Urgent Care

Question 1

treatment of allergic reaction

Answer 1

-triggering meds discontinued
-100% O2
-Increase IV fluids
-IV Bolus of Epi given
-Give antihistamines (Histamine receptor antagonists)-

Question 2

s/s of insect sting/bite

Answer 2

small, pruritic, painful, red, and swollen lesion

Question 3

treatment of anaphylaxis

Answer 3

-intubation if needed
-epi
-IV steroids
-IV benadryl
-IV pepcid

Question 4

treatment of localized insect sting/bite

Answer 4

-oral benadryl
-pain control

Question 5

rule of 9s

Answer 5

Each arm= 9%, Anterior leg=9%, Posterior leg=9% Head=9%, Back=18% Chest=18%, Perineum=1%

Question 6

Burn degrees

Answer 6

1st degree: Red and painful, epidermis
2nd degree: Blisters, epidermis and some dermis
3rd degree: No pain because of blocked and burned nerves, all epidermis and dermis

Question 7

treatment of burn

Answer 7

-oxygen
-fluids
-iv opiates
-urinary cath
-silver sulfadiazine

Question 8

treatment of cardiac arrest

Answer 8

-CPR (30 compressions and 2 breaths)
-defibrillation if pulseless vtach or vfib

Question 9

initial management of unconscious patient

Answer 9

-dextrose
-thiamine
-naloxone

Question 10

evaluation on unconscious patient

Answer 10

glasgow coma scale

Question 11

Glasgow Coma Scale (GCS)

Answer 11

-Eye opening: 1) none, 2) to pain, 3) to verbal command, 4) spontaneous
-Verbal response: 1) none, 2) incomprehensible sounds, 3) inappropriate words, 4) disoriented/confused, 5) oriented
-Motor response: 1) none, 2) decerebrate, 3) decorticate, 4) withdraws to pain, 5) localizes pain, 6) obeys commands

Question 12

S/S of foreign body aspiration

Answer 12

-choking
-coughing
-drooling
-cyanosis

Question 13

treatment of foreign body aspiration

Answer 13

-hard back blows
-abdominal thrusts

Question 14

diagnosis of foreign body aspiration

Answer 14

-cxr
-bronchoscopy

Question 15

hypertensive urgency

Answer 15

180/120 with no end organ damage

Question 16

hypertensive emergency

Answer 16

> 180/120 with end organ damage

Question 17

treatment of hypertensive urgency

Answer 17

-clonidine
-captopril
-nifedipine

Question 18

treatment of hypertensive emergency

Answer 18

Nitrates (nitroprusside, nitroglycerin)
CCB (clevidipine, nicardipine)
Dopamine1 agonist (fenoldopam) if kidney damage
Adrenergic blocking agents (labetalol/esmolol)

https://www.uptodate.com/contents/drugs-used-for-the-treatment-of-hypert

Question 19

s/s orbital cellulitis

Answer 19

-edema
-erythema
-pain with EOM

Question 20

diagnosis of orbital cellulitis

Answer 20

CT with contrast

Question 21

treatment of orbital cellulitis

Answer 21

IV Vancomycin
+
Ceftriaxone or
Cefotaxime

Question 22

s/s of pneumothorax

Answer 22

-SOB
-tachypnea
-diminished breath sounds
-CP
-tracheal deviation

Question 23

dx of pneumothorax

Answer 23

chest x-ray

Question 24

treatment of pneumothorax

Answer 24

-small: oxygen
-large or unresolved: aspiration
-chest tube
-secondary: chest tube

Question 25

s/s of PE

Answer 25

-CP
-SOB
-tachypnea
-hemoptysis

Question 26

determine pretest probability for PE

Answer 26

wells score and perc rules

Question 27

approach to diagnostic testing for PE

Answer 27

-low risk and no perc: no imaging
-low risk with positive perc of a intermediate risk: Ddimer
-high risk: imaging

Question 28

positive d dimer

Answer 28

over 500 or age*10 if over 50

Question 29

diagnosis of PE

Answer 29

CTA
gold standard pulmonary angiography

Question 30

treatment of PE

Answer 30

unstable: Heparin
can’t take orals: LMWH
everyone else: doac

Question 31

MCC third trimester bleeding

Answer 31

placental abruption

Question 32

placental abruption

Answer 32

premature separation of normally implanted placents

Question 33

s/s of placental abruption

Answer 33

-painful abdominal bleeding

Question 34

placenta previa

Answer 34

placenta has implanted over the internal cervical os

Question 35

s/s of placenta previa

Answer 35

painless bright red bleeding

Question 36

diagnosis of placenta previa

Answer 36

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