Final classroom training

Abbreviations

100

"history"

Hx

200

STEMI

ST elevation myocardial infarction

300

CA

Cancer

400

"AAA"

Abdominal aortic aneurism

500

"AMS"

Altered mental status

ED course

100

Name 3 types of imaging studies done in the ED

xray, CT, US, MRI

200

What specific lab is often ordered to rule out PE/DVT

D-dimer

300

What imaging study is ordered to diagnose pneumothorax?

CXR

400

For which diagnosis would a pt be rushed to the cath lab?

STEMI

500

What procedure would most likely be done in a patient who presents with headache, fever and neck stiffness? To rule out which DDx?

Lumbar puncture, meningitis.

Pathophysiology

100

What are 2 etiologies (or differential diagnoses) of chest pain?

musculoskeletal, MI, PE

200

What are the two types of major strokes and what is the difference between them? Do not include TIA

Ischemic, hemorrhagic

Ischemic is a blocked vessel that cuts of blood flow to the rest of the brain. Hemorrhagic is a ruptured vessel which spills blood into the surrounding tissue.

300

Briefly describe afib

Atrial fibrillation - The heart's upper chambers (atria) beat out of coordination with the lower chambers (ventricles).

400

Name one etiology of pain for each of these 6 abdominal regions (RLQ, LLQ, RUQ, LUQ, suprapubic, and epigastric)

appendicitis, diverticulitis, cholesystitis/cholelithiasis, pancreatitis, UTI, GERD.

500

Name one disease process that is life-threatening for each of the 3 following chief complaints: chest pain, SOB, lower abdominal pain

Use answers only once

Chest pain: MI, dissection, PE

SOB: PE, PTX, anything that constricts airway

Abdominal pain: GI bleed, AAA, ectopic pregnancy, appendicitis

Physical exam

100

What are 3 body systems included in the physical exam?

-constitutional, head, eyes, ENT, neck, back, respiratory/chest, cardiovascular, abdomen/GI, upper extremities, lower extremities, GU, pelvic, neuro, psych

200

What does CVA tenderness mean in the physical exam, and what system would it be located under?

Costovertebral angle tenderness.

Back

300

What system would "McBurney's point tenderness, rebound, and guarding" be located under?

Abdomen

400

Name 2 physical exam findings that would be tested for a patient with a high suspician for a stroke?

Any neuro findings - nystagmus, slurred speech, cranial nerves, strength and sensation, rapid alternating movements, vision changes, confusion

500

Name two physical exam findings that can be seen just by looking at and talking to the patient

There are many - EOMI, moving all extremities, pt awake, alert, oriented, skin normal in color, speech normal, etc. 

HPI/history

100

Name 3 important elements of the HPI

Possible answers: Location, onset, quality, chief complaint, timing, associated symptoms, exacerbating factors, relieving factors, etc

200

What is wrong with this statement? "The patient is a 56 year old female with chief complaint of abdominal pain which started Tuesday of last week."

You cannot use days of the week - instead, say "8 days ago".

300

When should past medical/surgical/family history OR medications/medication dosages be included in the HPI?

-When pertinent to the chief complaint

-When asked about specifically by the physician

-Any chronic, systemic, or severly debilitating issues (ex. deafness, dementia, Lupus, diabetes, sickle cell, HTN, etc)

400

Name at least 4 specific questions that are typically asked about MVCs that need to be included in the HPI?

-Head injury

-LOC

-Mechanism of accident

-Pt's location in the car

-Seatbelt use

-Airbag deployment

-How pt was extracted from vehicle

-Ambulation after incident

-Rate of speed

500

What must be added to an HPI and ROS when a patient is unable to give a history? 

What are 3 reasons that a patient may not be able to give a history?

-ED caveat

- Intubated, unresponsive, dementia, aphasia, unstable vital signs, intoxicated