ED Class 1 Flashcards
What is the medical terms for the following past surgical history term
Removal of the breast
Mastectomy
What is the medical terms for the following past surgical history term? Remember, do not include any spaces before or after the term/phrase. e.g. Correct way “Good luck” vs incorrect ” good luck “.
Stomach Staple
Bariatric Surgery
What is the medical term for the following past surgical History? Remember, do not include any spaces before or after the term/phrase. e.g. Correct way “Good luck” vs incorrect ” good luck “.
Kidney removal
Nephrectomy
What is the medical term for the following past surgical history term? Remember, do not include any spaces before or after the term/phrase. e.g. Correct way “Good luck” vs incorrect ” good luck
Removal of the uterus
Hysterectomy
According to your job description, if your doctor asks you to hold the patient’s neck while they are cleared from the backboard you should:
Politely remind the doctor that is outside your job description, but offer to get a nurse or tech to help.
Which of the following are vital signs? (select all that apply)
Oxygen Saturation (O2 Sat), Heart Rate (HR), Blood Pressure (BP), Temperature (T), Respiratory Rate (RR)
Typically, patients who arrive through the waiting room and by EMS are first evaluated in where?
in triage, then placed in a bed according to their acuity.
Complaints that come directly from the patient belong in the HPI and ROS and are considered { 1. }, whereas the patient’s VS, PE, procedures, and results of orders are considered { 2. }.
- subjective
2. objective
Your patient denies any complaints of abdominal pain, but your doctor tells you record that their abdomen is tender. This tenderness belongs in the:
PE
The patient is a 50 year old female who is not currently pregnant and has been pregnant twice in the past, but only has 1 adult child. What is her Gravida: { __1.__ } Para { __2.__ }, Abortus { __3.__ }?
G: 2
P: 1
A: 1,
Your friend knows you worked the day that the President was rumored to have been seen in your hospital! If they ask you questions about whether or not it actually happened, you should:
Refuse to discuss any information about patients or details of your shift.
Which of the following are considered PHI?
Any subjective information provided, Any objective information obtained, Name, The floor they were admitted to, Age, Their PHx
HIPAA protects a patient’s private medical information. HITECH restricts you from:
Taking notes about a patient on a cloud-based systems like Google Docs or Evernote, Texting your CS information about the patients that you saw during your first shift.
Arrange the following steps in order from first to last for a typical patient’s flow through the ED. (Top to bottom). Do not change the positioning of an answer after it is placed. Due to a system error, the computer will count it incorrect.
- Triage
- Bed Placement
- History and Physical (H&P)
- Labs/Radiology/Medications
- Medical Decision Making (MDM)
- Disposition
NIDDM
non-insulin dependent diabetes mellitus
What FHx/SHx information would likely be asked about if a physician was evaluating a patient who is 5 year old?
Second hand smoke exposure, Immunization status
ED Quiz Two
Give the major differential diagnosis for each of the following circumstances. Do not use abbreviations, spell out the terms completely.
Sudden, unilateral CP after trauma to the chest: {___________}
Cough, SOB, and fever: {___________}
SOB with a 30-year history of smoking: {___________}
Burning epigastric pain that is often exacerbated with ingestion of more acidic foods: {___________}
- Pneumothorax
- Pneumonia
- Chronic Obstructive Pulmonary Disease
- gastroesophageal reflux disease
A 26 year old male with a history of Paroxysmal Afib presents with constant palpitations that began 1 hour ago. Select an answer below for both the rhythm your physician is likely to describe hearing on exam as well as the test/order that would likely follow.
Irregularly Irregular Rhythm, ECG/EKG
A 62 year old female presents to the ER with right arm and leg numbness and weakness, otherwise she is at her baseline, on exam your doctor identifies those FND’s and nothing else. How does the cause of FND’s differ from the cause of AMS?
AMS is secondary to issues that effect the whole brain while FND’s are secondary to damage to a very small/local areas of the brain
A 70 year old female has a history of a large Aortic Aneurysm and is complaining of a tearing pain that radiates to her back. What life-threatening diagnosis is at the top of your DDx?
Aortic Dissection
Patients with bilateral pedal edema who also exhibit symptoms such as dyspnea on exertion (DOE), orthopnea, and paroxysmal nocturnal dyspnea (PND) are usually ordered a B-type Natriuretic Peptide (BNP) and a CXR.
What DDx are we investigating?
CHF
A 15 year old male presents complaining of a sudden onset of severe testicular pain 30 minutes ago. What is at the top of your DDx?
Testicular Torsion
An 18 year old female on Birth Control Pills (BCP’s) complains of LLE pain and swelling since this morning. During the physical exam, the patient suddenly feels SOB and has pain when breathing. What is the most likely cause of her new symptoms?
DVT traveled to the lungs causing a PE
Which of the following symptoms are very commonly experienced by patients with meningitis?
HA, Fever, Neck Pain
