ED Test Flashcards
Heliox is used for all of the following EXCEPT:
a) Large airway obstruction
b) Chronic obstructive pulmonary disease
c) Post-extubation stridor
d) Pleurisy
Pleurisy
Which paralytic agents is suitable for RSI
a) Succinylcholine
b) Vecoronium
c) Rocuronium
d) Both a) and c)
e) a), b) and c
e) a), b) and c
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
e) A, B, and C
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
e) 5th intercostal space laterally
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%
d) 77%
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
c) A burn patient with soot in the oropharynx but in no apparent respiratory distress
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.
b) Patient uses β2 agonist reliever medication more than three times per week.
Water level fluctua”ons associated with a pa”ent’s breathing pa!ern are observed in what chamber of a chest drainage unit?
Underwater seal
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?
Benzodiazepine
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
c) Inhaled corticosteroids
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
c) Vocal cord dysfunction
A self-inflating resuscitator can be used for providing:
a) Oxygen therapy
b) PEEP
c) Ventilation
d) All of the above
d) All of the above
Genric Name
Atrovent
Ipratropium Bromide
Generic Name
Beclovent
Beclomethasone
Generic Name Combivent
Ipratropium bromide/salbutamol
Generic Name Mucumyst
Acetylcysteine
Generic Name Ventolin
Salbutamol
Generic Name Solumedrol
Methylprednisolone
Generic Name Flovent
Flu”casone
Generic Name Serevent
Salmeterol
Generic Name Cortef
Hydrocortisone
Generic Name Vaponefrin
Racemic epinephrine
Genric Name Xopenex
Levalbuterol
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
b) Bronchospasm
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
b) An infiltrate in the right middle lobe
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
c) 48 mins
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
d) Chest tube inser “on tray
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
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
I, II and III
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
d) Vancomycin
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.
I, II, III and IV
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.
d) The safety air inlet valve is not opening sufficiently.
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
a) Ti to decrease
Switching to a square waveform will help do what
Reduce Auto PEEP
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
b) Lorazepam
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
a) Anexate
