GAMSAT Clinical Procedures and Protocols 2

Question 1

A patient requires urgent intravenous access but peripheral veins are inaccessible. Which intraosseous site is preferred in adults during emergency resuscitation?

Accepted Answer

Proximal humerus

Answer

Proximal tibia

Answer

Distal femur

Answer

Iliac crest

Question 2

During a lumbar puncture, which anatomical landmark is used to identify the correct intervertebral space to avoid spinal cord injury?

Accepted Answer

Iliac crest at L3-L4

Answer

Posterior superior iliac spine at L2-L3

Answer

Umbilicus at L1-L2

Answer

Sacral hiatus at L5-S1

Question 3

A surgeon performing a central line via the right internal jugular vein should aim the needle toward which landmark?

Accepted Answer

Ipsilateral nipple

Answer

Sternal notch

Answer

Ipsilateral shoulder

Answer

Contralateral nipple

Question 4

Which complication is most immediately life-threatening following subclavian central venous catheter insertion?

Accepted Answer

Tension pneumothorax

Answer

Catheter-associated bloodstream infection

Answer

Air embolism

Answer

Subclavian artery puncture

Question 5

When performing needle thoracocentesis for tension pneumothorax, the needle is inserted at which location?

Accepted Answer

2nd intercostal space, midclavicular line

Answer

5th intercostal space, midaxillary line

Answer

4th intercostal space, anterior axillary line

Answer

7th intercostal space, posterior axillary line

Question 6

A patient in respiratory distress requires a chest drain. To avoid the neurovascular bundle, the drain should be inserted at which margin of the rib?

Accepted Answer

Superior margin

Answer

Inferior margin

Answer

Mid-rib position

Answer

Either margin equally

Question 7

During endotracheal intubation, which finding best confirms correct tube placement in the trachea rather than the esophagus?

Accepted Answer

Continuous waveform capnography showing CO2

Answer

Condensation in the tube

Answer

Equal bilateral breath sounds

Answer

Tube passing through vocal cords under direct vision