Heart Smart
A Medical Mystery
Who's head is it Anyway?
Tox Rescue
It's a crapshoot!
100

This phrase refers to the triad of symptoms associated with pericardial tamponade

Beck's triad

100

flashes of light and floaters are characteristic of what?

retinal detachment

100

Trigeminal neuralgia is inflammation/pain of which cranial nerve?

CN V

100

visual disturbances like "snow field" vision, drowsiness, headache, and dizziness are early signs and symptoms of what ingestion?

methanol

100

A patient presents to the ED complaining of SOB and states that he doesn't have insurance at the front desk. The patient is turned away from the ED because he states that he cannot afford to pay at the time of visit. What is the dept in violation of?

EMTALA

200

These set of symptoms is associated with L-sided heart failure (4)

Pulmonary Edema

Othopnea

Dyspnea

Rales/Crackles

200

teardrop-shaped pupil and vitreous humor leakage is indicative of what?

globe rupture

200

Bell's Palsy affects which cranial nerve?

Cranial nerve VII

200

What is the antidote for Acetaminophen overdose?

n-acetylcysteine

200

fever, nausea, and right lower quadrant abdominal pain; pain with palpation at McBurney's point

appendicitis

300

This type of ACS is diagnosed with possible EKG changes and changes in troponin

NSTEMI

300

Life-threatening condition caused by insufficient production of antidiuretic hormone (ADH) by the hypothalamus, or insufficient ADH being released by the posterior pituitary gland. Patient will excrete large amounts of dilute urine and complain of fatigue and weight loss.

Diabetes Insipidus (DI)

300

Migraine HA can mimic what serious neurologic finding?

Subarachnoid hemorrhage

300

a firefighter presents with seizures, hypotension, and hypoxia after fighting a house fire. what toxicity to you suspect?

cyanide

300

If a patient enters the ED with hot molten tar on his hands, what is the priority of care?

cool the molten tar with cold water until it is completely cooled

400

This type of dissection is the most common

Thoracic

400

Fever, muscle pain, headache, small flat pink rash on palms, wrists, forearms, soles and ankles after returning home from a camping trip

rocky mountain spotted fever

400
Epidural hematomas follow this specific assessment pattern

injury with LOC (generally to side of head)

period of lucidity

sudden decline

400

What is the treatment modality for overdose of Elavil (amitriptyline)

sodium bicarb to promote systemic alkalinization

400

lab test detects fetal red blood cells in the maternal circulation, indicating hemorrhage of fetal blood through the placenta

Kleihauer-Betke Test

500

These are 4 types of Pulmonary Emboli

Clotted blood

Fat

Bone

Amniotic Fluid

500

What is the progression of presentation with Guillain-Barre syndrome?

Prickly sensation in extremities and ascending symmetrical paralysis

500
A patient presents with unilateral sore throat, pain, swelling, muffled voice and fever.  What is the nurse's priority assessment?

Airway

Peritonsillar abscess can impair airway patency

500

Migrant workers accidently sprayed with pesticides present to the ED with tearing, salivation, and respiratory secretions.  What toxicity do you suspect?

organophosphate poisoning

500

treatment for a 3-month-old with blood "currant jelly" stools and a palpable "sausage-shaped mass" is

barium enema