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Logo of emermedjEmergency Medical JournalVisit this articleSubmit a manuscriptReceive email alertsContact usBMJ
Emerg Med J. 2007 December; 24(12): 815.
PMCID: PMC2658348

Coordinator: Gavin Lloyd

See page 864 for answers

Question 1

Theme: Treatment strategies

Which of the following bizarre treatment strategies are of proven benefit?

  1. Flumazenil for hepatic encephalopathy
  2. High‐flow oxygen for cluster headaches
  3. Prednisolone with aciclovir for Bell's palsy
  4. Vasopressin for out‐of‐hospital cardiac arrest

Question 2

Theme: Ketamine

Are the following statements regarding procedural sedation in children with ketamine true or false?

  1. Atropine should be administered prophylactically to reduce hypersalivation
  2. Midazolam should be administered prophylactically to prevent emergence phenomena
  3. The recommended intravenous loading dose is 1.5 mg/kg
  4. ECG and non‐invasive blood pressure monitoring are recommended

Question 3

Theme: Propofol

Are the following statements regarding propofol true or false?

  1. Propofol is contraindicated as an induction agent for patients with status epilepsy
  2. Propofol should not be given to patients allergic to soya or peanuts
  3. Propofol should generally be given in doses of 1 mg/kg followed by 0.5 mg/kg every 3 min as needed to achieve or maintain sedation
  4. Lignocaine 1% should be either administered beforehand or mixed with propofol to mitigate the common problem of pain at the injection site

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