ER
A patient tells you, "I'm allergic to all pain medications except that one that begins with a D."
Which medication do they want?
Dilaudid/hydromorphone
What does GCS of 8 or lower indicate?
Severe brain injury
By weight
What medication class is Ancef, Rocephin, and Keflex?
Cephalosporin
A nurse tells you they gave "the nursing dose" of Ativan. What does that mean?
They gave more than was ordered by the provider
A 60 year old patient checks in for chest pain for 6 hours. He denies any past medical history and does not appear in any acute distress. His vitals are as follows:
Temperature 98.8
Heart rate: 120
Respirations: 18
Blood pressure: 150/80
Oxygen: 96% RA
What triage acuity is he?
2
What blood test provides the most reliable measure of respiratory status in a vented patient?
ABG
What is the name of the tool used to estimate a pediatric patient's weight when a scale is not available/feasible?
Broselow tape
If you give a patient Humalog, they should eat within what amount of time?
15 minutes
If a nurse sees "the wink," what are they talking about?
The female urethral opening "winks" at you when you clean it with betadine prior to inserting a catheter
You are assisting a provider with an intubation. Which do you give first, Succinylcholine or Etomidate?
Etomidate (sedative before paralytic)
What is the recommended angle for the head of the bed to prevent Ventilator-Associated Pneumonia (VAP)?
30-35 degrees
What is the name of the liquid a pediatric nurse may dip a pacifier in to soothe a baby during a procedure?
When should statins be taken and why?
Bedtime, because the liver produces the most cholesterol while sleeping
(1/2 credit for 1/2 of the answer)
If a nurse tells you the patient has "high five," what does that mean?
The patient is HIV+
A patient comes in for a follow-up HGC check following vaginal bleeding. Two days ago the HCG was 650 and now it is 800. The ultrasound from 2 days ago was unremarkable. What does this mean?
100 bonus points for their medical diagnosis
The baby is alive and growing as expected
Threatened abortion
Your patient has multiple drips but only two points of access, which medications will you put in which line?
Norepinephrine
Fentanyl
Sodium Bicarbonate
Vasopressin
Line 1: Norepinephrine, Fentanyl, Vasopressin
Line 2: Sodium Bicarbonate
(Note: Other combinations are acceptable; Vasopressin and Fentanyl and can also go with Sodium Bicarbonate, but Norepinephrine can not)
If a child weighs 21.3 kg, what is an appropriate dose of Motrin for them?
213 mg
If your patient has a documented allergy to amoxicillin, what is they chance they are also allergic to Cefuroxime?
1-10%
(sources vary; 1%, 5%, or 10% are acceptable answers)
If a nurse tells you they has a "celestial discharge," what does that mean?
Their patient died
To evaluate for brain hemorrhage
(epi causes vasoconstriction, which causes vascular pressure, which can cause hemorrhage)
What are the two defining hemodynamic characteristics of spinal shock?
Hypotension and bradycardia
(50 points for hypotension and 450 points for bradycardia)
An unvaccinated child is diagnosed with acute epiglottitis. What is the most likely cause?
Hib
(Haemophilus influenzae type b)
What is the method of action of Ozempic?
Ozempic acts as a long-acting analog of the natural hormone GLP-1. It manages type 2 diabetes and aids weight loss by stimulating insulin secretion, reducing glucagon release, slowing gastric emptying (satiety), and decreasing appetite
(Partial credit available)
If a nurse asks you for "your finger," what does that mean?
They want you to witness pulling/returning/wasting a controlled substance from the pyxis with your fingerprint