Airway
Trauma
Medical
Cardiac
OBGYN / Pediatric
100
An alert 23 y/o male presents with a sudden onset of shortness of breath and chest pain after running up a flight of stairs. Breath sounds are diminished in the right side.
The most likely cause is?
Spontaneous pneumothorax
100
A 73 year old male has several fractured ribs on his right side with unequal chest wall movement. He has dyspnea and diminished breath sounds on the right. Vital signs are BP 124/76 P124 R 26 and shallow. His trachea is mid line and neck veins are flat. Most likely has?
Flail chest segment
100
Which of the following pharmacological agents are most likely to cause premature arterial contactions?
Depressants
Barbiturates
Stimulants
Steroids
Stimulants
100
Pt is in stable SVT, in what order should you perform interventions?
vagal maneuvers
adenosine x2 6 then 12
cardioversion
100
A 38 year old female is crowing. You note the amniotic fluid contains a substance resembling pea soup. An apneic blue limp infant with a heart rate of 80 beats is delivers. How should you treat the infant?
a. Provide positive-pressure ventilation with 100% oxygen via bag-valve mask
B. Perform endotracheal intubation using the endotracheal tube as a suction catheter
C. Suction with bulb syringe and ventilate
D. Stimulate the infant by flicking the soles of the feet
Suction with bulb syringe and ventilate
200
A 66 year old male complains of server dyspnea. His has breath sounds on the right and diminished on the left. He has a long history of cigarette smoking. Vital signs are BP 80/30 P124 R 26 and shallow SPO2 88% on 4 lpm What should you suspect?
What interventions should you perform?
COPD/ emphysema exacerbation
15L NRB then assist respirations w/ BVM if worse.
fluid challenge
CPAP contraindicated due to BP
200
A 34 year old female crashed her motorcycle while wearing an open face helmet. She is unconsciousness her facial bones and soft tissue are missing from the nose to the upper part of her neck. You are having difficulty ventilating her and you can see bubbles coming from the center of a large mass of tissues when she exhales. You should
insert ET at site of bubbles or suction then intubate
200
A 50 year old male is complaining of a chronic cough. He has lost his appetite and has had hot flashes and periods of sweating during the night. He has noticed some red specks in his sputum when he coughs. You should suspect
Tuberculosis
200
A 67 year old man has collapsed and is on the floor. He is pale clammy and moaning with vomit around his mouth. Vital signs are BP 180/30 P110 and weak R28 and shallow. Oropharynx is clear and lungs are clear bilaterally. His ECG shows ventricular tachycardia. What should you do?
a. administer amiodarone 150mg IV
b. administer adenosine 6mg IV
c. ventilate via BVM w/ O2 highflow
d. synchronized cardioversion at 100J
Synchronized cardioversion at 100j
200
You are assisting with a deliver and the infants head has been deviled. You notice the umbilical cord is wrapped around the infants neck. You should:
gently slip the cord over the infants head
300
First responders are treating an apneic adult female. You notice that they are applying frequent long ventilations with an oxygen resuscitator. What effects would their actions create?
A. Increased capillary elasticity
B. Increased venous return
C. Decreased venous return
D. Decreased intracranial pressure
Decreased venous return
Bonus 100 points: what specifically caused decreased venous return?
300
A 44 year old male fell from a ladder and is now complaining of pain in the middle of his back at the level of his shoulders blades. He responds to verbal stimulus and vitals signs are BP 70/50 P64 R 20. The patient is most likely suffering from?
Central cord syndrome
Brown-sequard syndrome
hypovolemic shock
neurogenic shock
Neurogenic shock
300
A 37 y/o male is choking and becomes unconscious. Attempts to ventilate are unsuccessful. What should your next step be?
Chest compressions
300
An 80 year old male has just collapsed. Vital signs are BP 90/40 pulse matches ECG 3rd degree block at 20bpm What should you do?
Apply transcutaneous pacing.
300
how many jules/kg should be your initial defibrillation for a 28 pound child?
26j
400
A 59 y/o pt is lethargic and shallow breathing at 8 breaths per min. he has a valid DNR order. you should?
begin assisting w/ BVM
400
Beck's triad
what is it and what does it signify?
JVD
Muffled heart tones
Hypotension
400
A patient is complains of left calf pain. The left leg is cool to the touch and paler than the right leg. You should suspect?
Arterial occlusion.
arterial = cool and pale
DVT = warm, swelling, redness
400
Pericarditis
400
A 3 month old infant who weighs 6kg has a history of congenital heart disease. Vital signs are R60 the ECG shows a narrow complex tachycardia at a rate or 240 cyanotic nail beds and spo2 at 88%.
What should you administer?
0.6mg adenosine IV push
500
In respiratory acidosis what do you expect to see for PH, PaCO2, and HCO3?
bicarbonate = HCO3
500
an 18 y/o male suffered second degree burns to the entire head and neck, anterior chest, and both arms.
What is the percentage of body burned?
36%
500
A pt is arching his back and rolling his eyes upward. He was recently prescribed Compazine. What medication should you give?
Benadryl
pt is showing signs of dystonia and should be treated with benadryl for its anticholinergic effects.
500
You have just converted a 318 lb cardiac arrest patient into a normal sinus rhythm. She is hypotensive and you have been ordered to start an epinephrine drip at 3mcg/min using a 60 drip set. You have mixed a 4:1 concentration of epinephrine and should set the drip rate at?
45 drops/min (clock)
500
After delivery of a newborn, she cries weakly with stimuli and moves all extremities. P140 R 18 and irregular. Body is pink but extremities are blue.
APGAR?
7