GAMSAT Clinical Procedures and Protocols 3

Question 1

A patient undergoes arterial blood gas sampling from the radial artery. Which test should be performed prior to cannulation to assess collateral circulation?

Accepted Answer

Allen's test

Answer

Trendelenburg test

Answer

Adson's test

Answer

Buerger's test

Question 2

When performing cardiopulmonary resuscitation on an adult, what is the correct chest compression depth according to current guidelines?

Accepted Answer

5–6 cm

Answer

1–2 cm

Answer

2–3 cm

Answer

7–8 cm

Question 3

During a surgical scrub, how long should the initial hand and forearm wash be performed before a first case of the day?

Accepted Answer

5 minutes

Answer

1 minute

Answer

3 minutes

Answer

10 minutes

Question 4

A patient with suspected cervical spine injury is brought to the emergency department. Which airway management technique is preferred?

Accepted Answer

In-line manual stabilization with RSI

Answer

Hyperextension neck tilt with jaw thrust

Answer

Nasopharyngeal airway insertion only

Answer

Blind nasotracheal intubation

Question 5

Which Sellick maneuver step is applied during rapid sequence intubation and what is its primary purpose?

Accepted Answer

Cricoid pressure to prevent regurgitation

Answer

Thyroid cartilage pressure to improve laryngoscopic view

Answer

Hyoid elevation to open the epiglottis

Answer

Mandibular thrust to displace the tongue

Question 6

When inserting a urinary catheter in a male patient, encountering resistance at the external sphincter is best managed by:

Accepted Answer

Asking the patient to breathe deeply and bear down gently

Answer

Applying forceful pressure to advance the catheter

Answer

Rotating the catheter 180 degrees and pushing harder

Answer

Immediately switching to a suprapubic catheter

Question 7

Following a failed defibrillation attempt for ventricular fibrillation, what is the recommended next step according to advanced life support protocols?

Accepted Answer

Resume CPR for 2 minutes before reassessing rhythm

Answer

Immediately administer adrenaline (epinephrine)

Answer

Administer amiodarone and then reassess

Answer

Deliver a second shock immediately