Training on NOTG for Children (Pre Test) -Gilgit

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1. Oxygen supply is essential for managing babies who present with?

Jaundice

Cough or difficulty in breathing

Feeding problems

2. For timely referral of a sick child to a health center with desired facility, there
should be *

Functioning vehicle

Partially filled referral form

None of these

3. Hypoxemia is defined as: *

Insufficient oxygen in blood

Lack of oxygen in tissue

Excessive oxygen in blood

4. Hypoxemia can be treated easily *

by giving oxygen

by giving antibiotics

by giving I/V fluids

5. The normal range of SpO2 at sea level is *

90- 100%.

94–100%.

92-100%

6. Pulse oximetry is better than blood gas analysis

Invasive

Non-invasive

Expensive

Painful

7. Oxygen should be given to children in the following conditions EXCEPT:

SPO2 < 90%

Nasal flaring

Grunting

Temperature

8. A 4-year-old male child came to emergency with history of fall. His vitals are stable, but he is drowsy. You want to check the oxygen saturation, but pulse oximeter is not available. What will you do? *

Try to arrange pulse oximeter

There is no need to check oxygen saturation

Give oxygen to the child and try to arrange pulse oximeter

Monitor vitals frequently

9. Pulse oximeter is showing a poor plethysmographic (pulse) wave and oxygen saturation of 83%. What does it mean?

Plethysmography (pulse) wave should be consider normal and you have to increased oxygen support.

A poor plethysmography (pulse) wave is usually due to inadequate attachment of the sensor probe to the skin, especially on an active child or to poor peripheral perfusion.

Send arterial blood gases and increased oxygen support.

Shift the child to ICU for ventilatory support.

10. Which source can draw the oxygen directly from air and then concentrate it?

Cylinder

Concentrator

Liquid oxygen

11. Which of the following is used for conditioning of oxygen?

Oxygen plant

Nasal prongs

Flow meter

12. Semi-invasive method of oxygen delivery is

Head box

Nasal prongs

Face mask

13. CPAP is beneficial as it can

Increase the work of breathing

Reduce apnea

Increase total airway resistance

14. CPAP is indicated in the following conditions

Respiratory distress syndrome (RDS)

Pneumonia that is not improving with oxygen given at nasal interface

Pneumothorax

Yes, because the guidelines are evidence based

15. The complications of CPAP include

Abdominal distension increasing risk of aspiration

Inadequate gas flow resulting in increased respiratory effort

Nasal irritation, pressure necrosis, septal distortion due to inadequate humidification or poor fixation of nasal prongs

Ranking measure

All of the above

16. Humidification is usually NOT required in the following situations

When oxygen is delivered through a high flow system

When oxygen is given to patients with tracheostomy or endotracheal tube

When oxygen is given using an oxygen concentrator at room temperature

17. Humidification of oxygen can be achieved by using

Heated or unheated bubble humidifier

Oxygen concentrator

Oxygen cylinder

18. Safety measures in using humidifiers include

Ensuring clean water is used in humidifier

New clean tubing is used for each patient

The flow meter is cleaned regularly

All of the above

19. Clinical monitoring includes

Assessing the airway and optimizing airway position (head tilt, chin lift)

Checking and documenting oxygen equipment set up (hourly checks of oxygen flow rate, patency of tubing, humidifier settings)

Checking and documenting patient vitals (hourly checks of heart rate, respiratory rate, respiratory distress, oxygen saturation)

All of the above

20. Site of interface checking is a part of ______ monitoring

Daily Clinic

Not Answered

21. If a child presents with cough or difficulty in breathing, when will you refer urgently for oxygen therapy? *

Chest in drawing

Stridor

Oxygen saturation on pulse oximetry < 90%

22. For a patient on CPAP, which of the following test can give information about lung expansion? *

Blood gas analysis

Chest x-ray

Both

23. A 5-year-old child with oxygen saturation of 87%, will need *

Oxygen

A bronchodilator

To be treated at home

Other:

24. A 3-month old female baby will have fast breathing if respiratory rate is

60 breaths per minute or more

50 breaths per minute or more

40 breaths per minute or more

25. If during trial of stopping oxygen, oxygen saturation maintains to more than 90%, what will you do as a next step? *

Increase oxygen flow

Stop oxygen

Decrease oxygen flow

26. Oxygen toxicity can result in *

Improved lung capacity

Retinopathy of prematurity in preterm infants

Increase in life span

27. Every health facility should have the following infection prevention measures in place *

Infection prevention control guidelines and instructions

Adequate hand washing facilities with available soap and water

Availability of appropriate PPE, and rational use of PPE

All of the above

28. Sharp wastes should be discarded into: *

Yellow drum

Red drum

Black drum

29. Pulse oximeter should be cleaned with alcohol swab after *

Every use

Once a week

Never

30. Water used in humidifier bottle should be: *

Tap water

Distilled water

Rainwater

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