MIDTERM

Question 1

What are the most common emergencies?

Answer 1

• Syncope (50%)
• Mild allergic reaction (8%)
• Angina pectoris (8%)
• Orthostatic hypotension (8%)

Question 2

ASA classification- ASA I

Answer 2

• Normal, healthy patient

Can walk up two flights of stairs or walk two city blocks without shortness of breath

Question 3

ASA classification- ASA II

Answer 3

• Mild systemic disease
• Can walk up one flight of stairs or walk two city blocks, but may have shortness of breath upon completion
• Controlled type 2 diabetes
• Controlled Epilepsy
• Controlled Hypertension
• Asthma
• Allergies
• Pregnancy

Question 4

ASA classification- ASA III

Answer 4

• Severe systemic disease that limits activity, but is not incapacitating
• Can walk up one flight of stairs or walk one city block, but may stop during the walk due to shortness of breath
• Stable angina
• MI longer than 6 months ago (no signs or symptoms)
• Controlled type1 diabetics
• Controlled heart failure
• BP > 160/95
• Morbid obesity

Question 5

ASA classification- ASA IV

Answer 5

- Systemic disease that is
incapacitating Constant threat to life
- Unable to walk up a flight of stairs or one city block
- May have shortness of breath or distress at rest
 - MI within past 6 months
 - Unstable angina
  - BP > 180/110
  - CHF
  - Uncontrolled diabetes
  - Uncontrolled epilepsy
  - Uncontrolled thyroid

Question 6

ASA classification- ASA V

Answer 6

• Moribund patient not expected to survive 24 hours