Dr. MGR University 2012 - 2015 Question Papers PAPER III EMERGENCY MEDICINE EM AND EMS

Dr. MGR University AUGUST 2012 Question Paper
Subject : PAPER III – EMERGENCY MEDICINE (EM) AND EMS

[LB 0212] Sub. Code: 1013
B.Sc. ACCIDENT AND EMERGENCY CARE TECHNOLOGY
SECOND YEAR
PAPER III – EMERGENCY MEDICINE (EM) AND EMS
Q.P. Code: 801013
Time : Three Hours Maximum : 100 marks
 Answer ALL questions in the same order.
I. Elaborate on: Pages Time Marks
 (Max.) (Max.) (Max.)
 1. Classify Haemorrhagic shock. Describe the methods of
 management of Haemorrhagic shock. 7 20 min. 10
 2. Mechanism of injury and potential injury patterns.
 Explain in detail regarding Scene size up. 7 20 min. 10
 3. What is Synchronised Cardioversion? Mention the
 steps of Synchronised Cardioversion. 7 20 min. 10
II. Write notes on:
 1. Trimodal peak of death. 4 10 min. 5
 2. Preparation and steps of Paediatric Endotracheal Intubation. 4 10 min. 5
 3. Foreign Body Airway Obstruction (FBAO) – a) Mention the
 features b) Describe the different methods of relieving of FBOA. 4 10 min. 5
 4. Glasgow Coma Scale (Adult, Paediatric & Infant). 4 10 min. 5
 5. Monroe – Kellie Doctrine. 4 10 min. 5
 6. Flail chest – Definition, Pathophysiology, Clinical
 features and Management. 4 10 min. 5
 7. Expand ‘AMBU’. Draw and Mention parts of AMBU bag.
 Describe the techniques of Bag Valve Mask Ventilation. 4 10 min. 5
 8. Write in detail regarding Post Resuscitation care. 4 10 min. 5
III. Short Answer on :
 1. Draw diagram and Laryngeal Mask Airway and label. 2 4 min. 3
 2. Mention the indication and explain the procedure of ‘Needle
 Thoracocentesis’. 2 4 min. 3
 3. Mention the drugs used in Cardiac arrest. 2 4 min. 3
 4. How do you measure the percentage of thermal burns? 2 4 min. 3
 5. Antidote for: a) Organophosphorus compound
 b) Tricyclic Antidepressants. c) Cyanide. 2 4 min. 3
 6. Expand ‘FAST’ in Trauma victim and explain. 2 4 min. 3
 7. What are the methods to confirm Endotracheal tube
 position and placement? 2 4 min. 3
 8. How do you measure Blood pressure using a
 Sphygmomanometer? 2 4 min. 3
 9. Draw a normal “PQRST” of an ECG and mention their
 significance. 2 4 min. 3
10. Write in detail regarding Cricoid pressure. 2 4 min. 3

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Dr. MGR University FEBRUARY 2013 Question Paper
Subject : PAPER III – EMERGENCY MEDICINE (EM) AND EMS

[LC 0212] Sub. Code: 1013
B.Sc. ACCIDENT AND EMERGENCY CARE TECHNOLOGY
SECOND YEAR
PAPER III – EMERGENCY MEDICINE (EM) AND EMS
Q.P. Code: 801013
Time : Three Hours Maximum : 100 marks
Answer ALL questions
I. Elaborate on: (3 x 10 = 30)
 1. Mechanism of injury and potential injury patterns. Explain in detail regarding
 Scene size up.
 2. What is Synchronised Cardioversion? Mention the steps of Synchronised
 Cardioversion.
 3. Define Allergy and Anaphylaxis. Write notes about Pathophysiology of
 Anaphylaxis and its management.
II. Write notes on: (8 x 5 = 40)
 1. Glasgow Coma Scale (Adult, Paediatric & Infant).
 2. Steps of Laryngoscopic orotracheal Intubation.
 3. Monroe – Kellie Doctrine.
 4. Flail chest – Definition, Pathophysiology, Clinical features and Management.
 5. Expand ‘AMBU’. Draw and Mention parts of AMBU bag. Describe the
 techniques of Bag Valve Mask Ventilation.
 6. Write in detail regarding Post Resuscitation care.
 7. Tension Pneumothorax -Definition, Pathophysiology, Clinical features and
 Management.
 8. Revised trauma score.
III. Short Answers on: (10 x 3 = 30)
 1. Draw diagram of Laryngeal Mask Airway and label
 2. What are the methods to confirm Endotracheal tube position and placement?
 3. Approach to Bradycardia
 4. How do you prepare an amputated part for preservation and transport?
 5. Management of Open Pneumothorax in Emergency Medical Services Transport.
 6. Defibrillation – Define and Describe the steps of defibrillation.
 7. How do you measure Blood pressure using a Sphygmomanometer?
 8. Draw a normal ‘PQRST’ of an ECG and mention their significance.
 9. Expand ‘FAST’ in Trauma victim and explain.
10. Write in detail regarding Cricoid pressure.
*******

Dr. MGR University AUGUST 2013 Question Paper
Subject : PAPER III – EMERGENCY MEDICINE (EM) AND EMS

[LD 0212] Sub. Code: 1013
B.Sc. ACCIDENT AND EMERGENCY CARE TECHNOLOGY
SECOND YEAR
PAPER III – EMERGENCY MEDICINE (EM) AND EMS
Q.P. Code: 801013
Time : Three Hours Maximum : 100 marks
Answer ALL questions
I. Elaborate on: (3 x 10 = 30)
 1. Laryngoscopic Orotracheal Intubation:
 a) Equipment. b) Procedure.
 c) Immediate confirmation of ET Tube. d) Anchoring the tube.
 2. Thermal burns – Definition, Classification, Rule of nine and Management in detail.
 3. Write in detail about Splinting, Principles of splinting and Types of Splints.
II. Write notes on: (8 x 5 = 40)
 1. Criteria for ‘Referral to Trauma Center”.
 2. Mention the various color coding of IV Cannulas with their sizes and mention
 their infusion rates.
 3. Cricothyroidotomy – a) Describe. b) Indication. c) Types. d) Procedure.
 4. Describe in detail regarding Triage.
 5. Hypoglycaemia – a) Definition b) Causes c) Treatment.
 6. A 25 year man suddenly chokes while he is eating. What do you do at the
 scene to relieve his distress?
 7. Approach to Adult Cardiac arrest.
 8. Describe the different methods of Extrication. What is its importance? Method
 of spine immobilization by Spine board.
III. Short Answers on: (10 x 3 = 30)
 1. Draw diagram and label the cross section of heart.
 2. Draw diagram of contents of Femoral triangle and label.
 3. What is Log Roll? Mention the procedure, indications, contraindications and
 precautions.
 4. Glasgow Coma Scale (Adult).
 5. Mallampatti Classification of Airway.
 6. Apgar score and its applications.
 7. Define shock. Mention the types of shock.
 8. Write about Umbilical vein catheterization.
 9. Ventilator troubleshooting – How will you evaluate?
10. 8 Year boy is in hypovolemic shock. Explain in detail about the volume of
 fluid resuscitation and maintenance.
*******

Dr. MGR University FEBRUARY 2014 Question Paper
Subject : PAPER III – EMERGENCY MEDICINE (EM) AND EMS

[LE 0212] Sub. Code: 1013
B.Sc. ACCIDENT AND EMERGENCY CARE TECHNOLOGY
SECOND YEAR
PAPER III – EMERGENCY MEDICINE (EM) AND EMS
Q.P. Code: 801013
Time : Three Hours Maximum : 100 marks
Answer ALL questions
I. Elaborate on: (3 x 10 = 30)
 1. Managing a trauma victim from roadside to the hospital.
 2. Unconscious patient.
 3. How to resuscitate a patient.
II. Write notes on: (8 x 5 = 40)
 1. Oxygen.
 2. Diabetes.
 3. Multi parameter monitor (Oximetry).
 4. Dehydration.
 5. Anatomy of Heart.
 6. Fever.
 7. Splinting fractures.
 8. Prevention of AIDS.
III. Short Answers on: (10 x 3 = 30)
 1. Blood pressure.
 2. Oxygen.
 3. Assessing Pulse.
 4. I.V Cannulae.
 5. Thermometer.
 6. X ray.
 7. Glucometer.
 8. Allergy.
 9. Atlas.
10. Child Anatomy & Physiology compared with adult.
*******

Dr. MGR University AUGUST 2014 Question Paper
Subject : PAPER III – EMERGENCY MEDICINE (EM) AND EMS

[LF 0212] Sub. Code: 1013
B.Sc. ACCIDENT AND EMERGENCY CARE TECHNOLOGY
SECOND YEAR
PAPER III – EMERGENCY MEDICINE (EM) AND EMS
Q.P. Code: 801013
Time : Three Hours Maximum : 100 marks
Answer ALL questions
I. Elaborate on: (3 x 10 = 30)
 1. Advanced cardiac life support Algorithm.
 2. Different types of Shock and Management of haemorrhagic shock.
 3. Hospital waste disposal.
II. Write notes on: (8 x 5 = 40)
 1. Primary survey in Trauma victim.
 2. Tetanus immunization for Trauma Patient.
 3. Glasgow coma scale.
 4. FAST in Trauma.
 5. Mallampatti Classification.
 6. Amiodarone.
 7. Rule of nine in Burns.
 8. Sterilisation.
III. Short Answers on: (10 x 3 = 30)
 1. Mass casualty.
 2. Triage.
 3. Trauma series X-Ray.
 4. Where to check central pulse in.
 a) Adults b) Children c) Neonates
 5. Mention communicable respiratory and intestinal disease.
 6. Define nosocomial infection.
 7. Degree of Burns and how to assess the depth of burns.
 8. Define compartment syndrome.
 9. Various modes of transmission of diseases.
10. Define hypothermia.
*******

Dr. MGR University FEBRUARY 2015 Question Paper
Subject : PAPER III – EMERGENCY MEDICINE (EM) AND EMS

[LG 0215] Sub. Code: 1013
B.Sc. ACCIDENT AND EMERGENCY CARE TECHNOLOGY
SECOND YEAR
PAPER III – EMERGENCY MEDICINE (EM) AND EMS
Q.P. Code: 801013
Time : Three Hours Maximum : 100 marks
Answer ALL questions
I. Elaborate on: (3 x 10 = 30)
 1. Tuberculosis.
 2. Advanced cardiac life support in paediatrics.
 3. Primary and secondary survey in Trauma.
II. Write notes on: (8 x 5 = 40)
 1. Monroe – Kellie doctrine in Head Injury.
 2. Phases of disaster Management.
 3. Sterilisation.
 4. Basic life support in Adults.
 5. Glasgow Coma scale.
 6. Rapid sequence Intubation.
 7. Adrenaline.
 8. Special resuscitation situations.
III. Short Answers on: (10 x 3 = 30)
 1. Define triage and color coding in triage.
 2. Difference between Mass casualty and Multiple casualty.
 3. Difference between Extradural and Subdural haematoma.
 4. Define compartment syndrome.
 5. Expand FAST and where is it used.
 6. Drugs used in Cardiac Arrest - Mention.
 7. Which drug used in Cardiac Arrest can be given through Endotracheal tube
 and mention its dosage?
 8. Gum elastic Bougie.
 9. Mention various Artificial Airways used.
10. Mention the ratio of Blood loss: Crystalloid, Blood loss: Colloid and Blood
 loss: Blood products in Traumas.
*******

Dr. MGR University AUGUST 2015 Question Paper
Subject : PAPER III – EMERGENCY MEDICINE (EM) AND EMS

[LH 0815] Sub. Code: 1013
B.Sc. ACCIDENT AND EMERGENCY CARE TECHNOLOGY
SECOND YEAR
PAPER III – EMERGENCY MEDICINE (EM) AND EM-I
PRACTICAL EXAM ON PATIENT EXAMINATION, NURSING, TRIAGE,
LIFE SUPPORT, TRAUMA CARE
Q.P. Code: 801013
Time : Three Hours Maximum : 100 marks
Answer ALL questions
I. Elaborate on: (3 x 10 = 30)
 1. Endo Tracheal Tube Intubation.
 a) Equipment preparation. b) Procedure.
 c) Positioning/Immediate confirmation of ET tube. d) Post intubation care.
 2. Write in detail about Lifting and Transporting of injured persons.
 3. a) Define Disaster.
 b) Write in detail about Disaster Cycle/Preparedness, Team, Guidelines, Equipments,
 Resources.
II. Write notes on: (8 x 5 = 40)
 1. Principles of Emergency Management.
 2. Describe in detail Glasgow Coma Scale.
 3. Describe in detail regarding Triage.
 4. What are some general management considerations in Sepsis?
 5. What are some causes of an anion gap acidosis?
 6. What are the three peak times for traumatic death & common causes of death for each?
 7. Why are penetrating neck injuries so dangerous? Name some important structures
 in the neck?
 8. Cardiac Tamponade.
 a) Definition.
 b) Discuss about ECG (Electrocardiogram) changes, physical exam findings
 and considerations in the management of Cardiac tamponade.
III. Short Answers on: (10 x 3 = 30)
 1. Draw diagram and label the cross section of heart.
 2. Various colour coding of IV cannulas with their sizes and Mention their infusion rates.
 3. Revised Trauma Score.
 4. Meningitis.
 5. How to dispose the human blood & blood products in Hospital Waste Management
 system?
 6. Algorithm of BCLS (Basic Cardiac Life Support).
 7. Management of Femur Fracture in ER.
 8. Expand FAST. Where it is used?
 9. a) How to calculate Mean arterial Pressure?
 b) Define: Cardiac Output.
10. What are the signs of Hypotension?
******* 

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