Medical OSCE Quiz - needlestick and cranial nerves

During office hours, who should be contacted if a needlestick incident happens?

Outside office hours, who should be contacted if a needlestick incident happens?

RIDDOR stands for: R[blank_start]eporting[blank_end] of I[blank_start]njuries[blank_end], D[blank_start]iseases[blank_end], and D[blank_start]angerous[blank_end] O[blank_start]ccurrences[blank_end] R[blank_start]egulations[blank_end] (2013) A report to RIDDOR should be made online rather than on paper.

Should you acquire a needlestick injury (idiot) you should do the following FIRST BEFORE ANYTHING ELSE 1. B[blank_start]leed[blank_end] it! 2. W[blank_start]ash[blank_end] it! 3. D[blank_start]ry[blank_end] it! 4. C[blank_start]over[blank_end] it! - with a [blank_start]plaster[blank_end] or dressing (if it is a mucosal splash - gross - you should [blank_start]irrigate[blank_end] the site) Following this procedure, you should now think of the paperwork and stuff. So the first thing is to: - [blank_start]Report[blank_end] the incident to a senior [blank_start]dental nurse[blank_end] - During office hours, contact [blank_start]Occupational health[blank_end]. Outside office hours, contact the [blank_start]clinical site[blank_end] manager. - It is important that [blank_start]medical attention[blank_end] is sought as soon as possible as treatment needs to be carried out ASAP - A [blank_start]blood[blank_end] form should be completed for the recipient of the (IR1) - You should ask the patient the [blank_start]risk assessment[blank_end] questions for blood exposure and ideally gain a [blank_start]blood[blank_end] sample of both you and the patient - Post-exposure [blank_start]prophylaxis[blank_end] may be required if patient is [blank_start]high[blank_end] risk - Ensure results are reported to [blank_start]occupational health[blank_end] and the [blank_start]University[blank_end] (if university staff involved) - Follow up is carried out by occupational health. - Try and determine the cause of the needlestick and how practices can be improved to [blank_start]prevent[blank_end] them

You've had a needlestick. You've taken measures to protect your (and the patient's) wound and reported the incident. You now need to carry out the source patient risk assessment questions to assess your risk of contracting a blood borne disease. You MUST ensure you ask these questions in a polite and tactful manner. You should tell the patient: The health care worker (you?) has received an [blank_start]injury[blank_end] and been [blank_start]contaminated[blank_end] with your blood (or body [blank_start]fluid)[blank_end]. The questions I am about to ask you may seem [blank_start]intrusive[blank_end] but they are to assess your [blank_start]risk[blank_end] of [blank_start]HIV[blank_end] infection. This is solely to manage the injured health care worker (me??) who may require [blank_start]emergency treatment[blank_end]. Any information you give will be treated in complete [blank_start]confidence[blank_end] and will [blank_start]not[blank_end] be recorded in your medical [blank_start]records[blank_end]. If you do not [blank_start]understand[blank_end] any of the questions or have any other questions to ask do not hesitate to ask me. Then go on to ask the questions!

HIV inoculation questions! Get ready. 1. Are you [blank_start]HIV positive[blank_end] or do you think you may be [blank_start]HIV positive[blank_end]? 2. Have you ever [blank_start]injected[blank_end] or [blank_start]been injected[blank_end] with [blank_start]illegal[blank_end] or non-prescribed drugs, including [blank_start]bodybuilding[blank_end] drugs? 3. Have you ever [blank_start]had sex[blank_end] with people from parts of the world where AIDS or HIV is common? (For example, [blank_start]African[blank_end] countries, far East [blank_start]Asia[blank_end], the [blank_start]Caribbean[blank_end]?) 4. Have you ever been given [blank_start]money[blank_end] or [blank_start]drugs[blank_end] for sex? 5. Have you ever had sex with any of the following? - Anyone who is [blank_start]HIV positive[blank_end] - Anyone who has EVER been given [blank_start]money[blank_end] or [blank_start]drugs[blank_end] for sex - Anyone who has EVER [blank_start]injected[blank_end] or [blank_start]been injected[blank_end] with illegal drugs - Anyone who may EVER have [blank_start]had sex[blank_end] with people from parts of the world where HIV is common 6. MEN ONLY - have you ever had [blank_start]oral[blank_end] or [blank_start]anal[blank_end] sex with [blank_start]another man[blank_end] with or without a condom or other form of protection? 7. WOMEN ONLY - in the last 12 months have you had sex with [blank_start]a man[blank_end] who has ever had [blank_start]oral[blank_end] or [blank_start]anal[blank_end] sex with another man with or without a condom or other protection? 8. In the last 12 months have you had an [blank_start]injury[blank_end] which could have put you at risk of [blank_start]hepatitis[blank_end] or [blank_start]HIV[blank_end] - eg. needle prick or broken [blank_start]skin[blank_end]? breathe...

Olfactory nerve (CN1) can be tested with...

CN2 can be tested with...

CN4 is the...

CN3 (oculomotor) can be tested with...

CN5 is the...

True or false - CN5 controls motor function

Abducens nerve is number...

Drawing an X in the sky or asking the patient to look to each ear tests the...

Drooping eyelid may indicate an issue with the...

A penlight should be held...

The nerve involved with facial expression and movements is the...

The patient should be asked to smile, wrinkle forehead, puff out cheeks, pucker lips, show teeth when testing the...

Which number is the glossopharyngeal nerve?

Testing for taste, swallowing, rise of palate and position of uvula is a test for which pair of nerves?

Which nerve is responsible for the gag reflex?

A tuning fork can test the...

CN8 is responsible for...

Which of the following show the Rinne test? (CN8) - you may pick one, two, or three answers.

Which sound should a normal patient hear as louder?

What nerve are these tests testing?

The jaw jerk test tests for which nerve?

Which of the following are tests for the trigeminal motor function?

Drawing a large H in front of a patient and getting them to follow your finger with their eyes is a test for which of the following? (pick as many as apply)

This is a test for which nerve?

What does this test for?

What is being tested here?

Which of the following are testing CN11? Choose all that apply

True or false? The Trigeminal nerve supplies the sternocleidomastoid