PD3- Final (cont'd)

Question 1

MC xray in ER

Answer 1

AP CXR

Question 2

precordial crunching, clicking, knocking sound

Answer 2

Hamman sign (hemothorax, mediastinitis, pneumomediastinum, PTX, resp failure)

Question 3

signs that may indicate ectopic preggo?

Answer 3

cullen sign, Kehr sign

Question 4

eye response (4): 3 = ?

Answer 4

eye opening to verbal command

Question 5

verbal response (5): 3 =

Answer 5

inappropriate words

Question 6

motor response (6) 3 =

Answer 6

stereotyped flexion to pain

Question 7

classic sign of elevated ICP

Answer 7

bradycardia

Question 8

SAH MC Sx? also can see? 2

Answer 8

neck pain; HA, AMS

Question 9

pre-op goal?

Answer 9

uncover comorbidity

Question 10

baseline best practice ethical standard

Answer 10

informed consent

Question 11

for IC to be valid: must be??

Answer 11

informed AND voluntary

Question 12

timeout required by?

Answer 12

JCAHO

Question 13

JCAHO stands for?

Answer 13

joint commission on accreditation of healthcare organization

Question 14

timeout IMMEDIATELY before?

Answer 14

surgery

Question 15

purpose of timeout- verify? 4

Answer 15

name, DOB, side/site, procedure

Question 16

put ? to prevent bleeding, inflammation, edema

Answer 16

fowley in

Question 17

? handwritten into chart RIGHT AFTER procedure or EMR

Answer 17

operative note

Question 18

postop mneumonic?

Answer 18

ABC DAVID

about, because, condition, diet/destination, activity, VS, IV fluids, drugs/meds to order

Question 19

admission orders mneumonic?

Answer 19

AD CAVA DIMPLS

Question 20

dictated operative note/report given by

Answer 20

surgeon

Question 21

post-op SOAP written @

Answer 21

24h, 48h, etc

Question 22

POD 1 =

Answer 22

day AFTER surgery

Question 23

postop SOAP is NOT a full?

Answer 23

H&P

Question 24

for newly admitted pts- oral presentations- only state pertinence of ? 3

Answer 24

FH, ROS, PE

Question 25

main job when assisting in surgery

Answer 25

make sure surgeon can see!

Question 26

key component in eval of fatigue

Answer 26

history

Question 27

fatigue- must r/o?

Answer 27

sleep d/o i.e. OSA, RLS, insomnia; also r/o anemia, infxn, thyroid

Question 28

associated Sx: weakness, syncope, vertigo, lightheaded, ?, ?

Answer 28

palpitations, SOB

Question 29

PE

Answer 29

full exam

Question 30

listlessness, languor, laziness

Answer 30

lassitude

Question 31

mental inertia, daydream

Answer 31

lassitude

Question 32

out of sorts

Answer 32

malaise

Question 33

not feeling well/being sick

Answer 33

malaise

Question 34

lack of motor strength

Answer 34

weakness

Question 35

meds causing fatigue? 4

Answer 35

BB, CCB, sed, muscle relaxants

Question 36

chronic fatigue > ?

Answer 36

1 month (subacute)

Question 37

CFS .. Sx must be ? to Dx

Answer 37

6+ consecutive months

Question 38

frequent onset w/ ? followed by ?

Answer 38

viral illness, fatigue/depression/ other psych illness

Question 39

for CFS need ? of 8 Sx.. name Sx

Answer 39

need 4/8

• post exertional malaise last >24h
• unrefreshing sleep
• short term memory impaired/difficulty concentrating
• muscle pain
• joint pain W/O redness/swelling
• new HA
• tender l.n. in neck or armpit
• frequent/recurring sore throat

Question 40

CFS: labs, Tx?

Answer 40

NONE

Question 41

Dx?

Answer 41

clinical 85-90%

Question 42

key to effective tx?

Answer 42

clinical counseling

Question 43

recommended CFS tx

Answer 43

CBT, exercise