Course 5 ED

Question 1

What is the difference between a BMP and a CMP

Answer 1

BMP is a basic metabolic panel which checks your electro lights, CMP is a comprehensive metabolic panel.

Question 2

What part of the CBC does a “Differential” further characterize RBC or WBC?

Answer 2

WBC

Question 3

What does Creatinine measure?

Answer 3

Renal insufficiency or failure

Question 4

Is high potassium level called “hyperkalemia” or “hypernatremia”?

Answer 4

hyperkalemia

Question 5

What body organ do “LFT’s” investigate?

Answer 5

Liver

Question 6

Would “Asparate Transaminase” be documented as “AST” or “ALT”?

Answer 6

AST

Question 7

Which cardiac enzyme is more specific to heart damage, Troponin or CK-MB?

Answer 7

Troponin

Question 8

What does a negative D-Dimer mean?

Answer 8

No PE

Question 9

What does a positive D-Dimer mean?

Answer 9

It means the pt must be ruled out for a PE; must receive a CTA Chest or VQ Scan

Question 10

What does an elevated BNP diagnose?

Answer 10

Congestive Heart Failure

Question 11

Does the blood sample for an ABG come from a vein or an artery?

Answer 11

Artery

Question 12

Name two parts of the “Cardiac Order Set”.

Answer 12

CBC; BMP; CK, CK-MB; Troponin, EKG, CXR

Question 13

What procedure must first be performed before CSF can be obtained?

Answer 13

Lumbar Puncture

Question 14

What do Coag lab tests examine

Answer 14

Coumadin levels

Question 15

Name one of the three Coag tests

Answer 15

PT (prothrombin time), INR (International Normalized Ratio), PTT (Partial thromboplastin time)

Question 16

What does Lipase diagnose?

Answer 16

Pancreatitis

Question 17

What do both CRP and ESR test for?

Answer 17

Inflammation in the body

Question 18

Will cultures ever result during a patient’s ED visit?

Answer 18

No

Not sure!

Question 19

Whats the difference between a Urine Dip and a Urine Micro?

Answer 19

Urine drip is performed at beside, it is a quick test to check if there is abnormalities. A Urine Micro examines the abnormal urine sample which is a quantitative microscope urinalysis

Question 20

Name one of three labs that are particularly important to track for efficiency

Answer 20

D-Dimer
Troponin
Creatinine

Question 21

What type of body structures are XR’s best suited to examine?

Answer 21

bone

Air??

Question 22

Do emergency physicians interpret XR’s or CT’s?

Answer 22

XR’s

Question 23

What is the difference between a CTA and a CT?

Answer 23

CTA is a CT with contrast

Question 24

What does an US of the RUQ rule out or diagnose?

Answer 24

Cholelithiasis, Cholecystitis, Gallbladder, Ovarian cyst, Ovarian Torsion

Question 25

Name one type of orthopedic procedure that may be performed by the EP.

Answer 25

Splint Application, Joint Reduction, Arthrocentesis

Question 26

What does I&D stand for?

Answer 26

Incision & Drainage

Question 27

Name two diagnoses that qualify the pt for critical care

Answer 27

Acute MI, unstable angina, acute coronary syndrome (ACS), A-Fib with RVR, aortic dissection, Bowel Perforation, appendicitis with rupture, ectopic pregnancy, severe GI bleed, severe altered mental status, acute CVA, overdoses, diabetic ketoacidosis, acute CHF (severe), severe hypoxia, allergic reaction, pneumothorax, pulmonary embolism, sepsis, severe trauma, critically abnormal lab test results, renal failure, rhabdomyolysis, severe dehydration

Question 28

When might an ER doctor obtain a Physician Consult?

Answer 28

1) The ED doctor needs to admit a patient to the hospital
2) the ED doctor needs specialist advice regarding a particular disease, treatment, or need for follow-up
3) the ED doctor calls he pt’s PCP to inform them their pt was evaluated in the ER.

Question 29

What lab order contains the H&H (hemoglobin and hematocrit)?

Answer 29

Complete Blood Count (CBC)

Question 30

Name two procedures that qualify the pt for critical care

Answer 30

Lumbar puncture, procedural sedation, intubation, central line placement, chest tube, cardioversion, CPR, CPAP/BiPAP

Question 31

What does LAD stand for as an EKG abbreviation?

Answer 31

Left Axis Deviation