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