Pediatrics
Airway & Ventilation
Pathophysiology & Medicine
Cardiology & Resuscitation
Pharmacology
100
Your 8-month old infant patient has pertussis. What additional piece of PPE do you have to don to protect yourself from the virus?
N-95 Respirator
100
How will you position a patient you are providing BVM respirations to when they have a broken nose, but no other signs of trauma.
Using a head tilt-chin lift to ensure a "sniffing" position to properly align the airway.
(Proper head/neck/chest relationship)
100
You are called to an unresponsive diabetic that has a BGL <500ng/dL. What will their skin condition be?
Warm and dry
(Their sugar is high. Cool and clammy needs some candy)
100
Your patient is c/o acute onset of multiple near syncopal episodes. The 12-lead shows that the patient is having an MI. What region of the heart would the MI have to be in to result in a contraindication of fluid resuscitation?
Anterior MI
(Anterior wall MIs can result in left ventricular compromise. A fluid overload could occur, resulting in pulmonary edema)100
You are using a needle to give a medication through the route that will have the longest lasting effects. What route are you using?
Subcutaneous
200
You have just delivered an apneic and unresponsive neonate. After ensuring they have a clear airway, what are you going to do first to attempt to correct the apnea?
Stimulate
(Flick the bottom of their feet)
200
Your patient has a foreign body in their lower airway. What audible sign should you expect to hear?
Unilateral Wheezing
200
If a patient has inadequate thermolysis, what is the most likely condition that they will be suffering from?
Heat exhaustion/stroke or fever (Heat illnesses)
200
Your 57-year old chest pain patient tells you that the pain started on exertion and took three nitro tabs to resolve, when it usually only takes two. The 12-lead does not show acute changes. What is the differential diagnosis?
Unstable angina
200
Ketamine dissociates which two body systems to separate conscious thought from emotional processing
Cortical and Limbic Systems
300
You are attempting to intubate a 5-year old but are having difficulty visualizing the vocal cords. What can you do to help improve your view of the cords?
Towels under the shoulders
Cric Pressure (Selleck's Maneuver)
300
Describe what a total laryngectomy is:
Surgical removal of the larynx
(Resulting in a separation of the pharynx and trachea)
300
Your patient is in metabolic acidosis, and their compensatory mechanisms are kicking in. What is the first compensatory mechanism that would expect to see?
Hyperventilation and increased respiratory depth
(Kussmaul respirations)300
Your tech rescue team pulled a patient out of frigid water who was submerged. What is the timeframe that patient could be submerged in that water prior to death?
15-20 minutes
300
This selective adrenergic antagonist targets the ß1 receptor
Esmolol
400
Your engine crew rescues an infant from a house fire and brings them to your medic unit. You note circumferential partial and full-thickness burns to both lower extremities. What is the total BSA burned on this patient?
27% as each leg is 13.5% (or 26.8% if you use 13.4% as shown below)
400
Your patient's EtCO2 was initially 52, and now it is 28. What does that tell you about the patient's respiratory status
They are hyperventilating
400
Your patient is on a MAOI for their depression. They forgot that they are not allowed to have cheese or red wine, and consumed both at a party. What do you expect to find?
Hypertension
400
You have a patient in A-fib RVR who has a history of WPW. Your partner administers 6mg of adenosine. What is going to happen to this patient?
They will go into V-fib or V-tach
(due to the AV-nodal blockade of the adenosine allowing the fibrillation to be conducted through to the ventricles via the extranodal pathway)
400
Your patient tells you that they take lithium and Valium. What condition does this indicate they are being treated for?
Bipolar disorder
500
A 10-year old patient was at a friend's house where they ingested "uppers". You find them A&Ox4 c/o dyspnea. Your monitor shows a wide-complex rhythm that appears monomorphic at a rate of 188. What is your first-line treatment for this patient?
O2 @ 10-15L/min via NRB
500
38-year old female c/o laryngeal edema and feeling like her throat is closing. What are the two options you have for managing this patient's airway assuming she continues trending negatively?
ETT until the edema prevents a tube passing through the layrnx
Surgical cric once the airway is closed
500
Your patient has been reportedly displaying polydipsia, polyphagia, polyuria. You know that this is likely due to undiagnosed Type I Diabetes. What is the pathophysiologic cause of the symptoms that the patient is displaying?
Gluconeogenesis
Hyperglycemia due to the lack of insulin allowing glucose to enter the cells, resulting in the body using the gluconeogenesis pathway for alternative sources of fuel
500
You attach a cardiac monitor to your patient and see this on the 4-lead. They also have muffled heart tones. What is the EKG finding and likely cause?
Electrical alternans due to cardiac tamponade
500
The maintenance dose of amiodarone (typically administered in the hospital) is:
0.5mg/min