Questions Flashcards

1
Q

A high opening pressure on a lumbar puncture would be most consistent with which of the following sources?

A. Hydrocephalus
B. Viral Infection
C. Bacterial Infection
D. Both A and C
E. None of the above

A

D. Both A and C
(Hydrocephalus and Bacterial Infection)

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2
Q

A complete blood count (CBC) is drawn to evaluate for which of the following evaluations?

A. Liver Function
B. Kidney Function
C. Heart Function
D. Bone Marrow Function

A

Bone Marrow Function

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3
Q

True or False: You are at the surgical table assisting on a surgery. The surgeon, who is on your right, wants to move left where you are standing. The appropriate way to allow this movement is for you to step back from the table, continue to face the table and then allow the surgeon to slide across in front of you. You then step back to the table where the surgeon was standing.

A

False

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4
Q

You have completed the scrub of your hands and forearms and have entered the operating room. You complete the glove and gown procedures and now aiait the rest of the surgical team. Which of the following is an appropriate place to rest your hands?

A. Hands on your hips
B. Arms hanging by your sides
C. Interlocked fingers with hands on your chest
D. Keep your hands in your armpits

A

Interlocked fingers with hands on your chest

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5
Q

You have just completed your entire surgical scrub at the scrub sink. As you move your hands and arms out of the sink, your right forearm touches the soap dispenser. Which of the following is the required next step?

A. Scrub the right arm from fingertips to elbow
B. Scrub only the affected area of the forearm
C. Enter the OR and prepare to glove and gown
D. Start the scrub all over again from the beginning

A

Start the scrub all over again from the beginning

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6
Q

When preparing and applying a splint to an extremity, when should you check a patient’s neurovascular status?

A

Before and after applying

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7
Q

An elevated WBC count with an associated elevation in lymphocytes would be most consistent with what infection source?

A

Viral

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8
Q

Which of the following test or combination of tests most thoroughly assesses liver function?

A. ALT/AST
B. Alkaline phosphate
C. PT/INR
D. A and B
E. All the above

A

All the above

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9
Q

A 40-year-old female presents to your office complaining of urinary frequency, suprapubic pressure, dysuria, and urinary urgency but minimal urinary volume upon urination. Which of the following would be an expected finding on a urinanalysis?

A. Positive for glucose
B. Positive for protein
C. Positive for ketones
D. Positive for nitrates

A

Positive for nitrates

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10
Q

A BMP evalutes which of the following?

A. Liver function
B. Renal function
C. Electrolytes
D. B and C
E. All the above

A

Renal Function and electrolytes
(both B and C)

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11
Q

Which of the following is the most common cause for the reoccurance of an abscess?

A. Not using enough anesthesia
B. Leaving in the wound packing too long
C. Not making a wide enough incision to promote adequate drainage

A

Not making a wide enough incision to promote adequate drainage

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12
Q

True or False: A culture of an abscess is not routinely performed unless a patient is immunocompromised

A

True

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13
Q

A patient on your service has been diagnosed with MRSA. What type of infection control measures are reguired to examine this patient

A. Fluid impervious gown
B. Face shield/ mask
C. 3 foot zone around the patient
D. N-95 respirator

A

A

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14
Q

Which of the following is considered a ‘clean’ area of personal protection

A. Earpieces outside of the mask
B. Outside surface of the gloves
C. Outside sleeves of isolation gown
D. External front surface of goggles

A

A

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15
Q

Family members are visiting a patient with VRE. One of the family members asks what the single most important way to prevent or reduce the spread of infection. What is the correct response
A. Proper hand washing
B.Wearing a face mask when ill
C. Prophylacting abx to prevent nosocomial infection
D. Age appropriate immunization

A

A

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16
Q

According to the CDC, which of the following is the proper sequence for putting on PPE

A

Gown, Mask, Goggles, Gloves

17
Q

43 year old female brings a lawsuit against her surgical team, alleging she was not properly informed of the procedures risks and benefits. Her claim is an example of which of the following legal causes of action.
A. Negligence
B. Battery
C. Assault
D.Failure to treat

A

A

18
Q

Which of the following individuals can give consent to refuse of accept medical treatment
A. A married, pregnant 16y/o brought to the ER in labor
B. 25 year old confused & disoriented male S/P MVA
C.a 30 year old with a BAC of impairment but not intoxication
D. a 17 y/o male with a broken arm brought to the ED by his parents

A

A

19
Q

Which of the following is a disadvantage to using braided suture material (multifilament)
A. Less tensile strength
B. Difficult to know
C.Greater infection risk
D. Ealy broken by the needle driver

A

C

20
Q

When suturing, at what angle should the needle enter the skin

A

90 degrees

21
Q

Which type of suture is best used for skin hemostasis

A

Figure eight

22
Q

The use of standard percautions should be used with which of the following patients
A. HIV positive female w/ productive cough
B. 12 y/o female presenting for her physical exam
C. All patients regardless of illness
D. 45 year old post-op patient w/ a newley installed ileostomy

A

C

23
Q

In a mentally competent, acutely ill adult with a high fever, who should be consulted to provide consent for treatment
A. The patient
B. A court appointed guardian
C. The patients primary care provider
D. The patients spouse or caregiver

A

A

24
Q

Allowing a laceration to heal without intervention is known as primary intention

True or false

A

False

25
Q

Which of the following basic components of infection is included in droplet, airborne, and contact percautions
a. Fluid impervious gown
b.Surgical mask
c.Hand washing
d.Gloves

A

C

26
Q

Which of the following is a contraindication to urinary catheter placement
A. Urinary incontinence
B. Fecal incontinence
C. Urinary retention
D. Gross hematuria

A

D.

27
Q

When is a coudet tip catheter indicated

A

In those with an enlarged prostate

28
Q

You are asked to draw blood work for apatient in the ED. Which of the following is always the first tube to be drawn?

A. Coagulation Tube
B. Blood culture tube
C. Non-additive Tube
D. Additive Tube

A

Blood Culture Tube

29
Q

You are performing a venipuncture on a patient and note a large hematoma forming at the site of your puncture. Which of the following is the first step in managing this compliction?

A

Release the tourniquet

30
Q

True or False: Metacarpal veins are the preferred site for venipuncture.

A

False. The Median cubital vein is preferred.

31
Q

Which injection technique requires the needle to be inserted at a 90-degree angle to the skin?

A

Intramuscular

32
Q

Which of the following can falsly change the results of venipuncture?

A. Recent intense exercise
B. Postural changes
C. Prolonged tourniquet application
D. All the above

A

All of them!

33
Q

Which of the 5 basic densitites demonstrated on x-rays appears the brightest/whitest?

A

Metal

34
Q

Which of the tubes would be drawn first during a venipuncture procedure?

A. Green
B. Red
C. Light blue
D. Gold

A

Light blue

Yellow, blue, red