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Basic Life Support And Emergency Care Question Paper

Basic Life Support And Emergency Care

Course:Bachelor Of Science Nutrition And Dietetics

Institution: Kenyatta University question papers

Exam Year:2009

Page 1 of 5
KENYATTA UNIVERSITY
UNIVERSITY EXAMINATIONS 2008/2009
SECOND SEMESTER EXAMINATION FOR THE DEGREE OF BACHELOR OF SCIENCE (ENVIRONMENTAL HEALTH), BACHELOR OF SCIENCE (NURSING SCIENCES), BACHELOR OF SCIENCE (NUTRITION AND DIETETICS)
HSU 100: BASIC LIFE SUPPORT AND EMERGENCY CARE
DATE: Wednesday 16th September 2009 TIME: 2.00pm-4.00pm
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INSTRUCTIONS:
This paper consists of 3 sections. Time allowed 2 hours
Section A: MCQ
Section B: Short answer questions
Section C: Long answer questions
Write your answer in the booklet provided.
Each section should begin on a separate page. Total = 100marks
Section A: MCQ
Choose the single best response. Answer by placing a tick on the choice given
Each question carries one (1 mark)

1. Following injury, skills of Basic Life Support (BLS) are primarily focused in
preventing deaths arising from
a) 2nd peak of death
b) Blood loss associated with fractures
c) Third peak of death
d) Multiple organ system

2. Concerning HAZCHEM symbols, which is false
a) Contains telephone number for further information
b) Contains United Nations number for substance
c) Top left panel letter “E’ contains public safety hazard
d) Are hazardous chemicals on road that must be removed.

3. Which is the first priority when handling unresponsive adult before arrival of
(AED) Automatic External Defibrillator
a) Send for AED
b) Call for help
c) Open airway
d) CPR 30:2

4. Public access defibrillation programmes have been successful in
a) Witnessed cardiac arrest at home
b) Cardiac arrest in private or residential settings
c) Airports casinos and ports facilities
d) Hospitals and medical facilities

5. The leading course of death in people aged 1-44 years age is
a) Trauma
b) Cancer
c) Cardiovascular diseases
d) None of the above

6. The second link of chain of survival in basic life support is
a) Early access
b) Early CPR
c) Early advance life support
d) Early defibrillation

7. A victim of cardiac arrest has
a) No response
b) Complains of chest pain
c) Light headedness or feeling dizzy during pain
d) Strong cough and movement of eyebrows

8. Which are the modifiable risk factors for stroke and heart attack
a) Transient ischaemic attack
b) Obesity
c) Diabetes mellitus
d) High blood cholesterol

9. Which of the following techniques should you use to dislodge a foreign body
airway obstruction in a patient who is conscious but in advanced stage of
pregnancy or one who is very obese?
a) Back blows
b) Finer sweeps
c) Chest thrust
d) Abdominal thrust

10. In which of the following types of airway obstructions will abdominal
compression generally be effective?
a) Coughing
b) Partial
c) Complete
d) Breathing

11. You are using the “Look, listen and feel techniques on a patient and discover that
there is no movement of air you should immediately
a) Call for help
b) Open airway
c) Begin ventilations
d) Begin chest compressions

12. You are alone with a child and have established that he is unresponsive and need
CPR. Your highest priority is to:
a) Begin CPR
b) Activate the Ems system
c) Conduct a primary survey
d) Conduct a secondary survey

13. Which if the following is NOT a sign or symptom of sudden upper airway
obstruction
a) Ability to speak
b) Inability to cough
c) Grasping the throat
d) Rhonchus

14. Chest compression helps to
a) Pump blood to the brain and maintain oxygen flow to the brain
b) Increase blood sugar so that the victim does not faint
c) Jump start the heart
d) Allow for defibrillation

15. The rate of chest compressions in an infant is at least
a) 70 times per minute
b) 80 times per minute
c) 90 times per minute
d) 100 times per minute

16. Which of the following correctly matched concerning Haddon Matrix of Road accidents
a) Vehicle: speed limits
b) Environment: impact absorbing barriers
c) Vehicle: use of safety belts
d) Host: airbag deploys

17. Which of the following constitutes futility of a resuscitation attempts?
a) End stage with organ failure with reversible cause
b) Measures that prolong life
c) Severely damaged brain with breathing difficulty
d) Advanced HIV disease with drug poisoning

18. When is precordial thump beneficial
a) When given within first 5 minutes
b) When given by lay rescuers
c) Confirmed cardiac arrest delivered within 10 seconds, before arrival of
defibrillator
d) Any time during cardiac arrest

19. What is the role of CPR in the chain of survival?
a) To buy time
b) To prevent cardiac arrest
c) To restart the heart
d) To restore quality life

20. Which is the most important priority at the scene of an accident
a) Safety for victims
b) Command
c) Safety of environment
d) Safety for rescuer

SECTION B: Short answer question
Answer all questions

Each question 5 marks
1. Explain the role of Emergency Medical Services (EMS) at the sit of a major
accident [5marks]

2. List the red flags of heart attack [5marks]

3. Enumerate features a bystander1st responder can use to recognize suspected
cervical spinal cord injury [5marks]

4. State advantages of Air transport in case of an emergency [5marks]

5. Explain the rationale of early defibrillation by lay public [5marks]

6. What are the ethical principles of resuscitation [5marks]

7. What are the responsibilities of a first Aider? [5marks]

8. Outline the sources of help which can be summoned in case of Emergency in
Kenya. [5marks]

SECTION C: LONG ANSWER QUESTIONS
Instructions
Answer all questions .Each question 10 marks

1. Explain, clearly, with examples the chain of survival [10marks]

2. Outline using examples, the role of safety as a priority at the site of a major
accident [10marks]

3. what are the features of life threatening Airway and Breathing problems[10marks]

4. Outline the sequence of response incase of an unresponsive adult. [10marks]

Basic Life Support And Emergency Care Question Paper

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