MCQ for CVC insertion credentialing Monash health

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

The response must be 100% correct for pass.

Email *

Q1 What is the indication for CVC insertion ? *

4 points

Central venous pressure monitoring

Repetitive blood sampling

Insertion of pulmonary artery catheters

Administering hyperalimentation (TPN), caustic agents, or other concentrated fluids

Rapid correction of Hypokalaemia via CVC

Required

Q2 What is the contraindication for CVC insertion ? *

4 points

Infection over the placement site

Current venous thrombosis in the target vessel

Distortion of landmarks by trauma or congenital anomalies

Unconscious patient who cannot give the consent for procedure

Lack of the trained operator or supervisor

Required

Q3 Choose all correct options. What is the order of the site preference for CVC insertion? *

2 points

For CVC insertion in an emergency, operator preference and best available site would guide site selection.

Femoral vein, Jugular vein, Subclavian vein

Jugular vein, Femoral vein, Subclavian vein

Subclavian vein, Femoral vein ,Jugular vein

Jugular vein followed by Subclavian vein or Femoral vein

Required

Q4 What is the advantage of choosing the Jugular vein for CVC insertion?

1 point

Ideally suited for ultrasound guidance.

Easy to keep occlusive dressing applied due to head and neck movement

Proximity to carotid artery, trachea & lungs.

Lowest incidence of catheter related infections.

Consistent superficial anatomy with minimal risk of significant complication.

Q5 What is the immediate complication to observe and assess during CVC insertion *

4 points

Guide wire embolisation

Arterial puncture

Post procedural wound infection

Cardiac arrhythmia

Pneumothorax/haemothorax

Required

Q6 What is true in regard to US role in CVC insertion? *

1 point

There is evidence that US reduce complication rates and it increases unsuccessful attempts

Training in Ultrasound use is not required as it's use is simple and self explanatory

Ultrasound has become gold standard for CVC insertion

Ultrasound should be used only by junior medical staff when inserting CVCs for vein localisation

The clinician who is the expert in CVC insertion is not required to use the Ultrasound during procedure

Required

Q7 In case of inadvertent arterial CVC placement *

2 points

Carotid artery – remove CVC and apply firm pressure for 10-15 minutes as the artery is easily compressed and it is safe to compress

Subclavian artery – leave CVC in situ and contact Vascular team ASAP as compression can be problematic and endovascular or open surgical repair may be required

Report incidents related to CVC insertion on VHIMS (riskman) only if there is adverse outcome

Femoral artery – remove CVC and apply firm pressure for 10-15 minutes as the artery is easily compressed and it is safe to compress

Reporting minor incidents to VHIMS (riskman) is unnecessary, and may lead to negative image of your department

Required

Q8 What is the true statement about the CVC catheter?

1 point

Medial lumen is White and and usually used for medication only

There is no need to prime the CVC catheter prior to insertion

Distal port is Brown and is used for CVP monitoring

Proximal port is Blue and is used for TPN

CVC has 3 ports proximal, distal and medial. The Proximal has the largest lumen.

Q9 Choose correct statement(s) *

2 points

CVC should be inserted in ICU environment only

CVC should be inserted in ED environment only

CVC can be inserted in CCU environment

CVC should be inserted in operation theatre complex only

CVC can be inserted in any environment mentioned above providing, good lightning, monitoring and trained staff.

Required

Q10 In regards to post procedural care *

3 points

CVC should be sutured in 4 points using self absorbable suture

It is desirable to check blood gases , view CXR and start CVC monitoring prior to start of any infusion via CVC

Experienced operater does not need CXR after CVC insertion, before starting the inotropes

Post insertion CXR (Jugular/Subclavian CVC) should be performed to check for Pneumothorax/haemomothorax and CVC position

CVC insertion and suture points should be covered by single transparent occlusive dressing

Required

A copy of your responses will be emailed to the address you provided.

Submit

Clear form

reCAPTCHA

Privacy Terms

This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Forms