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

Allen's test assesses ulnar artery collateral flow to the hand before radial artery cannulation to reduce the risk of hand ischemia if the radial artery is damaged.

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

Current resuscitation guidelines recommend chest compression depth of 5–6 cm in adults to generate adequate cardiac output without causing excessive rib fractures.

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

A 5-minute scrub is recommended before the first surgical case of the day to adequately reduce microbial counts on the hands and forearms.

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

Manual in-line stabilization with rapid sequence intubation (RSI) maintains spinal alignment while securing a definitive airway in trauma patients.

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

Cricoid pressure (Sellick maneuver) compresses the esophagus against the vertebral body to reduce the risk of passive regurgitation and pulmonary aspiration during intubation.

(GAMSAT) Graduate Medical School Admissions Test Practice Test

(GAMSAT) Graduate Medical School Admissions Test Practice Test

GAMSAT Clinical Procedures and Protocols 3