Practice test Review #2 Flashcards

1
Q

Cardiovascular changes in Geriatric Population

A
  1. Decreased blood vessel compliance
  2. Decrease inotropic response to stimulation
  3. Decreased chronotropic response to stimulation
  4. Decreased baroreceptor sensitivity
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2
Q

Cardiac Tamponade

A

Characterized by the collection of blood or blood clots in the pericardial sac, exerting pressure on the heart and decreasing cardiac output

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3
Q

EKG Changes that demonstrate an occluded left anterior descending artery?

A

V1, V2, V3 and V4

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4
Q

EKG Changes that demonstrate an occluded circumflex

A

I, aVL, V5, and V6

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5
Q

EKG Changes that demonstrate an occluded right coronary artery

A

II, III, and aVF

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6
Q

EKG changes with Hypercalcemia

A
  1. Shortened ST segment and shortened QT
  2. Flat T wave
  3. Bradycardia, heart blocks, paroxysmal A fib, cardiac arrest
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7
Q

Medication that decreases portal pressure in varicella bleeds?

A

Octreotide and sandostatin

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8
Q

Bartholin’s Cyst Abscess?

A

Bartholin glands are located on either side of the vaginal opening.
Treatment includes warm compress, sit baths, and I&D

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9
Q

Keratitis

A

Inflammation of the cornea

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10
Q

Most common cause of TBI

A

falls

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11
Q

Cranial Nerve 7

A

Facial nerve

-raise eyebrows, close eyelids tightly, show teeth, smile and frown, putt out cheeks

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12
Q

Common VP shunt problems

A
  1. Infection
  2. Obstruction
  3. Malposition
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13
Q

How is Bacterial Meningitis spread?

A

Respiratory droplets

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14
Q

Myasthenia Gravis Typically occurs at what age?

A

20-30 year old female

Hallmark signs are weakness, predominately seen in the ocular, facial, and neck muscles or the upper extremities

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15
Q

COLD Mneumonic for seizure activity

A

C- character
O- Onset
L- Location
D- Duration

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16
Q

Greenstick fracture

A

Caused by compression force and occurs most often in children under 10 yrs old

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17
Q

Comminuted fracture

A

Result of severe direct trauma which causes the bone to break into two or more pieces

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18
Q

Depressed fracture

A

Result of blunt trauma to a flat bone and often involves a large amount of soft tissue damage

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19
Q

Traverse fracture

A

Result of a sharp, direct blow and high energy such as in an Auto vs Pedestrian

20
Q

3 D’s of Epiglottitis

A
  1. Drooling
  2. Dysphagia
  3. Distress
21
Q

SABA Inhaler?

A

Short-acting beta agonist

22
Q

Varicella Immunization is what type of vaccine?

A

Live, attenuated

23
Q

Cushing’s syndrome is a result of?

A

excessive steroids

-Characterized by Hypernatremia, hypokalemia, hyperglycemia, and hypocalcemia

24
Q

Acute adrenal crisis

A

Caused by the abrupt discontinuation of steroids

25
Q

HIV testing in the ED?

A

All pt’s seen in the ED who state they are IV drug users should be tested for HIV

26
Q

Common antiviral used for treatment of influenza

A

Oseltamivir or Tamiflu

27
Q

Functions of Bone Marrow

A

Primarily functions to produce blood cells and to store fat. Bone marrow functions include:

  1. Red and white blood cell production
  2. Platelet production
28
Q

Functions of the Spleen

A

Production of immunoglobulins by stimulating B cell activity

29
Q

Factors that stimulate antidiuretic hormone

A
  1. Hyperthermia
  2. Pain
  3. Decreased blood volume
  4. Hypotension
  5. Stress
30
Q

Normal Prothrombin time (PT)

A

11.9-18.5 seconds

31
Q

Normal PTT time

A

24-36 seconds

32
Q

Normal Thrombin time

A

10-15 seconds

33
Q

Normal Bleeding time

A

Less than 8 minutes

34
Q

Symptoms of Decompression sickness “the bends”

A

Pain located in the vicinity of the articulating joints. Results from presence of gas bubbles in the blood and tissues. Common in scuba divers

35
Q

Class 1 hemorrhagic shock

A

Pt has lost less than 15% of his blood volume and pt HR is less than 100 BPM

36
Q

Class 2 Hemorrhagic shock

A

Pt has lost 15-30% of his blood volume and HR is >100BPM

37
Q

Class 3 Hemorrhagic shock

A

Pt has lost 30-40% of his blood volume and his heart is beating >120 BPM

38
Q

Class 4 Hemorrhagic shock

A

Pt has lost more than 40% of his blood volume and his heart is beating at 140 BPM or less

39
Q

Wadell Triad

A
Associated with high velocity accidents, typically auto vs pedestrian. 
Injuries include:
1. Chest/Abdomen
2. Head
3. Femurs
40
Q

Properties of Epinepherine

A

Epi has both alpha and beta adrenergic activity. This means Epi both strengthens myocardial contraction and also increases cardiac rate and output

41
Q

Describe compensated Shock

A

Inadequate delivery and/or extraction of oxygen that causes subclinical hypo-perfusion

42
Q

Normal CVP measurement

A

Between 2-7mmHg

43
Q

Increased CVP

A

> 7mmHg

-indicative of venous congestion

44
Q

Decreased CVP

A

<2

-Indicitive of hypovolemia

45
Q

Which part of the inner ear contains balance receptors

A

The vestibule and the semicircular canals

46
Q

How do you examine the retina?

A

Pupilary dilation

47
Q

Gastric Lavage indications

A
  1. Potentially life-threatening poisonings
  2. Symptomatic pt’s who present w/in 1 hr of ingestion
  3. Symptomatic pt’s who ingested an agent that slows GI motility
  4. Ingestion of sustained release medications
  5. Pt who have taken massive life-threatening amount of a substance