Final Exam Main Points Review

Question 1

priority for small bowel obstruction

Answer 1

IV fluids and then NG

Question 2

warfarin and heparin what do we check before

Answer 2

INR/aPTT

Question 3

abdominal aorta rupture s/s

Answer 3

flank hematoma
sudden severe low back pain

*pulsation doesn’t mean rupture

Question 4

warfarin normal INR before surgery

Answer 4

1

Question 5

INR of 4 on warfarin what would we do

Answer 5

hold the med/administer low dose until INR goes down

Question 6

potassium of 3.3 or leukocytes in the stool

Answer 6

potassium

Question 7

epistaxis positioning

Answer 7

upright with head tilted

Question 8

hyerpnatremia fluid replacement

Answer 8

.45

Question 9

head injury do not give what fluids

Answer 9

D5W

Question 10

LGBTQ have increase prevalence of

Answer 10

heart disease

Question 11

maintain elederly mobility

Answer 11

up to a chair

Question 12

bone cancer

Answer 12

increase calcium

Question 13

vomiting what med

Answer 13

antiemetic

Question 14

proton pump last suffix

Answer 14

-prazole

Question 15

H2 blockers last suffix

Answer 15

-tidines

Question 16

bisphosphonates last suffix

Answer 16

-dronate

Question 17

sulfonyureas drugs

Answer 17

glypizide
glyburide
glimepiride

Question 18

metformin act where

Answer 18

decrease hepatic glucose

Question 19

sulfonuyreas act where

Answer 19

pancreas
- hypo risk

Question 20

what drugs impact blood sugar

Answer 20

steroids

Question 21

how to prevent upper resp infetions

Answer 21

wash hands/vaccines

Question 22

OSA 3 S

Answer 22

snoring
sleepiness
signficant other

Question 23

lyarengeal obstruction will have what type of o2 stat

Answer 23

lowered

Question 24

laryngeal cancer s/s

Answer 24

hoarseness
persistent cough
leading to dysphagia

Question 25

pulmonary embolism what side heart failure

Answer 25

right

Question 26

s/s of PE

Answer 26

dyspnea chest pain sudden onset anxiety tachycardia

Question 27

manifestations of pneumothorax

Answer 27

uneven chest lung sounds not equal bilateral

Question 28

what meds might prevent atelectasis

Answer 28

pain meds

Question 29

pneumonia, what do we do before give antibiotics

Answer 29

culutures

Question 30

time goal for pneumonia and antibiotics

Answer 30

60 mins

Question 31

TB sputum

Answer 31

rust

Question 32

how to we confirm TB

Answer 32

sputum culture

Question 33

ABG of acute respiratory failure

Answer 33

PO2 less than 50 PCO2 greater than 50 PH less than 7.35

Question 34

how do we treat acute resp failure

Answer 34

intubate

Question 35

s/s of acute resp failure

Answer 35

restlessness dyspnea air hunger confusion lethargy tachycardia tachypnea diaphoresis cyanosis (late) respiratory arrest (LATE)

Question 36

chronic broncjitis s/s

Answer 36

blue bloaters blue skin long term cough unusal lung sounds edema hypersectretion of mucus hypoxemia

Question 37

emphysema s/s

Answer 37

no cyanosis pink color increased chest size no cough cannot lay flat veyr skin use of accessory muscles wheezing

Question 38

risk with o2 and COPD

Answer 38

if push them too high then they will stop breathing because the receptors in the brain are turned off

Question 39

asthma - worse they sound

Answer 39

better they are

Question 40

in asthma what do increase PaCO2 levels tell you

Answer 40

impeding arrest

Question 41

red zone with asthma

Answer 41

rescue and possibly ER

Question 42

status asthmatics

Answer 42

life threatening asthma attack not responding

Question 43

STEMI diagnosis

Answer 43

T wave invasion ST elevation Q wave formation elevated cardiac biomarkers

Question 44

ischemia on EKG

Answer 44

T wave inversion

Question 45

Injury on EKG

Answer 45

St elevation

Question 46

Infarct on EKG

Answer 46

Q wave formation

Question 47

NSTEMI diagnosis

Answer 47

no ST elevation elevated cardiac biomarkers

Question 48

cath lab for STEMI what time

Answer 48

90

Question 49

cath lab for NSTEMI what time

Answer 49

24 hours

Question 50

what is the most sensitive cardiac marker

Answer 50

troponin

Question 51

what is creatine kinase sensitive for

Answer 51

cardiac tissue

Question 52

myoglobin sensitivity

Answer 52

not cardiac specific muscle damage

Question 53

MONA order

Answer 53

aspirin O2 nitro morphine

Question 54

Oxygen L for STEMI

Answer 54

at 4/L per min

Question 55

what does nitro do

Answer 55

venous dilator venous pooling

Question 56

nitro dosing

Answer 56

5 mins 3 doses

Question 57

do we stop IV nitro abruptly

Answer 57

no

Question 58

ADP receptor inhibitors CAD antiplatelets

Answer 58

clopidogrel prasugrel

Question 59

fibrin therapy for STEMI

Answer 59

30 mins

Question 60

ECG for CAD with what time period

Answer 60

10 mins

Question 61

radical neck direction hemorrhage risk

Answer 61

high epigastric pain tacky hypo

Question 62

hitatal hernia food reclinging

Answer 62

1 hour

Question 63

GERD bed time food

Answer 63

2 hours

Question 64

common complaint of esopageal cancer

Answer 64

dysphagia

Question 65

appendicitis pain location

Answer 65

RLQ

Question 66

diverticulitis pain location

Answer 66

LLQ

Question 67

peritonitis s/s

Answer 67

early s.s of causative disorder tender distended board like abdomen

Question 68

any abdomen issue should we treat pain right away

Answer 68

no because it tells us what the issue is

Question 69

large bowel obstruction

Answer 69

slowly constipation

Question 70

small bowel obstruction s/s

Answer 70

extreme pain crampy

Question 71

non erosive cause of ulcer

Answer 71

h. pylori

Question 72

meds cause ulcer

Answer 72

NSAID aclhol steroids asprin

Question 73

gastritis s/s

Answer 73

rapid onset abdominal discomfort nausea vomt

Question 74

H pylori treatment

Answer 74

triple threapy 2 antibiotics and PPI

Question 75

gastric ulcers s/s

Answer 75

food aggravates pain no pain at HS epigastric pains

Question 76

stress ulcer s/s

Answer 76

aysmp

Question 77

duodenal ulcer s/s

Answer 77

2-4 hour post meal weight gain epigastric pain at HS