Practical procedure | Question(s) | Number of students with correct score (N = 56) | Angoff pass mark for each question | Percentage of student with correct score | Level of difficulty |
Cardiopulmonary resuscitation (CPR) | Recommended rate of (CPR) compressions | 44 | 57.5% | 78.6% | 0.78 |
Recommended universal compression-to-ventilation ratio for all ages (except newborn infants) | 29 | 56% | 51.8% | 0.52 | |
Intravenous cannula insertion | Correct technique to follow as one advances cannula into center of the vein | 43 | 40% | 76.7% | 0.76 |
Urethral catheterization | During catheterization, once urine flows, how much further should the catheter be advanced in females | 20 | 57% | 35.7 | 0.35 |
Nasogastric tube insertion | Correct technique when inserting an NG tube | 17 | 60% | 30.4% | 0.30 |
Gastric lavage | Contraindications for gastric lavage | 34 | 70% | 60.7% | 0.60 |
Lumbar puncture (LP) | Actions to take if you encounter bone resistance while advancing LP needle | 25 | 66.2% | 44.6% | 0.44 |
The indicator that one has reached the subarachnoid space While advancing a LP needle | 16 | 61 | 28.6% | 0.28 | |
Endotracheal intubation | Minimum recommended distance above the carina for proper placement of ETT | 23 | 33.3% | 41.1% | 0.41 |
The best clinical sign that the ETT is in the trachea and not the esophagus | 7 | 68.3% | 12.5% | 0.12 | |
Suturing | Correct technique for tying a surgical knot | 37 | 58.7 | 66.1% | 0.66 |
Vaginal examination | Correct interpretation of fetal presenting part for a head that is visible at vaginal introitus | 45 | 84 | 80.4% | 0.80 |
Normal vaginal delivery | Regularity of assessing uterine contractions in the first stage of labour for normal labour | 38 | 73% | 67.9% | 0.67 |
Examination of placenta | Most likely diagnosis for a greenish appearance of fetal surface of the placenta on gross inspection | 38 | 82% | 68.9% | 0.68 |
Most likely diagnosis for an umbilical cord length 100 cm for a normal full term newborn infant | 27 | 63% | 48.2% | 0.48 | |
Examination of the newborn | APGAR score one minute after birth for a newborn appearing blue in color, heart rate of 40/minute, no respirations, is flaccid with no movement, and does not respond to stimulation. | 28 | 65% | 50% | 0.50 |
Intramuscular (IM) drug administration | Correct angle for administer an intramuscular injection | 29 | 61% | 51.8% | 0.51 |
Maximum volume of drug allowable per IM site | 28 | 65% | 50% | 0.50 | |
Recommended muscle for IM injection in infants | 12 | 60% | 21.4% | 0.21 | |
Intravenous drug Administration | Determining rate of flow for 1000 mls or normal saline with 300 mg of aminophyline to be administered in 8 hours | 33 | 57.5% | 58.9 | 0.58 |