A/P
What nerves innervate the diaphragm?
C345 keep me alive (Phrenic Nerve)
A pt says they've had a productive cough for a month and smoke a pack a day. They asked chatGPT and it says chronic bronchitis is a possibility. Do you agree?
No; chronic bronchitis dx requires productive cough x3 months & at least 2 running.
Both!
Where do a majority of burns occur?
At home (72.5%)
What is the name of the plastic or metal tube on the end of shoelaces?
aglet
What structures make up the gas exchange pump?
Lung tissue and airways
Would you expect a pt with emphysema to have a productive cough?
Eventually they will have an irritating dry cough but it is not productive b/c no secretions
mechanical ventilation
Which pathology equates to alveolar collapse and low TV?
Atelectasis
What is considered the largest empire in history?
The Mongol Empire
What nerves innervate the rectus abdominis?
What is a differential diagnosis that causes extensive skin loss similar to burn injuries and requires similar wound care and fluid management
Stevens-Johnson Syndrome (SJS)
A pt needs postural training in the left lower lobe. How should you position them?
R side-lying with the foot of the bed elevated 30-45° or 18"
A pt has an FIO2 of 80%. What is their predicted PaO2?
80% * 5 = 400mmHg
What is the highest grossing animated film of all time?
The Lion King (2019 remake)
Why is there excess mucus and lots of swelling after an asthma attack?
Excessive histamine response
Pt comes in following a MVA. They present with absent lung sounds, no cough, and contralateral tracheal deviation. What do you suspect?
Pneumothorax
Inspiratory hold (aka Sustained Maximal Inspiration) is an IMT technique. How is it performed?
Deep breath in through nose
Hold it for 3-5s
Exhale through mouth with pursed lips
What is the #1 most common complication in burn patients?
Pneumonia
The US bought Alaska from which country?
Russia
Which muscles perform a forced cough? Name the primary and secondary.
Primary: Abdominals
Secondary: Internal intercostals, pec major, clavicular head, QL, serratus posterior inferior
Pt presents with SOB at rest, fever, productive cough, increased tactile fremitus over the right lower lobe, and coarse crackles. Their chart notes a history of bronchiectasis. What pathology do you suspect?
Pneumonia
What is an absolute indication for home coverage of supplemental oxygen?
PaO2 < 55 mmHg or SpO2 < 88%
A pt presents with confusion, delirium, dysrhythmias, hypotension, and muscle cramping. Their pH and HCO3 are increased. What do you suspect?
Metabolic alkalosis
What year did India gain independence from Britain?
1947