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1. Exams - Semester 3 > ED > Flashcards

ED Flashcards

1
Q
  1. EMTALA - every pt must get a?
A

MSE

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2
Q
  1. ESI triage is determined by which of the following?
A

Anticipated resources & vital signs

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3
Q
  1. Which of the following correlates with Neuro evaluation ABCD or E?
A

D-disability

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4
Q
  1. Presumed corneal abrasion, what should you do first ?
A

Rule out herpes keratitis w/ fluorescein first

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5
Q
  1. What is the mainstay of treatment for acute glaucoma?
A

Rapid reduction of IOP

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6
Q
  1. Pt case presents w/ N/V & headache, seeing intermittent halos, IOP is 38 with a mid-dilated non-reactive pupil what will you see?
A

Steamy pupil

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7
Q
  1. What is the 1st thing you should do for acute glaucoma?
A

Lay the pt supine & reduce IOP

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8
Q
  1. Pt case w/ hx of DM presents w/ submandibular swelling, stridor, difficulty handling secretions, what is the first thing you should do?
A

Endotracheal intubation

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9
Q
  1. Pt case triage nurse order a xray of neck showing thumb sign what is the likely dx?
A

Epiglottitis

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10
Q
  1. Pt presents with possible foreign body denies trauma, pain w/ blinking, no FB is seen with everything the lid. What is the proper next step in management?
A

Fluorescein uptake

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11
Q
  1. When IV medications are given to your hypothermic patient what will happen once the pt is warmed?
A

Dispersed

Other options were:

  • Decrease
  • Unchanged
  • Increase
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12
Q
  1. Hypothermia is defined as what?
A

< 35 C

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13
Q
  1. Rule of 9’s - entire back, one back leg & genitals?
A

Score - 28

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14
Q
  1. What is the difference between heat stroke & other heat illnesses?
A

AMS

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15
Q
  1. Pt case w/ uvula deviation, sore throat, trismus. What is the likely dx?
A

Peritonsilar abscess

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16
Q
  1. Pt case w/ sx’s & prevertebral swelling what is the likely dx?
A

Retropharyngeal abscess

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17
Q
  1. Pt presents w/ migraine that is typical to previous migraines. She has ran out of her migraine medication. What should you do to manage her migraine?
A

Administer her nml migraine medications

Other Options were:

  • CT scan,
  • IV fluids,
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18
Q
  1. Most worrisome asthma finding?
A

PFM <100

Other Options were:

  • Speaking in 10 word sentences,
  • Hx of smoking,
  • Hx of hypercholesterolemia
  • Diffuse wheezing,
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19
Q
  1. First thing you do for asthma exacerbations?
A

Albuterol nebulizer

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20
Q
  1. Where do you do needle decompression?
A

2nd IC space mid clavicular line

21
Q
  1. Using Parkland formula calculation - How much do you administer in the first 8 hrs
22
Q
  1. who do you not admit to the burn unit?
A

Teenage w/ 20% superficial burn (sunburn)

Other Options were:

  • Peds circumfrencial,
  • Firefighter w/ carbinacious sputum,
  • Electrical burn to forearm,
  • 30% superficial partial burn,
23
Q
  1. PA student w/ pna 02 sat 96% decreased breath sounds, wheezing. What abx would you like to send w/ for outpatient tx?
A

Levofloxacin

24
Q
  1. Severe exacerbation pt used nebulizer 10 times that day what do you do next?
A

Racemic epinephrine nebulizer.

25
Q
  1. Tall thin guy, short of breath, CXR shown. What is the likely dx?
A

Spontaneous ptx

26
Q
  1. What test is the MC test to evaluation/dx for PE?
A

Chest CT angio

27
Q
  1. What burn involves the epidermis and papillary layer?
A

Superficial partial

28
Q
  1. Pt case w/ loss of vision w/ shade pulled over and facial droop it is now resolved. What is the likely dx?
A

Transient Ischemia

29
Q
  1. Pt case w/ presentation of stroke that were present when waking. You are considering TPA when do you determine onset of sx’s?
A

When they were last seen normal w/o sx’s

30
Q
  1. EKG w/ HTN 185/112, blurred vision, HA?
A

HTN’sive urgency

31
Q
  1. EKG w/ HTN 225/130?
A

HTN’sive emergency

32
Q
  1. EKG w/ pt on OCP’s, leg swelling, shortness of breath?
33
Q
  1. Pt case Protruded tongue and other stuff what is the likely dx?
A

Ludwigs Angina

34
Q
  1. Suspected orbital fx, What do you order?
A

Orbital CT

35
Q
  1. Kid in fight possible entrapment what do you order?
A

Orbital CT

36
Q
  1. Pt case presents w/ migraine that she has had prior but never had insurance and has not seeked tx. What does she have?
A

Migraine headache

37
Q
  1. Pt case w/ bleeding from ear, hearing loss, improved pain?
A

Ruptured TM

38
Q
  1. PA student w/ nuchal rigidity, fever, positive kerning sign, AMS. What is the likely dx?
A

Meningitis

39
Q
  1. Pt case w/ Subconjunctival hematoma. What will you do?
A

Tell them it will resolve in 2 wks and is nothing to worry about

Other Options were:

  • Optho consult
  • Abx
40
Q
  1. What is the common sequela for bites?
A

Necrotizing skin,

Other Options were:

  • Renal failure
  • HF
41
Q
  1. What is a common EKG w/ lightening striked pts?
A

Prolonged QT

42
Q
  1. What is the skin finding called of those struck by lightening?
A

Feathering

43
Q
  1. What is used for all stroke pts?
44
Q
  1. Pt case w/ high index of suspicion of SAH you order CT and it is normal what do you do next?
45
Q
  1. Pt case w/ temp 105, AMS, and dehydrated what is the likely dx?
A

Heat Stroke

46
Q
  1. Pt w/ pain over temporal area, and decreased pulse what is the likely dx?
A

Giant cell arteritis

47
Q
  1. Pt case w/ HTN emergency what do you do?
A

Reduce BP by 20-25% over an hour

48
Q
  1. Pt case who presents with meningitis, you are waiting for the nurse to set up LP tray, how should you handle Abx administration?
A

Do it immediately, wait for cx’s, wait till after the LP,

1. Exams - Semester 3 (21 decks)

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