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Commence feeding – NO, the tube may be in the lungs; pH should be ≤ 5.5 B. Send the patient for a check X-ray – NO, high pH could be due to bronchial secretions, but could also be due to      medication or dilution by previous enteral feed. Should only send for check X-ray if pH test definitive – see answer C C. Wait an hour and gain new aspirate – YES, this will rule out dilution by stomach contents as a cause of the high pH.       If pH is still high, then send for check X-ray D. Conduct the ‘whoosh’ test – NO, this is an old test where air is injected into the tube and auscultation performed to       listen for exit sounds. The NPSA issued an alert in 2005, stating this test should no longer be used, as it is not an       accurate method of checking tube placement ","roles":{"click":{"subtype":"button","question":"Slide10010q2"},"textData":{}}},{"id":"si10093","class":"TODO::Senthil","roles":{}},{"id":"si10036","class":"TODO::Senthil","title":"Question 3 ","roles":{"textData":{}}},{"id":"si10043","class":"TODO::Senthil","title":"What should you do if the patient’s pH strip aspirate test measures 6? ","roles":{"textData":{}}},{"id":"si10058","class":"TODO::Senthil","title":"A) ","roles":{"textData":{}}},{"id":"si10062","class":"TODO::Senthil","title":"Commence feeding ","roles":{"textData":{}}},{"id":"si10058_a","class":"TODO::Senthil","roles":{"answer":{"title":"Commence feeding\r","index":"Not implemented","score":{"weight":0}}}},{"id":"si10069","class":"TODO::Senthil","title":"B) ","roles":{"textData":{}}},{"id":"si10073","class":"TODO::Senthil","title":"Send the patient for a check X-ray ","roles":{"textData":{}}},{"id":"si10069_a","class":"TODO::Senthil","roles":{"answer":{"title":"Send the patient for a check X-ray\r","index":"Not implemented","score":{"weight":0}}}},{"id":"si14985","class":"TODO::Senthil","title":"C) ","roles":{"textData":{}}},{"id":"si14989","class":"TODO::Senthil","title":"Wait an hour and gain new aspirate ","roles":{"textData":{}}},{"id":"si14985_a","class":"TODO::Senthil","roles":{"answer":{"title":"Wait an hour and gain new aspirate\r","index":"Not implemented","score":{"weight":10}}}},{"id":"si15000","class":"TODO::Senthil","title":"D) ","roles":{"textData":{}}},{"id":"si15004","class":"TODO::Senthil","title":"Conduct the ‘whoosh’ test ","roles":{"textData":{}}},{"id":"si15000_a","class":"TODO::Senthil","roles":{"answer":{"title":"Conduct the ‘whoosh’ test\r","index":"Not implemented","score":{"weight":0}}}},{"id":"si10089","class":"TODO::Senthil","roles":{}},{"id":"si10111","class":"TODO::Senthil","title":"Next ","roles":{"click":{"subtype":"skip","question":"Slide10010q2","for":"Slide10010q2"},"textData":{}}},{"id":"si10125","class":"TODO::Senthil","title":"Back ","roles":{"click":{"subtype":"back","question":"Slide10010q2","for":"Slide10010q2"},"textData":{}}},{"id":"Slide10010","class":"Question Slide","instance":"","thumbnail":"","children":["Image_234","Image_235","si10036","si10043","si10062","si10073","si14989","si15004","si10111","si10125"],"roles":{"slide":{"durationInFrames":90},"navigation":{"navid":"Slide10010"},"question":{"interactionId":"10023","quizId":469,"title":"Question 3\r","text":"What should you do if the patient’s pH strip aspirate test measures 6?\r","type":0,"interactionType":"choice","ramdomized":false,"correctAnswers":["C"],"score":{"weight":1,"penalty":0}}}},{"id":"SmartShape_269","class":"TODO::Senthil","instance":"SmartShape_269","title":" ","roles":{"click":{"subtype":"button","question":"Slide10153q3"},"textData":{}}},{"id":"SmartShape_181","class":"TODO::Senthil","instance":"SmartShape_181","title":" ","roles":{"click":{"subtype":"button","question":"Slide10153q3"},"textData":{}}},{"id":"SmartShape_182","class":"TODO::Senthil","instance":"SmartShape_182","title":" ","roles":{"click":{"subtype":"button","question":"Slide10153q3"},"textData":{}}},{"id":"SmartShape_183","class":"TODO::Senthil","instance":"SmartShape_183","title":" ","roles":{"click":{"subtype":"button","question":"Slide10153q3"},"textData":{}}},{"id":"SmartShape_184","class":"TODO::Senthil","instance":"SmartShape_184","title":" ","roles":{"click":{"subtype":"button","question":"Slide10153q3"},"textData":{}}},{"id":"Image_236","class":"TODO::Senthil","instance":"Image_236","roles":{}},{"id":"Image_237","class":"TODO::Senthil","instance":"Image_237","roles":{}},{"id":"Image_266","class":"TODO::Senthil","instance":"Image_266","roles":{}},{"id":"review_img_4","class":"TODO::Senthil","instance":"review_img_4","roles":{}},{"id":"review_msg_4","class":"TODO::Senthil","instance":"review_msg_4","title":"A. The tube deviates to the left at the carina and is in the left lung Explanation • The tube does not bisect the carina • The tube can be seen to deviate at the level of the carina at the level of T4/T5     indicating it is in the lung, and should therefore be removed • A tube that passes below the diaphragm may still be in the posterior part of    the lung - remove tube ","roles":{"click":{"subtype":"button","question":"Slide10153q3"},"textData":{}}},{"id":"si10236","class":"TODO::Senthil","roles":{}},{"id":"si10179","class":"TODO::Senthil","title":"Question 4 ","roles":{"textData":{}}},{"id":"si10186","class":"TODO::Senthil","title":"Choose the single statement that represents the best answer. In this film, ","roles":{"textData":{}}},{"id":"si10201","class":"TODO::Senthil","title":"A) ","roles":{"textData":{}}},{"id":"si10205","class":"TODO::Senthil","title":"The tube deviates to the left at the carina and is in the left  lung ","roles":{"textData":{}}},{"id":"si10201_a","class":"TODO::Senthil","roles":{"answer":{"title":"The tube deviates to the left at the carina and is in the left \rlung\r","index":"Not implemented","score":{"weight":10}}}},{"id":"si10212","class":"TODO::Senthil","title":"B) ","roles":{"textData":{}}},{"id":"si10216","class":"TODO::Senthil","title":"The tube bisects the carina ","roles":{"textData":{}}},{"id":"si10212_a","class":"TODO::Senthil","roles":{"answer":{"title":"The tube bisects the carina\r","index":"Not implemented","score":{"weight":0}}}},{"id":"si15066","class":"TODO::Senthil","title":"C) ","roles":{"textData":{}}},{"id":"si15070","class":"TODO::Senthil","title":"The tube is likely to be in a hiatus hernia ","roles":{"textData":{}}},{"id":"si15066_a","class":"TODO::Senthil","roles":{"answer":{"title":"The tube is likely to be in a hiatus hernia\r","index":"Not implemented","score":{"weight":0}}}},{"id":"si15081","class":"TODO::Senthil","title":"D) ","roles":{"textData":{}}},{"id":"si15085","class":"TODO::Senthil","title":"The tube passes below the diaphragm and can be used for feeding ","roles":{"textData":{}}},{"id":"si15081_a","class":"TODO::Senthil","roles":{"answer":{"title":"The tube passes below the diaphragm and can be used for feeding\r","index":"Not implemented","score":{"weight":0}}}},{"id":"si10232","class":"TODO::Senthil","roles":{}},{"id":"si10254","class":"TODO::Senthil","title":"Next ","roles":{"click":{"subtype":"skip","question":"Slide10153q3","for":"Slide10153q3"},"textData":{}}},{"id":"si10268","class":"TODO::Senthil","title":"Back ","roles":{"click":{"subtype":"back","question":"Slide10153q3","for":"Slide10153q3"},"textData":{}}},{"id":"Slide10153","class":"Question Slide","instance":"","thumbnail":"","children":["Image_236","Image_237","Image_266","review_img_4","si10179","si10186","si10205","si10216","si15070","si15085","si10254","si10268"],"roles":{"slide":{"durationInFrames":90},"navigation":{"navid":"Slide10153"},"question":{"interactionId":"10166","quizId":469,"title":"Question 4\r","text":"Choose the single statement that represents the best answer. In this film,\r","type":0,"interactionType":"choice","ramdomized":false,"correctAnswers":["A"],"score":{"weight":1,"penalty":0}}}},{"id":"SmartShape_270","class":"TODO::Senthil","instance":"SmartShape_270","title":" ","roles":{"click":{"subtype":"button","question":"Slide10296q4"},"textData":{}}},{"id":"SmartShape_185","class":"TODO::Senthil","instance":"SmartShape_185","title":" ","roles":{"click":{"subtype":"button","question":"Slide10296q4"},"textData":{}}},{"id":"SmartShape_186","class":"TODO::Senthil","instance":"SmartShape_186","title":" ","roles":{"click":{"subtype":"button","question":"Slide10296q4"},"textData":{}}},{"id":"SmartShape_187","class":"TODO::Senthil","instance":"SmartShape_187","title":" ","roles":{"click":{"subtype":"button","question":"Slide10296q4"},"textData":{}}},{"id":"SmartShape_188","class":"TODO::Senthil","instance":"SmartShape_188","title":" ","roles":{"click":{"subtype":"button","question":"Slide10296q4"},"textData":{}}},{"id":"Image_238","class":"TODO::Senthil","instance":"Image_238","roles":{}},{"id":"Image_239","class":"TODO::Senthil","instance":"Image_239","roles":{}},{"id":"Image_269","class":"TODO::Senthil","instance":"Image_269","roles":{}},{"id":"review_msg_5","class":"TODO::Senthil","instance":"review_msg_5","title":"B. This tube is in the stomach and is safe to feed Explanation • It does not deviate at the carina • It crosses the diaphragm midline and deviates immediately to the left • It does not enter the duodenum • Incidentally, this tube has a tungsten weighted tip, which is used in some   Trusts as there is an argument that it helps the tube to be swallowed ","roles":{"click":{"subtype":"button","question":"Slide10296q4"},"textData":{}}},{"id":"review_img_5","class":"TODO::Senthil","instance":"review_img_5","roles":{}},{"id":"si10379","class":"TODO::Senthil","roles":{}},{"id":"si10322","class":"TODO::Senthil","title":"Question 5 ","roles":{"textData":{}}},{"id":"si10329","class":"TODO::Senthil","title":"Choose the statement that represents the best answer. In this film, ","roles":{"textData":{}}},{"id":"si10344","class":"TODO::Senthil","title":"A) ","roles":{"textData":{}}},{"id":"si10348","class":"TODO::Senthil","title":"The tube is in the GI tract but is unsafe for feeding ","roles":{"textData":{}}},{"id":"si10344_a","class":"TODO::Senthil","roles":{"answer":{"title":"The tube is in the GI tract but is unsafe for feeding\r","index":"Not implemented","score":{"weight":0}}}},{"id":"si10355","class":"TODO::Senthil","title":"B) ","roles":{"textData":{}}},{"id":"si10359","class":"TODO::Senthil","title":"The tube is positioned in the stomach and feeding can  commence safely ","roles":{"textData":{}}},{"id":"si10355_a","class":"TODO::Senthil","roles":{"answer":{"title":"The tube is positioned in the stomach and feeding can \rcommence safely\r","index":"Not implemented","score":{"weight":10}}}},{"id":"si15144","class":"TODO::Senthil","title":"C) ","roles":{"textData":{}}},{"id":"si15148","class":"TODO::Senthil","title":"The tube is not in the GI tract and needs to be removed ","roles":{"textData":{}}},{"id":"si15144_a","class":"TODO::Senthil","roles":{"answer":{"title":"The tube is not in the GI tract and needs to be removed\r","index":"Not implemented","score":{"weight":0}}}},{"id":"si10375","class":"TODO::Senthil","roles":{}},{"id":"si10397","class":"TODO::Senthil","title":"Next ","roles":{"click":{"subtype":"skip","question":"Slide10296q4","for":"Slide10296q4"},"textData":{}}},{"id":"si10411","class":"TODO::Senthil","title":"Back ","roles":{"click":{"subtype":"back","question":"Slide10296q4","for":"Slide10296q4"},"textData":{}}},{"id":"Slide10296","class":"Question Slide","instance":"","thumbnail":"","children":["Image_238","Image_239","Image_269","review_img_5","si10322","si10329","si10348","si10359","si15148","si10397","si10411"],"roles":{"slide":{"durationInFrames":93},"navigation":{"navid":"Slide10296"},"question":{"interactionId":"10309","quizId":469,"title":"Question 5\r","text":"Choose the statement that represents the best answer. In this film,\r","type":0,"interactionType":"choice","ramdomized":false,"correctAnswers":["B"],"score":{"weight":1,"penalty":0}}}},{"id":"SmartShape_271","class":"TODO::Senthil","instance":"SmartShape_271","title":" ","roles":{"click":{"subtype":"button","question":"Slide10439q5"},"textData":{}}},{"id":"SmartShape_189","class":"TODO::Senthil","instance":"SmartShape_189","title":" ","roles":{"click":{"subtype":"button","question":"Slide10439q5"},"textData":{}}},{"id":"SmartShape_190","class":"TODO::Senthil","instance":"SmartShape_190","title":" ","roles":{"click":{"subtype":"button","question":"Slide10439q5"},"textData":{}}},{"id":"SmartShape_191","class":"TODO::Senthil","instance":"SmartShape_191","title":" ","roles":{"click":{"subtype":"button","question":"Slide10439q5"},"textData":{}}},{"id":"SmartShape_192","class":"TODO::Senthil","instance":"SmartShape_192","title":" ","roles":{"click":{"subtype":"button","question":"Slide10439q5"},"textData":{}}},{"id":"Image_240","class":"TODO::Senthil","instance":"Image_240","roles":{}},{"id":"Image_241","class":"TODO::Senthil","instance":"Image_241","roles":{}},{"id":"review_msg_6","class":"TODO::Senthil","instance":"review_msg_6","title":"A – The tube crosses the carina B – The tip of the tube is in the stomach  Explanation • The carina is not easy to see on this image, but the tube does not deviate here     and it is in the stomach • Even if you are unsure about the carina the tube appears to pass down the    midline and deviates to the left just above the diaphragm which in this case is a      normal variation • However, if you are ever unsure, remember, DO NOT FEED! 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In this film, ","roles":{"textData":{}}},{"id":"si10487","class":"TODO::Senthil","title":"A) ","roles":{"textData":{}}},{"id":"si10491","class":"TODO::Senthil","title":"The tube crosses the carina ","roles":{"textData":{}}},{"id":"si10491","class":"TODO::Senthil","roles":{"click":{"subtype":"button","question":"Slide10439q5"},"answer":{"title":"dummy title","index":-1,"score":{}}}},{"id":"si10487_a","class":"TODO::Senthil","roles":{"answer":{"title":"The tube crosses the carina\r","index":"Not implemented","score":{"weight":10}}}},{"id":"si10498","class":"TODO::Senthil","title":"B) ","roles":{"textData":{}}},{"id":"si10502","class":"TODO::Senthil","title":"The tip of the tube is in the stomach ","roles":{"textData":{}}},{"id":"si10502","class":"TODO::Senthil","roles":{"click":{"subtype":"button","question":"Slide10439q5"},"answer":{"title":"dummy title","index":-1,"score":{}}}},{"id":"si10498_a","class":"TODO::Senthil","roles":{"answer":{"title":"The tip of the tube is in the stomach\r","index":"Not implemented","score":{"weight":0}}}},{"id":"si15201","class":"TODO::Senthil","title":"C) ","roles":{"textData":{}}},{"id":"si15205","class":"TODO::Senthil","title":"The tube deviates to the left at the level of the carina which   has quite an acute angle in this patient ","roles":{"textData":{}}},{"id":"si15205","class":"TODO::Senthil","roles":{"click":{"subtype":"button","question":"Slide10439q5"},"answer":{"title":"dummy title","index":-1,"score":{}}}},{"id":"si15201_a","class":"TODO::Senthil","roles":{"answer":{"title":"The tube deviates to the left at the level of the carina which \r has quite an acute angle in this patient\r","index":"Not implemented","score":{"weight":0}}}},{"id":"si15216","class":"TODO::Senthil","title":"D) ","roles":{"textData":{}}},{"id":"si15220","class":"TODO::Senthil","title":"The tube is likely to be in the base of the left lung ","roles":{"textData":{}}},{"id":"si15220","class":"TODO::Senthil","roles":{"click":{"subtype":"button","question":"Slide10439q5"},"answer":{"title":"dummy title","index":-1,"score":{}}}},{"id":"si15216_a","class":"TODO::Senthil","roles":{"answer":{"title":"The tube is likely to be in the base of the left lung\r","index":"Not implemented","score":{"weight":0}}}},{"id":"si10518","class":"TODO::Senthil","roles":{}},{"id":"si10540","class":"TODO::Senthil","title":"Next ","roles":{"click":{"subtype":"skip","question":"Slide10439q5","for":"Slide10439q5"},"textData":{}}},{"id":"si10554","class":"TODO::Senthil","title":"Back ","roles":{"click":{"subtype":"back","question":"Slide10439q5","for":"Slide10439q5"},"textData":{}}},{"id":"Slide10439","class":"Question Slide","instance":"","thumbnail":"","children":["Image_240","Image_241","Image_421","review_img_6","si10465","si10472","si10491","si10502","si15205","si15220","si10540","si10554"],"roles":{"slide":{"durationInFrames":90},"navigation":{"navid":"Slide10439"},"question":{"interactionId":"10452","quizId":469,"title":"Question 6\r","text":"Identify all the correct statements in the list below. In this film,\r","type":0,"interactionType":"choice","ramdomized":false,"correctAnswers":["A","B"],"score":{"weight":1,"penalty":0}}}},{"id":"SmartShape_272","class":"TODO::Senthil","instance":"SmartShape_272","title":" ","roles":{"click":{"subtype":"button","question":"Slide10582q6"},"textData":{}}},{"id":"SmartShape_193","class":"TODO::Senthil","instance":"SmartShape_193","title":" ","roles":{"click":{"subtype":"button","question":"Slide10582q6"},"textData":{}}},{"id":"SmartShape_194","class":"TODO::Senthil","instance":"SmartShape_194","title":" ","roles":{"click":{"subtype":"button","question":"Slide10582q6"},"textData":{}}},{"id":"SmartShape_195","class":"TODO::Senthil","instance":"SmartShape_195","title":" ","roles":{"click":{"subtype":"button","question":"Slide10582q6"},"textData":{}}},{"id":"SmartShape_196","class":"TODO::Senthil","instance":"SmartShape_196","title":" ","roles":{"click":{"subtype":"button","question":"Slide10582q6"},"textData":{}}},{"id":"Image_242","class":"TODO::Senthil","instance":"Image_242","roles":{}},{"id":"Image_243","class":"TODO::Senthil","instance":"Image_243","roles":{}},{"id":"review_msg_7","class":"TODO::Senthil","instance":"review_msg_7","title":"A. The tube is in the GI tract but is unsafe for feeding in its current position Explanation • The tube is in the GI tract • However, although the tube does bisect the carina, it lies in the distal       oesophagus and if    feeding occurs here there is a high risk of problematic reflux • If advanced, it should be possible to obtain aspirate this time ","roles":{"click":{"subtype":"button","question":"Slide10582q6"},"textData":{}}},{"id":"Image_422","class":"TODO::Senthil","instance":"Image_422","roles":{}},{"id":"review_img_7","class":"TODO::Senthil","instance":"review_img_7","roles":{}},{"id":"si10665","class":"TODO::Senthil","roles":{}},{"id":"si10608","class":"TODO::Senthil","title":"Question 7 ","roles":{"textData":{}}},{"id":"si10615","class":"TODO::Senthil","title":"Choose the correct answer from the list below. In this film, ","roles":{"textData":{}}},{"id":"si10630","class":"TODO::Senthil","title":"A) ","roles":{"textData":{}}},{"id":"si10634","class":"TODO::Senthil","title":"The tube is in the GI tract but is unsafe for feeding in its current position ","roles":{"textData":{}}},{"id":"si10630_a","class":"TODO::Senthil","roles":{"answer":{"title":"The tube is in the GI tract but is unsafe for feeding\rin its current position\r","index":"Not implemented","score":{"weight":10}}}},{"id":"si10641","class":"TODO::Senthil","title":"B) ","roles":{"textData":{}}},{"id":"si10645","class":"TODO::Senthil","title":"The tube is in the GI tract and feeding can commence ","roles":{"textData":{}}},{"id":"si10641_a","class":"TODO::Senthil","roles":{"answer":{"title":"The tube is in the GI tract and feeding can commence\r","index":"Not implemented","score":{"weight":0}}}},{"id":"si15285","class":"TODO::Senthil","title":"C) ","roles":{"textData":{}}},{"id":"si15289","class":"TODO::Senthil","title":"The tube is not in the GI tract and needs to be removed ","roles":{"textData":{}}},{"id":"si15285_a","class":"TODO::Senthil","roles":{"answer":{"title":"The tube is not in the GI tract and needs to be removed\r","index":"Not implemented","score":{"weight":0}}}},{"id":"si10661","class":"TODO::Senthil","roles":{}},{"id":"si10683","class":"TODO::Senthil","title":"Next ","roles":{"click":{"subtype":"skip","question":"Slide10582q6","for":"Slide10582q6"},"textData":{}}},{"id":"si10697","class":"TODO::Senthil","title":"Back ","roles":{"click":{"subtype":"back","question":"Slide10582q6","for":"Slide10582q6"},"textData":{}}},{"id":"Slide10582","class":"Question Slide","instance":"","thumbnail":"","children":["Image_242","Image_243","Image_422","review_img_7","si10608","si10615","si10634","si10645","si15289","si10683","si10697"],"roles":{"slide":{"durationInFrames":90},"navigation":{"navid":"Slide10582"},"question":{"interactionId":"10595","quizId":469,"title":"Question 7\r","text":"Choose the correct answer from the list below. In this film,\r","type":0,"interactionType":"choice","ramdomized":false,"correctAnswers":["A"],"score":{"weight":1,"penalty":0}}}},{"id":"SmartShape_273","class":"TODO::Senthil","instance":"SmartShape_273","title":" ","roles":{"click":{"subtype":"button","question":"Slide10725q7"},"textData":{}}},{"id":"SmartShape_197","class":"TODO::Senthil","instance":"SmartShape_197","title":" ","roles":{"click":{"subtype":"button","question":"Slide10725q7"},"textData":{}}},{"id":"SmartShape_198","class":"TODO::Senthil","instance":"SmartShape_198","title":" ","roles":{"click":{"subtype":"button","question":"Slide10725q7"},"textData":{}}},{"id":"SmartShape_199","class":"TODO::Senthil","instance":"SmartShape_199","title":" ","roles":{"click":{"subtype":"button","question":"Slide10725q7"},"textData":{}}},{"id":"SmartShape_200","class":"TODO::Senthil","instance":"SmartShape_200","title":" ","roles":{"click":{"subtype":"button","question":"Slide10725q7"},"textData":{}}},{"id":"Image_244","class":"TODO::Senthil","instance":"Image_244","roles":{}},{"id":"Image_245","class":"TODO::Senthil","instance":"Image_245","roles":{}},{"id":"Image_423","class":"TODO::Senthil","instance":"Image_423","roles":{}},{"id":"review_msg_8","class":"TODO::Senthil","instance":"review_msg_8","title":" B. The tube is in the GI tract but its distal position is unclear and measurements would help to decide whether to feed  Explanation • The tube is clearly in the GI tract, however there is not enough of the abdomen     visible to see if it curves up towards the duodenum • It may well be in the body of the stomach and measurements help to verify this • This patient has lower zone shadowing in both lungs – make sure the whole    chest has been radiologically reviewed ","roles":{"click":{"subtype":"button","question":"Slide10725q7"},"textData":{}}},{"id":"review_img_8","class":"TODO::Senthil","instance":"review_img_8","roles":{}},{"id":"si10808","class":"TODO::Senthil","roles":{}},{"id":"si10751","class":"TODO::Senthil","title":"Question 8 ","roles":{"textData":{}}},{"id":"si10758","class":"TODO::Senthil","title":"Choose the correct answer from the list below. In this film, ","roles":{"textData":{}}},{"id":"si10773","class":"TODO::Senthil","title":"A) ","roles":{"textData":{}}},{"id":"si10777","class":"TODO::Senthil","title":"The tube should be removed as the tip cannot be seen ","roles":{"textData":{}}},{"id":"si10773_a","class":"TODO::Senthil","roles":{"answer":{"title":"The tube should be removed as the tip cannot be seen\r","index":"Not implemented","score":{"weight":0}}}},{"id":"si10784","class":"TODO::Senthil","title":"B) ","roles":{"textData":{}}},{"id":"si10788","class":"TODO::Senthil","title":"The tube is in the GI tract but its distal position is unclear  and measurements would help to decide whether to feed ","roles":{"textData":{}}},{"id":"si10784_a","class":"TODO::Senthil","roles":{"answer":{"title":"The tube is in the GI tract but its distal position is unclear \rand measurements would help to decide whether to feed\r","index":"Not implemented","score":{"weight":10}}}},{"id":"si15342","class":"TODO::Senthil","title":"C) ","roles":{"textData":{}}},{"id":"si15346","class":"TODO::Senthil","title":"The tube is in the GI tract and feeding can commence ","roles":{"textData":{}}},{"id":"si15342_a","class":"TODO::Senthil","roles":{"answer":{"title":"The tube is in the GI tract and feeding can commence\r","index":"Not implemented","score":{"weight":0}}}},{"id":"si10804","class":"TODO::Senthil","roles":{}},{"id":"si10826","class":"TODO::Senthil","title":"Next ","roles":{"click":{"subtype":"skip","question":"Slide10725q7","for":"Slide10725q7"},"textData":{}}},{"id":"si10840","class":"TODO::Senthil","title":"Back ","roles":{"click":{"subtype":"back","question":"Slide10725q7","for":"Slide10725q7"},"textData":{}}},{"id":"Slide10725","class":"Question Slide","instance":"","thumbnail":"","children":["Image_244","Image_245","Image_423","review_img_8","si10751","si10758","si10777","si10788","si15346","si10826","si10840"],"roles":{"slide":{"durationInFrames":90},"navigation":{"navid":"Slide10725"},"question":{"interactionId":"10738","quizId":469,"title":"Question 8\r","text":"Choose the correct answer from the list below. In this film,\r","type":0,"interactionType":"choice","ramdomized":false,"correctAnswers":["B"],"score":{"weight":1,"penalty":0}}}},{"id":"SmartShape_277","class":"TODO::Senthil","instance":"SmartShape_277","title":" ","roles":{"click":{"subtype":"button","question":"Slide10868q8"},"textData":{}}},{"id":"SmartShape_201","class":"TODO::Senthil","instance":"SmartShape_201","title":" ","roles":{"click":{"subtype":"button","question":"Slide10868q8"},"textData":{}}},{"id":"SmartShape_202","class":"TODO::Senthil","instance":"SmartShape_202","title":" ","roles":{"click":{"subtype":"button","question":"Slide10868q8"},"textData":{}}},{"id":"SmartShape_203","class":"TODO::Senthil","instance":"SmartShape_203","title":" ","roles":{"click":{"subtype":"button","question":"Slide10868q8"},"textData":{}}},{"id":"SmartShape_204","class":"TODO::Senthil","instance":"SmartShape_204","title":" ","roles":{"click":{"subtype":"button","question":"Slide10868q8"},"textData":{}}},{"id":"Image_246","class":"TODO::Senthil","instance":"Image_246","roles":{}},{"id":"Image_247","class":"TODO::Senthil","instance":"Image_247","roles":{}},{"id":"Image_277","class":"TODO::Senthil","instance":"Image_277","roles":{}},{"id":"review_msg_9","class":"TODO::Senthil","instance":"review_msg_9","title":"A. This tube bisects the carina, crosses the diaphragm in the midline      and could be used for feeding if measurements are appropriate Explanation • The tube is most likely to be in the stomach and measurements are the best     way to verify this when the tube travels more inferiorly than the bottom of     the film in this way • Never withdraw a tube and start feeding without re-aspirating or reimaging. ","roles":{"click":{"subtype":"button","question":"Slide10868q8"},"textData":{}}},{"id":"review_img_9","class":"TODO::Senthil","instance":"review_img_9","roles":{}},{"id":"si10951","class":"TODO::Senthil","roles":{}},{"id":"si10894","class":"TODO::Senthil","title":"Question 9 ","roles":{"textData":{}}},{"id":"si10901","class":"TODO::Senthil","title":"Choose the single best answer from the list below. In this film, ","roles":{"textData":{}}},{"id":"si10916","class":"TODO::Senthil","title":"A) ","roles":{"textData":{}}},{"id":"si10920","class":"TODO::Senthil","title":"This tube bisects the carina, crosses the diaphragm in the midline and could be used for feeding if measurements are  appropriate ","roles":{"textData":{}}},{"id":"si10916_a","class":"TODO::Senthil","roles":{"answer":{"title":"This tube bisects the carina, crosses the diaphragm in the\rmidline and could be used for feeding if measurements are\r appropriate\r","index":"Not implemented","score":{"weight":10}}}},{"id":"si10927","class":"TODO::Senthil","title":"B) ","roles":{"textData":{}}},{"id":"si10931","class":"TODO::Senthil","title":"This tube should be withdrawn a few centimetres before  commencing feed ","roles":{"textData":{}}},{"id":"si10927_a","class":"TODO::Senthil","roles":{"answer":{"title":"This tube should be withdrawn a few centimetres before \rcommencing feed\r","index":"Not implemented","score":{"weight":0}}}},{"id":"si15414","class":"TODO::Senthil","title":"C) ","roles":{"textData":{}}},{"id":"si15418","class":"TODO::Senthil","title":"This tube is in a suitable position for feeding ","roles":{"textData":{}}},{"id":"si15414_a","class":"TODO::Senthil","roles":{"answer":{"title":"This tube is in a suitable position for feeding\r","index":"Not implemented","score":{"weight":0}}}},{"id":"si10947","class":"TODO::Senthil","roles":{}},{"id":"si10969","class":"TODO::Senthil","title":"Next ","roles":{"click":{"subtype":"skip","question":"Slide10868q8","for":"Slide10868q8"},"textData":{}}},{"id":"si10983","class":"TODO::Senthil","title":"Back ","roles":{"click":{"subtype":"back","question":"Slide10868q8","for":"Slide10868q8"},"textData":{}}},{"id":"Slide10868","class":"Question Slide","instance":"","thumbnail":"","children":["Image_246","Image_247","Image_277","review_img_9","si10894","si10901","si10920","si10931","si15418","si10969","si10983"],"roles":{"slide":{"durationInFrames":90},"navigation":{"navid":"Slide10868"},"question":{"interactionId":"10881","quizId":469,"title":"Question 9\r","text":"Choose the single best answer from the list below. In this film,\r","type":0,"interactionType":"choice","ramdomized":false,"correctAnswers":["A"],"score":{"weight":1,"penalty":0}}}},{"id":"SmartShape_278","class":"TODO::Senthil","instance":"SmartShape_278","title":" ","roles":{"click":{"subtype":"button","question":"Slide11011q9"},"textData":{}}},{"id":"SmartShape_205","class":"TODO::Senthil","instance":"SmartShape_205","title":" ","roles":{"click":{"subtype":"button","question":"Slide11011q9"},"textData":{}}},{"id":"SmartShape_206","class":"TODO::Senthil","instance":"SmartShape_206","title":" ","roles":{"click":{"subtype":"button","question":"Slide11011q9"},"textData":{}}},{"id":"SmartShape_207","class":"TODO::Senthil","instance":"SmartShape_207","title":" ","roles":{"click":{"subtype":"button","question":"Slide11011q9"},"textData":{}}},{"id":"SmartShape_208","class":"TODO::Senthil","instance":"SmartShape_208","title":" ","roles":{"click":{"subtype":"button","question":"Slide11011q9"},"textData":{}}},{"id":"Image_248","class":"TODO::Senthil","instance":"Image_248","roles":{}},{"id":"Image_249","class":"TODO::Senthil","instance":"Image_249","roles":{}},{"id":"Image_424","class":"TODO::Senthil","instance":"Image_424","roles":{}},{"id":"review_img_10","class":"TODO::Senthil","instance":"review_img_10","roles":{}},{"id":"review_msg_10","class":"TODO::Senthil","instance":"review_msg_10","title":"B. The tube is in the GI tract and feeding can commence if measurements are appropriate  Explanation • This tube is in the stomach and can be used for feeding if the measurements    are appropriate • Although this tube deviates in the chest, it passes under the left main    bronchus thereby bisecting the carina • This patient may have a dilated oesophagus eg. secondary to achalasia ","roles":{"click":{"subtype":"button","question":"Slide11011q9"},"textData":{}}},{"id":"si11094","class":"TODO::Senthil","roles":{}},{"id":"si11037","class":"TODO::Senthil","title":"Question 10 ","roles":{"textData":{}}},{"id":"si11044","class":"TODO::Senthil","title":"Choose the correct  answer from the list below. In this film, ","roles":{"textData":{}}},{"id":"si11059","class":"TODO::Senthil","title":"A) ","roles":{"textData":{}}},{"id":"si11063","class":"TODO::Senthil","title":"The tube is not in the GI tract and should be removed ","roles":{"textData":{}}},{"id":"si11059_a","class":"TODO::Senthil","roles":{"answer":{"title":"The tube is not in the GI tract and should be\rremoved\r","index":"Not implemented","score":{"weight":0}}}},{"id":"si11070","class":"TODO::Senthil","title":"B) ","roles":{"textData":{}}},{"id":"si11074","class":"TODO::Senthil","title":"The tube is in the GI tract and feeding can commence if measurements are appropriate ","roles":{"textData":{}}},{"id":"si11070_a","class":"TODO::Senthil","roles":{"answer":{"title":"The tube is in the GI tract and feeding can commence if\rmeasurements are appropriate\r","index":"Not implemented","score":{"weight":1}}}},{"id":"si11090","class":"TODO::Senthil","roles":{}},{"id":"si11112","class":"TODO::Senthil","title":"Next ","roles":{"click":{"subtype":"skip","question":"Slide11011q9","for":"Slide11011q9"},"textData":{}}},{"id":"si11126","class":"TODO::Senthil","title":"Back ","roles":{"click":{"subtype":"back","question":"Slide11011q9","for":"Slide11011q9"},"textData":{}}},{"id":"Slide11011","class":"Question Slide","instance":"","thumbnail":"","children":["Image_248","Image_249","Image_424","review_img_10","si11037","si11044","si11063","si11074","si11112","si11126"],"roles":{"slide":{"durationInFrames":90},"navigation":{"navid":"Slide11011"},"question":{"interactionId":"11024","quizId":469,"title":"Question 10\r","text":"Choose the correct  answer from the list below. In this film,\r","type":0,"interactionType":"choice","ramdomized":false,"correctAnswers":["B"],"score":{"weight":1,"penalty":0}}}},{"id":"SmartShape_279","class":"TODO::Senthil","instance":"SmartShape_279","title":" ","roles":{"click":{"subtype":"button","question":"Slide11154q10"},"textData":{}}},{"id":"SmartShape_209","class":"TODO::Senthil","instance":"SmartShape_209","title":" ","roles":{"click":{"subtype":"button","question":"Slide11154q10"},"textData":{}}},{"id":"SmartShape_210","class":"TODO::Senthil","instance":"SmartShape_210","title":" ","roles":{"click":{"subtype":"button","question":"Slide11154q10"},"textData":{}}},{"id":"SmartShape_211","class":"TODO::Senthil","instance":"SmartShape_211","title":" ","roles":{"click":{"subtype":"button","question":"Slide11154q10"},"textData":{}}},{"id":"SmartShape_212","class":"TODO::Senthil","instance":"SmartShape_212","title":" ","roles":{"click":{"subtype":"button","question":"Slide11154q10"},"textData":{}}},{"id":"Image_250","class":"TODO::Senthil","instance":"Image_250","roles":{}},{"id":"Image_251","class":"TODO::Senthil","instance":"Image_251","roles":{}},{"id":"Image_281","class":"TODO::Senthil","instance":"Image_281","roles":{}},{"id":"review_msg_11","class":"TODO::Senthil","instance":"review_msg_11","title":"B. The tube deviates to the right at the level of the carina D. The tube is in the right lung and should be removed Explanation • The tube is in the right lung and needs to be removed • Passage below the diaphragm does not guarantee that the tube is in the GI    tract, particularly if it does not cross the diaphragm in the midline and most    importantly if it does not bisect the carina ","roles":{"click":{"subtype":"button","question":"Slide11154q10"},"textData":{}}},{"id":"review_img_11","class":"TODO::Senthil","instance":"review_img_11","roles":{}},{"id":"si11237","class":"TODO::Senthil","roles":{}},{"id":"si11180","class":"TODO::Senthil","title":"Question 11 ","roles":{"textData":{}}},{"id":"si11187","class":"TODO::Senthil","title":"Choose all the correct answers from the list below. In this film, ","roles":{"textData":{}}},{"id":"si11202","class":"TODO::Senthil","title":"A) ","roles":{"textData":{}}},{"id":"si11206","class":"TODO::Senthil","title":"The tube needs to be withdrawn as it may be in the  duodenum ","roles":{"textData":{}}},{"id":"si11206","class":"TODO::Senthil","roles":{"click":{"subtype":"button","question":"Slide11154q10"},"answer":{"title":"dummy title","index":-1,"score":{}}}},{"id":"si11202_a","class":"TODO::Senthil","roles":{"answer":{"title":"The tube needs to be withdrawn as it may be in the \rduodenum\r","index":"Not implemented","score":{"weight":0}}}},{"id":"si11213","class":"TODO::Senthil","title":"B) ","roles":{"textData":{}}},{"id":"si11217","class":"TODO::Senthil","title":"The tube deviates to the right at the level of the carina ","roles":{"textData":{}}},{"id":"si11217","class":"TODO::Senthil","roles":{"click":{"subtype":"button","question":"Slide11154q10"},"answer":{"title":"dummy title","index":-1,"score":{}}}},{"id":"si11213_a","class":"TODO::Senthil","roles":{"answer":{"title":"The tube deviates to the right at the level of the carina\r","index":"Not implemented","score":{"weight":0}}}},{"id":"si15513","class":"TODO::Senthil","title":"C) ","roles":{"textData":{}}},{"id":"si15517","class":"TODO::Senthil","title":"The tube passes below the diaphragm and is likely to be in the gastrointestinal tract ","roles":{"textData":{}}},{"id":"si15517","class":"TODO::Senthil","roles":{"click":{"subtype":"button","question":"Slide11154q10"},"answer":{"title":"dummy title","index":-1,"score":{}}}},{"id":"si15513_a","class":"TODO::Senthil","roles":{"answer":{"title":"The tube passes below the diaphragm and is likely to be in\rthe gastrointestinal tract\r","index":"Not implemented","score":{"weight":0}}}},{"id":"si15528","class":"TODO::Senthil","title":"D) ","roles":{"textData":{}}},{"id":"si15532","class":"TODO::Senthil","title":"The tube is likely to be in the base of the right lung ","roles":{"textData":{}}},{"id":"si15532","class":"TODO::Senthil","roles":{"click":{"subtype":"button","question":"Slide11154q10"},"answer":{"title":"dummy title","index":-1,"score":{}}}},{"id":"si15528_a","class":"TODO::Senthil","roles":{"answer":{"title":"The tube is likely to be in the base of the right lung\r","index":"Not implemented","score":{"weight":0}}}},{"id":"si11233","class":"TODO::Senthil","roles":{}},{"id":"si11255","class":"TODO::Senthil","title":"Next ","roles":{"click":{"subtype":"skip","question":"Slide11154q10","for":"Slide11154q10"},"textData":{}}},{"id":"si11269","class":"TODO::Senthil","title":"Back ","roles":{"click":{"subtype":"back","question":"Slide11154q10","for":"Slide11154q10"},"textData":{}}},{"id":"Slide11154","class":"Question Slide","instance":"","thumbnail":"","children":["Image_250","Image_251","Image_281","review_img_11","si11180","si11187","si11206","si11217","si15517","si15532","si11255","si11269"],"roles":{"slide":{"durationInFrames":90},"navigation":{"navid":"Slide11154"},"question":{"interactionId":"11167","quizId":469,"title":"Question 11\r","text":"Choose all the correct answers from the list below. In this film,\r","type":0,"interactionType":"choice","ramdomized":false,"correctAnswers":["B","D"],"score":{"weight":1,"penalty":0}}}},{"id":"SmartShape_280","class":"TODO::Senthil","instance":"SmartShape_280","title":" ","roles":{"click":{"subtype":"button","question":"Slide11297q11"},"textData":{}}},{"id":"SmartShape_213","class":"TODO::Senthil","instance":"SmartShape_213","title":" ","roles":{"click":{"subtype":"button","question":"Slide11297q11"},"textData":{}}},{"id":"SmartShape_214","class":"TODO::Senthil","instance":"SmartShape_214","title":" ","roles":{"click":{"subtype":"button","question":"Slide11297q11"},"textData":{}}},{"id":"SmartShape_215","class":"TODO::Senthil","instance":"SmartShape_215","title":" ","roles":{"click":{"subtype":"button","question":"Slide11297q11"},"textData":{}}},{"id":"SmartShape_216","class":"TODO::Senthil","instance":"SmartShape_216","title":" ","roles":{"click":{"subtype":"button","question":"Slide11297q11"},"textData":{}}},{"id":"Image_252","class":"TODO::Senthil","instance":"Image_252","roles":{}},{"id":"Image_253","class":"TODO::Senthil","instance":"Image_253","roles":{}},{"id":"Image_283","class":"TODO::Senthil","instance":"Image_283","roles":{}},{"id":"Image_425","class":"TODO::Senthil","instance":"Image_425","roles":{}},{"id":"review_msg_12","class":"TODO::Senthil","instance":"review_msg_12","title":"B.The tip of the tube can be seen and it is in the stomach Explanation • This tube is in the stomach • It bisects the carina and crosses the diaphragm at the midline and then runs     down the greater curve of the stomach • This tube does not turn superiorly and to the right, therefore is unlikely to be     in the duodenum ","roles":{"click":{"subtype":"button","question":"Slide11297q11"},"textData":{}}},{"id":"review_img_12","class":"TODO::Senthil","instance":"review_img_12","roles":{}},{"id":"si11380","class":"TODO::Senthil","roles":{}},{"id":"si11323","class":"TODO::Senthil","title":"Question 12 ","roles":{"textData":{}}},{"id":"si11330","class":"TODO::Senthil","title":"Choose the correct answer from the list below. In this film, ","roles":{"textData":{}}},{"id":"si11345","class":"TODO::Senthil","title":"A) ","roles":{"textData":{}}},{"id":"si11349","class":"TODO::Senthil","title":"This tube needs to be withdrawn as it is likely to be in the small bowel and dumping syndrome may result ","roles":{"textData":{}}},{"id":"si11345_a","class":"TODO::Senthil","roles":{"answer":{"title":"This tube needs to be withdrawn as it is likely to be in the\rsmall bowel and dumping syndrome\rmay result\r","index":"Not implemented","score":{"weight":0}}}},{"id":"si11356","class":"TODO::Senthil","title":"B) ","roles":{"textData":{}}},{"id":"si11360","class":"TODO::Senthil","title":"The tip of the tube can be seen and it is in the stomach ","roles":{"textData":{}}},{"id":"si11356_a","class":"TODO::Senthil","roles":{"answer":{"title":"The tip of the tube can be seen and it is in the stomach\r","index":"Not implemented","score":{"weight":1}}}},{"id":"si15612","class":"TODO::Senthil","title":"C) ","roles":{"textData":{}}},{"id":"si15616","class":"TODO::Senthil","title":"This tube deviates to the left at the level of the carina and may be in the base of the left lung ","roles":{"textData":{}}},{"id":"si15612_a","class":"TODO::Senthil","roles":{"answer":{"title":"This tube deviates to the left at the level of the carina and\rmay be in the base of the left lung\r","index":"Not implemented","score":{"weight":0}}}},{"id":"si11376","class":"TODO::Senthil","roles":{}},{"id":"si11398","class":"TODO::Senthil","title":"Next ","roles":{"click":{"subtype":"skip","question":"Slide11297q11","for":"Slide11297q11"},"textData":{}}},{"id":"si11412","class":"TODO::Senthil","title":"Back ","roles":{"click":{"subtype":"back","question":"Slide11297q11","for":"Slide11297q11"},"textData":{}}},{"id":"Slide11297","class":"Question Slide","instance":"","thumbnail":"","children":["Image_252","Image_253","Image_283","Image_425","review_img_12","si11323","si11330","si11349","si11360","si15616","si11398","si11412"],"roles":{"slide":{"durationInFrames":90},"navigation":{"navid":"Slide11297"},"question":{"interactionId":"11310","quizId":469,"title":"Question 12\r","text":"Choose the correct answer from the list below. In this film,\r","type":0,"interactionType":"choice","ramdomized":false,"correctAnswers":["B"],"score":{"weight":1,"penalty":0}}}},{"id":"SmartShape_281","class":"TODO::Senthil","instance":"SmartShape_281","title":" ","roles":{"click":{"subtype":"button","question":"Slide11440q12"},"textData":{}}},{"id":"SmartShape_217","class":"TODO::Senthil","instance":"SmartShape_217","title":" ","roles":{"click":{"subtype":"button","question":"Slide11440q12"},"textData":{}}},{"id":"SmartShape_218","class":"TODO::Senthil","instance":"SmartShape_218","title":" ","roles":{"click":{"subtype":"button","question":"Slide11440q12"},"textData":{}}},{"id":"SmartShape_219","class":"TODO::Senthil","instance":"SmartShape_219","title":" ","roles":{"click":{"subtype":"button","question":"Slide11440q12"},"textData":{}}},{"id":"SmartShape_220","class":"TODO::Senthil","instance":"SmartShape_220","title":" ","roles":{"click":{"subtype":"button","question":"Slide11440q12"},"textData":{}}},{"id":"Image_254","class":"TODO::Senthil","instance":"Image_254","roles":{}},{"id":"Image_255","class":"TODO::Senthil","instance":"Image_255","roles":{}},{"id":"Image_285","class":"TODO::Senthil","instance":"Image_285","roles":{}},{"id":"review_img_13","class":"TODO::Senthil","instance":"review_img_13","roles":{}},{"id":"review_msg_13","class":"TODO::Senthil","instance":"review_msg_13","title":"B. This tube is in the GI tract but the position is unsafe for feeding due to the risk of reflux Explanation • This tube passes down the midline and deviates immediately to the left     below the diaphragm and is in the stomach - but only just • Advancing it would reduce the risk of displacement into the lower    oesophagus and make aspirate easier to obtain ","roles":{"click":{"subtype":"button","question":"Slide11440q12"},"textData":{}}},{"id":"si11523","class":"TODO::Senthil","roles":{}},{"id":"si11466","class":"TODO::Senthil","title":"Question 13 ","roles":{"textData":{}}},{"id":"si11473","class":"TODO::Senthil","title":"Choose the correct answer from the list below. 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In this film,\r","type":0,"interactionType":"choice","ramdomized":false,"correctAnswers":["B"],"score":{"weight":1,"penalty":0}}}},{"id":"SmartShape_282","class":"TODO::Senthil","instance":"SmartShape_282","title":" ","roles":{"click":{"subtype":"button","question":"Slide11583q13"},"textData":{}}},{"id":"SmartShape_221","class":"TODO::Senthil","instance":"SmartShape_221","title":" ","roles":{"click":{"subtype":"button","question":"Slide11583q13"},"textData":{}}},{"id":"SmartShape_222","class":"TODO::Senthil","instance":"SmartShape_222","title":" ","roles":{"click":{"subtype":"button","question":"Slide11583q13"},"textData":{}}},{"id":"SmartShape_223","class":"TODO::Senthil","instance":"SmartShape_223","title":" ","roles":{"click":{"subtype":"button","question":"Slide11583q13"},"textData":{}}},{"id":"SmartShape_224","class":"TODO::Senthil","instance":"SmartShape_224","title":" ","roles":{"click":{"subtype":"button","question":"Slide11583q13"},"textData":{}}},{"id":"Image_256","class":"TODO::Senthil","instance":"Image_256","roles":{}},{"id":"Image_257","class":"TODO::Senthil","instance":"Image_257","roles":{}},{"id":"Image_426","class":"TODO::Senthil","instance":"Image_426","roles":{}},{"id":"review_msg_14","class":"TODO::Senthil","instance":"review_msg_14","title":"B. This tube is in the GI tract but the position is unsafe for feeding and it should be removed Explanation • The NG tube loops in the oesophagus - the tip cannot be seen as it is up     in the pharynx or mouth ","roles":{"click":{"subtype":"button","question":"Slide11583q13"},"textData":{}}},{"id":"review_img_14","class":"TODO::Senthil","instance":"review_img_14","roles":{}},{"id":"si11666","class":"TODO::Senthil","roles":{}},{"id":"si11609","class":"TODO::Senthil","title":"Question 14 ","roles":{"textData":{}}},{"id":"si11616","class":"TODO::Senthil","title":"Choose the best answer from the list below. In this film, ","roles":{"textData":{}}},{"id":"si11631","class":"TODO::Senthil","title":"A) ","roles":{"textData":{}}},{"id":"si11635","class":"TODO::Senthil","title":"The tube is in the GI tract and may safely be used for feeding ","roles":{"textData":{}}},{"id":"si11631_a","class":"TODO::Senthil","roles":{"answer":{"title":"The tube is in the GI tract and may safely be used for feeding\r","index":"Not implemented","score":{"weight":0}}}},{"id":"si11642","class":"TODO::Senthil","title":"B) ","roles":{"textData":{}}},{"id":"si11646","class":"TODO::Senthil","title":"The tube position is unsafe for feeding and should be resited ","roles":{"textData":{}}},{"id":"si11642_a","class":"TODO::Senthil","roles":{"answer":{"title":"The tube position is unsafe for feeding and should be resited\r","index":"Not implemented","score":{"weight":1}}}},{"id":"si11662","class":"TODO::Senthil","roles":{}},{"id":"si11684","class":"TODO::Senthil","title":"Next ","roles":{"click":{"subtype":"skip","question":"Slide11583q13","for":"Slide11583q13"},"textData":{}}},{"id":"si11698","class":"TODO::Senthil","title":"Back ","roles":{"click":{"subtype":"back","question":"Slide11583q13","for":"Slide11583q13"},"textData":{}}},{"id":"Slide11583","class":"Question Slide","instance":"","thumbnail":"","children":["Image_256","Image_257","Image_426","review_img_14","si11609","si11616","si11635","si11646","si11684","si11698"],"roles":{"slide":{"durationInFrames":90},"navigation":{"navid":"Slide11583"},"question":{"interactionId":"11596","quizId":469,"title":"Question 14\r","text":"Choose the best answer from the list below. In this film,\r","type":0,"interactionType":"choice","ramdomized":false,"correctAnswers":["B"],"score":{"weight":1,"penalty":0}}}},{"id":"SmartShape_283","class":"TODO::Senthil","instance":"SmartShape_283","title":" ","roles":{"click":{"subtype":"button","question":"Slide11726q14"},"textData":{}}},{"id":"SmartShape_225","class":"TODO::Senthil","instance":"SmartShape_225","title":" ","roles":{"click":{"subtype":"button","question":"Slide11726q14"},"textData":{}}},{"id":"SmartShape_226","class":"TODO::Senthil","instance":"SmartShape_226","title":" ","roles":{"click":{"subtype":"button","question":"Slide11726q14"},"textData":{}}},{"id":"SmartShape_227","class":"TODO::Senthil","instance":"SmartShape_227","title":" ","roles":{"click":{"subtype":"button","question":"Slide11726q14"},"textData":{}}},{"id":"SmartShape_228","class":"TODO::Senthil","instance":"SmartShape_228","title":" ","roles":{"click":{"subtype":"button","question":"Slide11726q14"},"textData":{}}},{"id":"Image_258","class":"TODO::Senthil","instance":"Image_258","roles":{}},{"id":"Image_259","class":"TODO::Senthil","instance":"Image_259","roles":{}},{"id":"Image_427","class":"TODO::Senthil","instance":"Image_427","roles":{}},{"id":"review_msg_15","class":"TODO::Senthil","instance":"review_msg_15","title":"A.The tube is in the right lung and should be removed Explanation • The tube deviates at the level of the carina • A lateral film is not required to identify the tube’s position, it should be    removed ","roles":{"click":{"subtype":"button","question":"Slide11726q14"},"textData":{}}},{"id":"review_img_15","class":"TODO::Senthil","instance":"review_img_15","roles":{}},{"id":"si11809","class":"TODO::Senthil","roles":{}},{"id":"si11752","class":"TODO::Senthil","title":"Question 15 ","roles":{"textData":{}}},{"id":"si11759","class":"TODO::Senthil","title":"Choose the correct answer from the list below. In this film, ","roles":{"textData":{}}},{"id":"si11774","class":"TODO::Senthil","title":"A) ","roles":{"textData":{}}},{"id":"si11778","class":"TODO::Senthil","title":"The tube is in the right lung and should be removed ","roles":{"textData":{}}},{"id":"si11774_a","class":"TODO::Senthil","roles":{"answer":{"title":"The tube is in the right lung and should be removed\r","index":"Not implemented","score":{"weight":10}}}},{"id":"si11785","class":"TODO::Senthil","title":"B) ","roles":{"textData":{}}},{"id":"si11789","class":"TODO::Senthil","title":"The tube is in the GI tract but needs to be advanced as it is above the diaphragm ","roles":{"textData":{}}},{"id":"si11785_a","class":"TODO::Senthil","roles":{"answer":{"title":"The tube is in the GI tract but needs to be advanced as it is\rabove the diaphragm\r","index":"Not implemented","score":{"weight":0}}}},{"id":"si15798","class":"TODO::Senthil","title":"C) ","roles":{"textData":{}}},{"id":"si15802","class":"TODO::Senthil","title":"The tube is in the GI tract and may be used for feeding ","roles":{"textData":{}}},{"id":"si15798_a","class":"TODO::Senthil","roles":{"answer":{"title":"The tube is in the GI tract and may be used for feeding\r","index":"Not implemented","score":{"weight":0}}}},{"id":"si11805","class":"TODO::Senthil","roles":{}},{"id":"si11827","class":"TODO::Senthil","title":"Next ","roles":{"click":{"subtype":"skip","question":"Slide11726q14","for":"Slide11726q14"},"textData":{}}},{"id":"si11841","class":"TODO::Senthil","title":"Back ","roles":{"click":{"subtype":"back","question":"Slide11726q14","for":"Slide11726q14"},"textData":{}}},{"id":"Slide11726","class":"Question Slide","instance":"","thumbnail":"","children":["Image_258","Image_259","Image_427","review_img_15","si11752","si11759","si11778","si11789","si15802","si11827","si11841"],"roles":{"slide":{"durationInFrames":90},"navigation":{"navid":"Slide11726"},"question":{"interactionId":"11739","quizId":469,"title":"Question 15\r","text":"Choose the correct answer from the list below. In this film,\r","type":0,"interactionType":"choice","ramdomized":false,"correctAnswers":["A"],"score":{"weight":1,"penalty":0}}}},{"id":"SmartShape_284","class":"TODO::Senthil","instance":"SmartShape_284","title":" ","roles":{"click":{"subtype":"button","question":"Slide11869q15"},"textData":{}}},{"id":"SmartShape_229","class":"TODO::Senthil","instance":"SmartShape_229","title":" ","roles":{"click":{"subtype":"button","question":"Slide11869q15"},"textData":{}}},{"id":"SmartShape_230","class":"TODO::Senthil","instance":"SmartShape_230","title":" ","roles":{"click":{"subtype":"button","question":"Slide11869q15"},"textData":{}}},{"id":"SmartShape_231","class":"TODO::Senthil","instance":"SmartShape_231","title":" ","roles":{"click":{"subtype":"button","question":"Slide11869q15"},"textData":{}}},{"id":"SmartShape_232","class":"TODO::Senthil","instance":"SmartShape_232","title":" ","roles":{"click":{"subtype":"button","question":"Slide11869q15"},"textData":{}}},{"id":"Image_260","class":"TODO::Senthil","instance":"Image_260","roles":{}},{"id":"Image_261","class":"TODO::Senthil","instance":"Image_261","roles":{}},{"id":"Image_291","class":"TODO::Senthil","instance":"Image_291","roles":{}},{"id":"review_img_16","class":"TODO::Senthil","instance":"review_img_16","roles":{}},{"id":"si11952","class":"TODO::Senthil","roles":{}},{"id":"si11895","class":"TODO::Senthil","title":"Question 16 ","roles":{"textData":{}}},{"id":"si11902","class":"TODO::Senthil","title":"Answer from the list below. In this film, ","roles":{"textData":{}}},{"id":"si11917","class":"TODO::Senthil","title":"A) ","roles":{"textData":{}}},{"id":"si11921","class":"TODO::Senthil","title":"The tube is most likely to be in a hiatus hernia ","roles":{"textData":{}}},{"id":"si11917_a","class":"TODO::Senthil","roles":{"answer":{"title":"The tube is most likely to be in a hiatus hernia\r","index":"Not implemented","score":{"weight":0}}}},{"id":"si11928","class":"TODO::Senthil","title":"B) ","roles":{"textData":{}}},{"id":"si11932","class":"TODO::Senthil","title":"The tube is most likely to be in the left lung ","roles":{"textData":{}}},{"id":"si11928_a","class":"TODO::Senthil","roles":{"answer":{"title":"The tube is most likely to be in the left lung\r","index":"Not implemented","score":{"weight":1}}}},{"id":"si15855","class":"TODO::Senthil","title":"C) ","roles":{"textData":{}}},{"id":"si15859","class":"TODO::Senthil","title":"The tube should be advanced ","roles":{"textData":{}}},{"id":"si15855_a","class":"TODO::Senthil","roles":{"answer":{"title":"The tube should be advanced\r","index":"Not implemented","score":{"weight":0}}}},{"id":"si11948","class":"TODO::Senthil","roles":{}},{"id":"si11970","class":"TODO::Senthil","title":"Next ","roles":{"click":{"subtype":"skip","question":"Slide11869q15","for":"Slide11869q15"},"textData":{}}},{"id":"si11984","class":"TODO::Senthil","title":"Back ","roles":{"click":{"subtype":"back","question":"Slide11869q15","for":"Slide11869q15"},"textData":{}}},{"id":"Slide11869","class":"Question Slide","instance":"","thumbnail":"","children":["Image_260","Image_261","Image_291","review_img_16","si11895","si11902","si11921","si11932","si15859","si11970","si11984"],"roles":{"slide":{"durationInFrames":90},"navigation":{"navid":"Slide11869"},"question":{"interactionId":"11882","quizId":469,"title":"Question 16\r","text":"Answer from the list below. 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