exam questions Flashcards
you are transporting a patient who sustained a severe lightening strike injury, which can cause excessive myoglobin release, which can significantly damage the:
kidney
What does treatment for the myoglobin release include:
oxygen, rapid transport, cardiac monitor
initiate IV, 500CC fluid bolus
With a patient with TCA overdose, what is the most appropriate treatment:
a) admin sodium bicarbonate
b) administration of magnesium sulfate
c) admin of repeat saline boluses of patient hypotensive
d) use push dose epi and/or epi infusion if patient hypotensive
e) avoidance of benzos for treatment of seizures
a, c, d
which of the following effects can TCA overdose have on the body?
a) blockade of cardiac sodium channels
b) antagonism of central and peripheral acetylcholine receptors
c) agonist of peripheral alpha 1 receptors
d) agonism of CNS GABA receptors
a,b,d
which of the following can cause anticholinergic toxicity
a)diphenhydramine
b)cocaine
c)MNDA
d)bath salts
e)ondansetron
f)TCAs
g)Jimson weed
a,f,g
which of the following substances cause sympathomimetic toxicity
a) cocaine
b) MDNA
C) diphenhydramine
d) tricyclic antidepressants
e) jimson weed
f) ondansetron
g)bath salts
a,b,g
which statement accurately reflects the goals of neonatal resus?
a) oxygen admin is required for all newborns with acrocyanosis
b)endotracheal intubationshoukd only be performed if meds are required
c) end tidal carbon dioxide devices are ineffective in the newborn
d) an increase in heart rate is the primary sign of improved ventilation during resuscitation
e) all of the above
d
which of the following accurately reflect breech delivery
a) the lowest percentage of breech deliveries are in the frank breech position
b)limb presentations are associated with less complications
c) when labour’s is premature, the incidence of breech presentation is higher
d) if the head does not deliver within 3 mins, cut the cord and attempt rotational maneuvers
e) all of the above
c
which of the following accurately reflect preclampsia
a) it can only develop during pregnancy
b) symptoms of preclampsia include high blood pressure and proteinuria
c) swelling, particularly of hands feet or face is typically indicative of preclampsia
d)the principle cause appears to be iron deficiency
e) all of the above
b
what is the normal sequence of events of after a non-diabetic eats a meal?
the pancreas senses the increased blood sugar levels and via the parasympathetic nervous system, insulin is released which leads to glycogenesis and inhibition of gylcogenolysis
a patient suffers several Ibjuries, including a head injury that presents with an altered LOC and requires continually loud verbal stimuli to open their eyes. The central nervous system structure most likely affected in this situation is:
a) the reticulating system
b)the pons
c) the frontal lobe
d) the occipital lobe
a
which of the following can lead to ARDS?
a) aspiration
b)COPD
c)toxic inhalation
d) multiple blood transfusions
e) Marfan syndrome
a,c,d
which of the following accurately reflects respiratory patterns?
a) the rate and depth of breathing will increase with metabolic acidosis
b)the rate and depth of breathing will decrease with Aspirin overdose
c) the rate and depth of breathing will increase with metabolic alkalosis
d)the rate and depth of breathing will increase with narcotic overdose
e) all of the above
a
What is a hypertonic solution
It has a higher concentration of solute than another solution, so water will flow INTO it
what is a hypotonic solution
it has a lower amount of solute than another solution so water will flow OUT OF IT.
