platelet countTrueFalsee. Blood glucoseTrueFalse5. Consider the following statements about lumbar puncture: a. Lumbar puncture should be performed urgently in the diagnosis of subarachnoid haemorrhageTrueFalseb. contra-indications include a platelet count of <100x109/LTrueFalsec. a correctly placed needle will pass through the dura mater, arachnoid mater and pia mater in that orderTrueFalsed. the presence of WBC in the CSF can be due to a seizureTrueFalsee. the use of ultrasound imaging to assist lumbar puncture has been shown to reduce failure rateTrueFalseTime is Up!