Course 5: ED Course

Question 1

What lab order contains the “H&H”?

Answer 1

CBC-Complete Blood Count

Question 2

What is the difference between BMP and CMP?

Answer 2

BMP-basic metabolic panel; contains electrolytes, kidney function and glucose levels

CMP-comprehensive metabolic panel; BMP in addition to e LFTs

Question 3

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

Answer 3

WBC

Question 4

What does creatinine measure?

Answer 4

Renal function

Question 5

What is high potassium level called?

Answer 5

Hyperalkalemia

Question 6

What organ do LFTs investigate?

Answer 6

Liver

Question 7

How would you document Aspartate Transaminase?

Answer 7

AST

Question 8

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

Answer 8

Troponin

Question 9

What does a negative D-Dimer mean?

Answer 9

No evidence of a PE

Question 10

What does a positive D-Dimer mean?

Answer 10

Possible PE, must order a CTA chest or VQ scan

Question 11

What does an elevated BNP diagnose?

Answer 11

Congestive Heart Failure

Question 12

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

Answer 12

Artery

Question 13

Name the parts of the cardiac order set (5)

Answer 13

1. CBC
2. BMP
3. Troponin
4. EKG
5. CXR

Question 14

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

Answer 14

Lumbar puncture

Question 15

What do “Coag” lab tests examine?

Answer 15

Blood coagulation/ Coumadin levels

Question 16

Name the 3 “Coag” level tests

Answer 16

• PT
• PTT
• INR

Question 17

What does lipase diagnose?

Answer 17

Pancreatitis

Question 18

What do both CRP and ESR test for?

Answer 18

Inflammation
CRP=C-Reactive Protein
ESR=Erythrocyte Sedimentation Rate

Question 19

Will cultures ever result during an ED visit?

Answer 19

No

Question 20

What is the difference between a Urine Dip and a Urine Micro?

Answer 20

Urine Dip: done bedside and detects leuks, nitrites, glucose, blood

Urine Nitro: in last and detects WBC, RBC and bacteria

Question 21

Name the 3 labs important to track for efficiency

Answer 21

1) Troponin
2) Creatinine
3) D-Dimer

Question 22

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

Answer 22

Bones

Question 23

What is the difference between CTA and CT?

Answer 23

CTA= CT angiogram looks at the arteries using IV contrast

CT=no IV contrast but may or may not use PO contrast

Question 24

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

Answer 24

Cholelithiasis, cholecystitis, gallbladder wall thickening, bile sludge, bile duct obstruction

Question 25

Name one type of ortho procedure that may be performed by EP

Answer 25

• splinting
• joint reduction
• arthrocentesis

Question 26

What does I&D stand for?

Answer 26

Incision & Drainage

Question 27

Name 2 procedures that qualify patient for critical care time

Answer 27

1. cardioversion
2. Central line placement
3. Endotracheal intubation
4. Chest tube placement

Question 28

What does LAD stand for as an EKG abbreviation?

Answer 28

Left Axis Deviation

Question 29

Name 2 diagnoses that would qualify a patient for critical care time?

Answer 29

• AFIB with RVR
• CVA
• MI
• Sepsis
• DKA
• CPR
• Severe hypotension/hypertension
• Severe anemia
• PTX
• PE
• OD

Question 30

When might an ER doctor obtain a Physician Consult?

Answer 30

Regarding admission, advice over treatment plan, inform primary physician of results, etc.