Review Tintinallis

Question 1

Role of triage during disaster is to

Answer 1

do the most good for the most people

Question 2

________is the most serious complication of crush syndrome

Answer 2

Renal failure

Question 3

________ the most consistent feature of compartment syndrome.

Answer 3

Pain

Question 4

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

Answer 4

Smallpox

Question 5

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

Answer 5

Ethacrynic; sulfa

Question 6

Longitudinal Framingham study found that most syncope causes are_________

Answer 6

Inderterminate; unknown

Question 7

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

Answer 7

nitrates

Question 8

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

Answer 8

Mitral valve prolapse

Question 9

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

Answer 9

Orthopnea

Question 10

___________, 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 _________

Answer 10

Early revascularization;IABP ;thrombolytic therapy

Question 11

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

Answer 11

Cephalization, interstitial edema, and alveolar edema

Question 12

+___________ is the gold standard for heart failure,

Answer 12

Echocardiography

Question 13

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

Answer 13

90 minutes if possible

Question 14

The immobilization of the _____________confers the greatest risk to the patient

Answer 14

knee and hip

Question 15

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

Answer 15

Beta-blockers

Question 16

_________is clinically the most important complication of nitroglycerin use

Answer 16

Transient hypotension

Question 17

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

Answer 17

Pectus excavatum, scoliosis, and low body weight

Question 18

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

Answer 18

Nifedipine

Question 19

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

Answer 19

aortic dissection,

Question 20

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:

Answer 20

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

Question 21

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

Answer 21

Pulmonary barotrauma

Question 22

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

Answer 22

Communications

Question 23

What is the key defining characteristic of a disaster?

Answer 23

Mismatch between available and required resources

Question 24

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

Answer 24

Rescuing the victims

Question 25

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

Answer 25

Oral rehydration

Question 26

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

Answer 26

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

Question 27

What constitutes the vast majorities of blast injuries

Answer 27

Terrorists bombings

Question 28

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

Answer 28

Standard precautions

Question 29

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

Answer 29

Hematopoietic system

Question 30

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

Answer 30

Exacerbation of chronic diseases

Question 31

What is the “universal” decontamination agent?

Answer 31

Water

Question 32

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

Answer 32

Lymphocytes

Question 33

Methods for protecting against radiation exposure by a healthcare worker is

Answer 33

Time, Shielding, Distance

Question 34

Life-threatening causes of chest pain

Answer 34

``` Tension pneumo ACS PE Aortic dissection Acute MI ```

Question 35

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

Answer 35

3 ; 2 ; 10; 8

Question 36

What is the primary functional units of the lungs?

Answer 36

Lobules

Question 37

Lungs Lobes are separated by

Answer 37

Fissures.

Question 38

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

Answer 38

Neurogenic; Sympathetic

Question 39

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

Answer 39

Septic

Question 40

________is caused by massive vasodilation caused by the release of ________

Answer 40

Anaphylactic; histamine

Question 41

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

Answer 41

FUSIFORM

Question 42

A _______ aneurysm has generally a congenital defects

Answer 42

Saccular

Question 43

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

Answer 43

Mycotic

Question 44

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

Answer 44

Traumatic.