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25 cardsQatar Healthcare Practitioner Licensing Exam (QCHP / DHP)

QCHP Clinical Practice and Emergency Protocols

25 flashcards to revise the key facts for the Qatar Healthcare Practitioner Licensing Exam. Study material written for practice, not the official exam.

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First-Line Reperfusion for Acute STEMI within Door-to-Balloon Window
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1
First-Line Reperfusion for Acute STEMI within Door-to-Balloon Window
Primary Percutaneous Coronary Intervention (PCI) within 90 minutes of first medical contact.
2
First-Line Vasopressor in Refractory Septic Shock
Norepinephrine (Noradrenaline) continuous infusion, targeting MAP >= 65 mmHg.
3
Initial Ventilatory Support for Acute Severe COPD Exacerbation with Acidosis
Non-Invasive Positive Pressure Ventilation (NIPPV / BiPAP) before invasive mechanical ventilation.
4
Anaphylaxis Immediate First-Line Medical Intervention
Intramuscular Epinephrine (Adrenaline) 1:1,000 (0.3-0.5 mg in adults) into the anterolateral mid-thigh.
5
Pulseless Ventricular Fibrillation (VF) / Pulseless VT Initial Interventions
Immediate unsynchronized defibrillation (shock) followed by immediate CPR and Epinephrine 1 mg every 3-5 min.
6
Immediate Management of Tension Pneumothorax
Emergent needle decompression (2nd intercostal space midclavicular line or 4th/5th anterior axillary line), followed by chest tube.
7
Gold Standard Diagnostic Imaging for Suspected Acute Mesenteric Ischemia
Biphasic Contrast-Enhanced Computed Tomography Angiography (CTA) of the abdomen and pelvis.
8
Immediate Preoperative Management of Acute Appendicitis
Intravenous isotonic fluid resuscitation, NPO status, and broad-spectrum IV antibiotics covering gram-negatives and anaerobes.
9
Newborn Resuscitation: Immediate Step for Persistent Apnea or HR < 100 bpm
Initiate Positive Pressure Ventilation (PPV) with room air (21% O2) within 60 seconds of birth.
10
Croup (Laryngotracheobronchitis) First-Line Medical Therapy
Oral single-dose Dexamethasone (0.15 to 0.6 mg/kg) plus nebulized epinephrine for severe distress.
11
Kawasaki Disease Mandatory Therapy to Prevent Coronary Aneurysms
High-dose Intravenous Immunoglobulin (IVIG) 2 g/kg single infusion plus oral high-dose Aspirin.
12
Non-Operative Reduction of Acute Intussusception in Children
Air (pneumatic) or hydrostatic contrast enema under fluoroscopic/ultrasound guidance (success rate > 85-90%).
13
Infantile Hypertrophic Pyloric Stenosis Resuscitation Rule
Correct dehydration and hypochloremic hypokalemic metabolic alkalosis with IV fluids BEFORE surgical pyloromyotomy.
14
Pediatric Diabetic Ketoacidosis (DKA) First-Hour Priority
Isotonic fluid expansion (0.9% NaCl) over the first hour; continuous IV insulin only after fluid resuscitation and checking K+.
15
Gold Standard Drug for Prevention and Treatment of Eclamptic Seizures
Intravenous Magnesium Sulfate (4-6 g loading dose over 20 min, then 1-2 g/hr maintenance infusion).
16
Immediate Medical Management of Postpartum Hemorrhage (PPH) from Uterine Atony
Bimanual uterine fundal massage combined with immediate intravenous Oxytocin infusion (and TXA within 3 hours).
17
Mandatory Contraindication in Third-Trimester Vaginal Bleeding before Ultrasound
Digital vaginal examination (can cause catastrophic hemorrhage if placenta previa is present).
18
Universal Intrapartum Prophylaxis for Group B Streptococcus (GBS)
Intravenous Penicillin G (5 million units loading dose, then 2.5-3 million units every 4 hours until delivery).
19
Contraception Category 4 (Strictly Contraindicated) in Migraine with Aura
Combined hormonal contraceptives containing estrogen (dramatically increases ischemic stroke risk).
20
Mandatory Investigation for Postmenopausal Vaginal Bleeding
Endometrial tissue sampling (Pipelle biopsy) to exclude endometrial carcinoma or hyperplasia.
21
WHO Surgical Safety Checklist Phase Immediately Prior to Skin Incision
'Time Out' phase: team vocally confirms patient identity, surgical site, procedure, and critical events.
22
Mandatory Respiratory PPE for Active Pulmonary Tuberculosis Isolation
Properly fit-tested particulate respirator mask (N95 or FFP2/FFP3 standard) in a negative-pressure isolation room.
23
Healthcare Quality Tool: Retrospective Latent System Analysis of Adverse Events
Root Cause Analysis (RCA), emphasizing systemic fixes rather than blaming individual healthcare providers.
24
WHO Hand Hygiene: When Soap and Water is Mandatory over Alcohol Gel
When hands are visibly soiled with blood/body fluids, or after caring for patients with Clostridioides difficile.
25
High-Alert Medication Safety Safeguard for Concentrated Potassium Chloride
Remove concentrated KCl vials from clinical patient wards; stock only commercially premixed diluted IV bags.

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