ED Flashcards
1
Q
- EMTALA - every pt must get a?
A
MSE
2
Q
- ESI triage is determined by which of the following?
A
Anticipated resources & vital signs
3
Q
- Which of the following correlates with Neuro evaluation ABCD or E?
A
D-disability
4
Q
- Presumed corneal abrasion, what should you do first ?
A
Rule out herpes keratitis w/ fluorescein first
5
Q
- What is the mainstay of treatment for acute glaucoma?
A
Rapid reduction of IOP
6
Q
- 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
7
Q
- What is the 1st thing you should do for acute glaucoma?
A
Lay the pt supine & reduce IOP
8
Q
- 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
9
Q
- Pt case triage nurse order a xray of neck showing thumb sign what is the likely dx?
A
Epiglottitis
10
Q
- 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
11
Q
- 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
12
Q
- Hypothermia is defined as what?
A
< 35 C
13
Q
- Rule of 9’s - entire back, one back leg & genitals?
A
Score - 28
14
Q
- What is the difference between heat stroke & other heat illnesses?
A
AMS
15
Q
- Pt case w/ uvula deviation, sore throat, trismus. What is the likely dx?
A
Peritonsilar abscess
16
Q
- Pt case w/ sx’s & prevertebral swelling what is the likely dx?
A
Retropharyngeal abscess
17
Q
- 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,
18
Q
- Most worrisome asthma finding?
A
PFM <100
Other Options were:
- Speaking in 10 word sentences,
- Hx of smoking,
- Hx of hypercholesterolemia
- Diffuse wheezing,
19
Q
- First thing you do for asthma exacerbations?
A
Albuterol nebulizer
20
Q
- Where do you do needle decompression?
A
2nd IC space mid clavicular line
21
Q
- Using Parkland formula calculation - How much do you administer in the first 8 hrs
A
www
22
Q
- 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
- 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
- Severe exacerbation pt used nebulizer 10 times that day what do you do next?
A
Racemic epinephrine nebulizer.
25
25. Tall thin guy, short of breath, CXR shown. What is the likely dx?
Spontaneous ptx
26
26. What test is the MC test to evaluation/dx for PE?
Chest CT angio
27
27. What burn involves the epidermis and papillary layer?
Superficial partial
28
28. Pt case w/ loss of vision w/ shade pulled over and facial droop it is now resolved. What is the likely dx?
Transient Ischemia
29
29. Pt case w/ presentation of stroke that were present when waking. You are considering TPA when do you determine onset of sx’s?
When they were last seen normal w/o sx’s
30
30. EKG w/ HTN 185/112, blurred vision, HA?
HTN'sive urgency
31
31. EKG w/ HTN 225/130?
HTN'sive emergency
32
32. EKG w/ pt on OCP’s, leg swelling, shortness of breath?
PE
33
33. Pt case Protruded tongue and other stuff what is the likely dx?
Ludwigs Angina
34
34. Suspected orbital fx, What do you order?
Orbital CT
35
35. Kid in fight possible entrapment what do you order?
Orbital CT
36
36. Pt case presents w/ migraine that she has had prior but never had insurance and has not seeked tx. What does she have?
Migraine headache
37
37. Pt case w/ bleeding from ear, hearing loss, improved pain?
Ruptured TM
38
38. PA student w/ nuchal rigidity, fever, positive kerning sign, AMS. What is the likely dx?
Meningitis
39
39. Pt case w/ Subconjunctival hematoma. What will you do?
Tell them it will resolve in 2 wks and is nothing to worry about
Other Options were:
- Optho consult
- Abx
40
40. What is the common sequela for bites?
Necrotizing skin,
Other Options were:
- Renal failure
- HF
41
41. What is a common EKG w/ lightening striked pts?
Prolonged QT
42
42. What is the skin finding called of those struck by lightening?
Feathering
43
43. What is used for all stroke pts?
NIH Scale
44
44. Pt case w/ high index of suspicion of SAH you order CT and it is normal what do you do next?
LP
45
45. Pt case w/ temp 105, AMS, and dehydrated what is the likely dx?
Heat Stroke
46
46. Pt w/ pain over temporal area, and decreased pulse what is the likely dx?
Giant cell arteritis
47
47. Pt case w/ HTN emergency what do you do?
Reduce BP by 20-25% over an hour
48
48. Pt case who presents with meningitis, you are waiting for the nurse to set up LP tray, how should you handle Abx administration?
Do it immediately, wait for cx’s, wait till after the LP,
