ENPC EXAM
LATEST ACTUAL
EXAM 100
QUESTIONS AND
CORRECT
DETAILED
ANSWERS|ALREADY
GRADED A+
You are called to see a 30 year old man with rapidly
deteriorating asthma. Following appropriate medical
management an endotracheal tube is inserted and he is ventilated
with a mechanical ventilator...
ENPC EXAM
LATEST ACTUAL
EXAM 100
QUESTIONS AND
CORRECT
DETAILED
ANSWERS|ALREADY
GRADED A+
You are called to see a 30 year old man with rapidly
deteriorating asthma. Following appropriate medical
management an endotracheal tube is inserted and he is ventilated
with a mechanical ventilator with a tidal volume of 600ml and a
,rate of 12 breaths per minute. Five minutes later the blood
pressure is unrecordable and external cardiac massage is
commenced. Arterial blood is taked and shows ph 7.08, pCO2
96 mmHg, pO2 36 mmHg, SpO2 46% and bicarbonate 27
mmol/L. He is administered adrenaline, salbutamol,
pancuronium, bicarbonate and calcium gluconate. The ECG
shows sinus rhythm at a rate of 60 beats per minute. The patient
remains pulseless and cyanosed with fixed dilated pupils and
distended neck veins. The most appropriate management is to
A. cease resuscitation
B. administer further adrenaline
C. insert bilateral intercostal drains
D. cease ventilation for 30 seconds and resume at a slower rate
E. incre ✔✔✔ANSWER➖ANSWER D
A 42 year old lady presents for right pneumonectomy with a left
sided double-lumen tube. She is 132kg and 160cm. What depth,
measured at the incisors, is likely to give the ideal position?
A. 24cm
B. 26cm
C. 28cm
D. 30cm
E. 32cm ✔✔✔ANSWER➖ANSWER C
Millers formula:
Depth= 12 + (pt height cms/10)
,therefore 28 in this case.
Features of severe pre-eclampsia include all except:
A. Foetal growth retardation
B. Peripheral oedema
C. Systolic BP more than 160
D. Thrombocytopenia
E. Severe proteinuria ✔✔✔ANSWER➖ANSWER B
A 20 year old man was punched in the throat 3 hours ago at a
party. He is now complaining of severe pain, difficulty
swallowing, has a hoarse voice and had has some haemoptysis.
What is your next step in his management?
A. Awake Fibreoptic Intubation
B. CT scan for laryngeal fractures
C. Direct laryngoscopy after topicalising with local anaesthetic
D. Nasopharyngoscopy by an ENT surgeon
E. Soft tissue xray of the neck ✔✔✔ANSWER➖ANSWER D
A 60 year old man with normal LV function is having coronary
artery bypass grafting. After separation from the bypass machine
he becomes hypotensive with ST elevation in leads II and aVF.
The Swan Ganz Catheter showed a PCWP of 25 and CVP of 15
with normal PVR and SVR. The TOE is likely to show:
, A. Early mitral inflow > inflow during atrial systole
B. Inferior wall hypokinesis
C. Severe MR
D. TR and RV dilatation
E. LV cavity obliteration at the end of systole
✔✔✔ANSWER➖ANSWER B
What is the test is decreased in Iron deficiency anaemia?
A. microcytosis
B. serum ferritin
C. serum iron
D. transferrin
E. total iron binding capacity ✔✔✔ANSWER➖ANSWER B
serum ferritin
Serum Iron is also low but is low in Anaemia Chronic Disease
too, whereas ferritin is more specific for Fe Deficiency.
in Fe deficiency anaemia transferrin/Total Iron Binding
Capacity is increased, as total body stores of iron are low and
the carrier molecule (transferrin) is being underutilised.
Therefore Transferrin SATURATION will be low also.
A full size C oxygen cyclinder (size A in New Zealand) has
pressure regulated from
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