ED Test

Question 1

Heliox is used for all of the following EXCEPT:

a) Large airway obstruction
b) Chronic obstructive pulmonary disease

c) Post-extubation stridor
d) Pleurisy

Answer 1

Pleurisy

Question 2

Which paralytic agents is suitable for RSI

a) Succinylcholine
b) Vecoronium
c) Rocuronium
d) Both a) and c)
e) a), b) and c

Answer 2

e) a), b) and c

Question 3

Severe facial trauma is an absolute contradiction to

a) Insertion of nasal pharyngeal airway
b) Insertion of nasogastric tube
c) Suctioning oropharynx
d) A and B
e) A, B, and C

Answer 3

e) A, B, and C

Question 4

A chest tube inserted for a non-emergent pneumothorax is best placed in the:

a) 2nd intercostal space mid-clavicular line

b) 3rd intercostal space mid-axillary line
c) 3rd intercostal space anterior axillary line

d) 4th intercostal space mid-clavicular line
e) 5th intercostal space laterally

Answer 4

e) 5th intercostal space laterally

Question 5

A pa”ent with 22% HbCO has a pulse oximeter a!ached to them that is working well. They have been placed on a non-rebreathing mask with a 20 LPM flow of oxygen. The SpO2 reading is 99%. Which of these is closest to the true saturation of HbO2?

a) 99%
b) 95%
c) 90%
d) 77%

Answer 5

d) 77%

Question 6

In which of the following would endotracheal intubation be indicated?

a) A trauma patient with a stable L4 vertebral fracture

b) A morphine overdose patient who will not accept an OPA
c) A burn patient with soot in the oropharynx but in no apparent respiratory distress

d) A severe asthma exacerbation pation responding to bronchodilator therapy

Answer 6

c) A burn patient with soot in the oropharynx but in no apparent respiratory distress

Question 7

An indication that asthma is not well controlled is:
a) The patient used the anti-inflammatory medication more than three time per week.

b) Patient uses β2 agonist reliever medication more than three times per week.

c) Patient uses antihistamines.
d) Pa”ent is unable to eat peanuts due to an anaphylactic allergic response.

Answer 7

b) Patient uses β2 agonist reliever medication more than three times per week.

Question 8

Water level fluctua”ons associated with a pa”ent’s breathing pa!ern are observed in what chamber of a chest drainage unit?

Answer 8

Underwater seal

Question 9

You are called to the ED for airway management of a pa”ent who is having a grand mal epilep”c seizure. The RN has gone out to get something and the resident has asked you what class of medica”on could be used to assist with controlling this pa”ent’s seizure. What would you recommend?

Answer 9

Benzodiazepine

Question 10

Treatment of an acute exacerbation of asthma in the emergency department will likely include all of the following except:

a) Short acting beta 2 agonists
b) Short-acting anticholinergics

c) Inhaled corticosteroids
d) Oral corticosteroids

Answer 10

c) Inhaled corticosteroids

Question 11

You are asked to see a 32-year-old pa”ent who complains of a history of wheezing for several months. There is no response to bronchodilator and steroid therapy. The wheezing is continuous on inspiration and exhalation. What could be the cause?

a) Congestive heart failure

b) Croup
c) Vocal cord dysfunction
d) Laryngotracheobronchi”s

Answer 11

c) Vocal cord dysfunction

Question 12

A self-inflating resuscitator can be used for providing:

a) Oxygen therapy

b) PEEP
c) Ventilation
d) All of the above

Answer 12

d) All of the above

Question 13

Genric Name

Atrovent

Answer 13

Ipratropium Bromide

Question 14

Generic Name

Beclovent

Answer 14

Beclomethasone

Question 15

Generic Name Combivent

Answer 15

Ipratropium bromide/salbutamol

Question 16

Generic Name Mucumyst

Answer 16

Acetylcysteine

Question 17

Generic Name Ventolin

Answer 17

Salbutamol

Question 18

Generic Name Solumedrol

Answer 18

Methylprednisolone

Question 19

Generic Name Flovent

Answer 19

Flu”casone

Question 20

Generic Name Serevent

Answer 20

Salmeterol

Question 21

Generic Name Cortef

Answer 21

Hydrocortisone

Question 22

Generic Name Vaponefrin

Answer 22

Racemic epinephrine

Question 23

Genric Name Xopenex

Answer 23

Levalbuterol

Question 24

In CMV VC, the high pressure alarm may be activatedin which of the following:

a) Crack in the humidifier chamber

b) Bronchospasm
c) Endotracheal tube cuff leak
d) Ac”ve inspira”on by the pa”ent

Answer 24

b) Bronchospasm

Question 25

Mrs. Jones has blood work and a chest X-Ray completed. You note that there appears to be a blurring of the right heart border. This is indicative of:

a) An infiltrate in contact with the pleura on the right side

b) An infiltrate in the right middle lobe
c) An infiltrate in the right lower lobe
d) Compressive atelectasis

Answer 25

b) An infiltrate in the right middle lobe

Question 26

You are taking a pa”ent to X-ray. The patient is on 4 LPM O2 per nasal cannula. There is a D cylinder with 1200 psi. How long will the flow last? (Use the American / Egans textbook conversion factor.)

a) 32 mins
b) 35 mins
c) 48 mins

Answer 26

c) 48 mins

Question 27

Which of the following would not be kept on a difficult airway cart?

a) LMA classic

b) Bougie
c) McCoy blade
d) Chest tube insertion tray

Answer 27

d) Chest tube inser “on tray

Question 28

How many mls would you draw up for a 2.5mg dose of Ventolin, 5mg/ml solu”on?

a) 0.25 mls
b) 0.5 mls
c) 0.75 mls
d) 1.0 mls

Question 29

Which of the following is/are considered (an) indica”on(s) for administration of a bland aerosol?

I. Administering a cool aerosol to a pa”ent with upper airway edema
II. Minimizing humidity deficit with a by-passed airway
III. Sputum induc”on

IV. To help inspissate secre”ons V. To relieve bronchoconstric”on

Answer 29

I, II and III

Question 30

A pa”ent is in the Emergency department and presents febrile (39.4°C). The blood work shows an elevated WBC, a CXR was performed and it reveals an infiltrate to the RLL. The pa”ent is unable to produce a sputum sample for culture at this “me. With no cultures available the decision is made to treat the pa”ent with a broad spectrum an”bio”c. Of the following, which agent(s) would provide broad spectrum an”bacterial coverage to this pa”ent?

a) Amphotericin B

b) Penicillin
c) Imipenem
d) Vancomycin

Answer 30

d) Vancomycin

Question 31

Which of the following apply in regard to eye protection
I. A face shield may be used as a substitute to wearing goggles.

II. An anti-fog feature or spray on goggles improves clarity.
III. Goggles provide adequate barrier protection for the eye.
IV. Goggles should fit snuggly over and around the eyes.
V. Personal prescrip”on lenses provide op”mal eye protec”on.

Answer 31

I, II, III and IV

Question 32

It is determined that there is no reversal agent for the sleeping pills and that the pa”ent will need ven”latory support un”l the effects wear off. You are assembling and checking the appropriate equipment when you no”ce the self-infla”ng resuscitator is too slow to re-inflate when ac”vated it in its intended way. Which of the following best explains the problem?

a) The gas flow to the device is set too low

b) The reservoir bag is completely collapsed.
c) The safety oxygen outlet valve is not opening sufficiently.

d) The safety air inlet valve is not opening sufficiently.
e) The duck bill valve is missing.

Answer 32

d) The safety air inlet valve is not opening sufficiently.

Question 33

The decision is made to switch the flow waveform from a decelerating pattern to a square pattern. With this change you would expect:

a) Ti to decrease
b) I:E ratio to increase
c) Risk of air trapping to increase

d) Decrease in PiP

Answer 33

a) Ti to decrease

Question 34

Switching to a square waveform will help do what

Answer 34

Reduce Auto PEEP

Question 35

Of the following medica”ons iden”fy the medica”on that would be appropriate to provide anxiolysis for Be!y.

a) Propofol
b) Lorazepam
c) Fentanyl
d) Acetazolamide

Answer 35

b) Lorazepam

Question 36

During the angiogram Be!y con”nues to be quite anxious and is moving around quite a bit; the cardiologist con”nues to have the RN provide the anxioly”c in incremental doses. Following the procedure, Be!y is not waking up very well and the RN is concerned because Be!y cannot be taken back to the ward in her current state. Which medica”on may be of assistance in this situa”on?

a) Anexate
b) Doxapram
c) Naltrexone
d) Narcan

Answer 36

a) Anexate