OME - Day 3

Question 1

In a question about a code, there’s always one answer that’s right every time. What is it?

Answer 1

Compressions

Question 2

Which rhythms can you shock in a code?

Answer 2

Pulseless Vtach, Vfib

Question 3

Which rhythms can you NOT shock in a code?

Answer 3

All rhythms that are not Vtach, Vfib

Question 4

You come upon an unresponsive patient, what is the FIRST thing you do?

Answer 4

Check a pulse (not airway, not arousal)

Question 5

A patient is in Afib and in shock, what do you do?

Answer 5

Shock them (not anticoagulated)

Question 6

A patient is in 3rd degree block, what do you do?

Answer 6

Pace (not shock)

Question 7

How do you treat SVT?

Answer 7

Adenosine (stable), cardioversion (unstable)

Question 8

How do you treat Vtach?

Answer 8

Amiodarone (stable), cardioversion (unstable)

Question 9

How do you treat a symptomatic Sinus Bradycardia?

Answer 9

Atropine (stable), pace (unstable), and fix underlying cause

Question 10

Asthma question, the wheezing stops but air movement is reduced. What do you do?

Answer 10

Intubate

Question 11

How do you diagnose asthma?

Answer 11

PFTs, FEV1/FVC is reduced and reversible

Question 12

What are the danger of Long Acting Beta Agonists?

Answer 12

Asthma related death, must be used with inhaled corticosteroids

Question 13

What is the mechanism of action of Beclomethasone?

Answer 13

Inhaled Corticosteroids (-asone)

Question 14

What is the mechanism of action of formoterol?

Answer 14

Long Acting Beta Agonist (-terol)

Question 15

What is the mechanism of action of Zafirlukast?

Answer 15

Leukotriene-Antagonist (-leukast)

Question 16

What medications are used in an asthma exacerbation?

Answer 16

Albuterol + Ipratropium, Methylprednisolone / Prednisone

Question 17

Air movement stops or the CO2 rises in a COPD exacerbation, what do you do?

Answer 17

Intubate

Question 18

CO2 is elevated from baseline but patient is moving air in a COPD exacerbation, what do you do?

Answer 18

BiPap (Non-invasive positive pressure ventilation)

Question 19

COPD exacerbation, you want antibiotics, but there is a prolonged QT, what do you give them?

Answer 19

Doxycycline, NOT azithromycin

Question 20

COPD exacerbation, you want antibiotics, there is no heart history, what do you give them?

Answer 20

Azithromycin preferred, Doxycycline is ok

Question 21

First long-acting medication in COPD management?

Answer 21

Tiotropium

Question 22

How do you diagnose COPD?

Answer 22

PFTs

Question 23

How do you spot a long acting beta agonist by its name?

Answer 23

(-oterol)

Question 24

How do you spot an inhaled corticosteroids by its name?

Answer 24

(-asone)

Question 25

What improves COPD mortality?

Answer 25

Oxygen and smoking cessation

Question 26

Who gets antibiotics in COPD exacerbation?

Answer 26

Productive cough, increased sputum