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SELF/Intraosseous Access/Clinical Foundations Quiz

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▼Created by the West African College of Surgeons for the Surgical Education Learners Forum.Please see the Terms of Use and do not edit without permission.
Instructions

Work through each question carefully to choose the best answer, and submit the quiz to view your results. After completing the quiz, read through the answer explanations to review the reasoning behind both correct and incorrect options.

1

Which of the following is a valid indication to proceed with intraosseous (IO) placement in a child?

The child is in mild dehydration but IV access is easily established
The child has had two failed IV attempts and 60 seconds have passed
The child is stable and only needs routine maintenance fluids
The child is hypotensive but peripheral pulses are strong and capillary refill is <2 seconds

2

You plan to place an IO line but detect crepitus and abnormal angulation in the tibia. What is the best next step?

Use the same tibial site but with a smaller needle
Choose a different IO insertion site (e.g. humerus)
Proceed anyway, slowly and carefully
Convert immediately to intraosseous cutdown

3

When obtaining informed consent for IO access in a conscious patient, which phrase best avoids misleading the patient?

“We have no choice, so I must do this now without your permission.”
“This IO will remain indefinitely as your main access.”
“I will place this into your bone so we can give medicines and fluids rapidly.”
“This insertion is painless and risk-free.”

4

A patient is unconscious and you must act rapidly to secure vascular access. Which of the following is the correct informed consent and documentation step?

Skip any explanation or consent attempt in this scenario
Wait until the patient awakens before attempting IO
Proceed under implied consent and document the emergency nature and inability to consent
Obtain written consent from family before any procedure

5

Which statement about contraindications to IO placement is misleading or incorrect?

Recent IO placement in the same bone (within 24–48 hours) is a relative contraindication
Advanced osteoporosis is an absolute contraindication
An overlying cellulitis at the insertion site is a contraindication
A burned overlying skin area is always a strict contraindication


Page data
Keywords surgery, health
SDG SDG03 Good health and well-being
Authors Global Surgical Training Challenge
License CC-BY-SA-4.0
Organizations WACS, SELF
Language English (en)
Related 0 subpages, 0 pages link here
Redirects WACS Training Modules/Intraosseous Access/Clinical Foundations Quiz
Views 14 page views (analytics)
Created October 6, 2025 by KatKor
Last edit March 9, 2026 by Ian-laurel
Cite as KatKor (2025–2026). "SELF/Intraosseous Access/Clinical Foundations Quiz". Appropedia. Retrieved June 4, 2026.
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