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CEN > Review Tintinallis > Flashcards

Review Tintinallis Flashcards

1
Q

Role of triage during disaster is to

A

do the most good for the most people

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2
Q

________is the most serious complication of crush syndrome

A

Renal failure

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3
Q

________ the most consistent feature of compartment syndrome.

A

Pain

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4
Q

Vesicular lesions all in the same stage of development in a centrifugal distribution are a hallmark of

A

Smallpox

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5
Q

____________ acid are given to patients in CHF instead of lasix if they are allergic to ______drug

A

Ethacrynic; sulfa

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6
Q

Longitudinal Framingham study found that most syncope causes are_________

A

Inderterminate; unknown

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7
Q

Mortality rate appears to be reduced to 35% with the use of ________in MI

A

nitrates

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8
Q

_____________affects about 2.4% of the population in the industrialized world.

A

Mitral valve prolapse

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9
Q

Which of the following signs or symptoms has the highest specificity in the diagnosis of acute heart failure?

A

Orthopnea

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10
Q

___________, whether by PCI or CABG, is the treatment of choice for cardiogenic shock. Early revascularization is associated with the highest survival, followed by IABP combined with _________

A

Early revascularization;IABP ;thrombolytic therapy

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11
Q

_______, _________,_________ respectively, have sensitivities of 41%, 27%, and 6%.

A

Cephalization, interstitial edema, and alveolar edema

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12
Q

+___________ is the gold standard for heart failure,

A

Echocardiography

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13
Q

Both the AHA and the ACC recommend primary coronary intervention within __________

A

90 minutes if possible

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14
Q

The immobilization of the _____________confers the greatest risk to the patient

A

knee and hip

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15
Q

___________should be avoided in cardiac shock because of their negative inotropy and chronotropy

A

Beta-blockers

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16
Q

_________is clinically the most important complication of nitroglycerin use

A

Transient hypotension

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17
Q

________, _________, _________have been found to be associated with mitral valve prolapse

A

Pectus excavatum, scoliosis, and low body weight

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18
Q

___________is discouraged in the treatment of hypertensive emergencies except preeclampsia. This

A

Nifedipine

19
Q

Clevidine approved for use in hypertensive emergencies, except for ___________due to its potential for hypotension and reflex tachycardia.

A

aortic dissection,

20
Q

During the resuscitation and ultimate death of a child in the emergency department (ED), the family-centered and team-oriented approach would encourage that the family be:

A

Present during the resuscitation and encouraged to remain with their child after death

21
Q

___________including parenchymal disruption, hemorrhage, hemopneumothorax, and eventual acute respiratory distress syndrome is the most common fatal primary injury associated with blast injuries

A

Pulmonary barotrauma

22
Q

What is generally considered to be the weakest link of most disaster responses?

A

Communications

23
Q

What is the key defining characteristic of a disaster?

A

Mismatch between available and required resources

24
Q

_______________by removing them from further exposure is the primary role of hot zone HAZMAT personnel.

A

Rescuing the victims

25
Q

What is the preferred therapy for hyponatremia in athletes during prolonged events?

A

Oral rehydration

26
Q

fecal incontinence, drooling, vomiting, and irritated eyes after exposure to an unknown vapor. This patient is suffering from exposure to an organic phosphorus (or organophosphate) agent, and is demonstrating key features of the “SLUD” (________________) or “SLUDGE” ______________________syndrome . ___________ and ____________are indicated to help relieve these symptoms

A

salivation, lacrimation, urination, and defecation; (salivation, lacrimation, urination, defecation, gastrointestinal upset, and emesis); Atropine and pralidoxime

27
Q

What constitutes the vast majorities of blast injuries

A

Terrorists bombings

28
Q

Which of the following protective methods is appropriate for most infectious agents of concern for bioterrorism?

A

Standard precautions

29
Q

Which of the following organ systems is most sensitive to the effects of ionizing radiation?

A

Hematopoietic system

30
Q

Which of the following is frequently a major health threat in disaster-affected populations?

A

Exacerbation of chronic diseases

31
Q

What is the “universal” decontamination agent?

A

Water

32
Q

Which of the following should be monitored as an indicator of the extent of radiation injury?

A

Lymphocytes

33
Q

Methods for protecting against radiation exposure by a healthcare worker is

A

Time, Shielding, Distance

34
Q

Life-threatening causes of chest pain

A 
Tension pneumo
ACS
PE
Aortic dissection
Acute MI
35
Q

Right lobe has _____lobes and the left lobes have ___lobes. The right lobe has _____segments. the left lung has _____segments.

A

3 ; 2 ; 10; 8

36
Q

What is the primary functional units of the lungs?

A

Lobules

37
Q

Lungs Lobes are separated by

A

Fissures.

38
Q

_______shock is a results of massive vasodilation that is caused by _______nervous system suppression

A

Neurogenic; Sympathetic

39
Q

_______is a results of massive vasodilation that is caused by mediators being released during the inflammatory process.

A

Septic

40
Q

________is caused by massive vasodilation caused by the release of ________

A

Anaphylactic; histamine

41
Q

A _______ Aneurysm is generally a result of atherosclerosis, or hardening of the arteries

A

FUSIFORM

42
Q

A _______ aneurysm has generally a congenital defects

A

Saccular

43
Q

A _________aneurysm is generally a result of necrotic vasculitis, or septic emboli.

A

Mycotic

44
Q

A ________Aneurysm is generally a result of a skull fracture that disrupts a vessel

A

Traumatic.

CEN (9 decks)

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