Cardio
What rhythm has regular R-R intervals, rate 60–100, and upright P waves before every QRS?
Normal sinus rhythm
What is vomiting bright red blood called?
Hematemesis
What lab value should ALWAYS be checked first in AMS?
Blood glucose
What substance is MOST commonly overdosed by injection?
Heroin
Which assessment finding would suggest a patient with rectal bleeding can be treated with comfort measures rather than aggressive intervention?
Bleeding from hemorrhoids
Which dysrhythmia is the MOST common complication of an acute myocardial infarction?
Ventricular dysrhythmias (especially ventricular tachycardia)
The MOST common cause of upper GI bleeding is what?
Peptic ulcer disease
Slurred speech, confusion, and unilateral deficits suggest what?
Stroke
What toxidrome includes SLUDGE symptoms?
Organophosphate / insecticide poisoning
A patient complains of severe abdominal pain radiating from the periumbilical area to the right lower quadrant with nausea and fever. Which patient position is most comfortable?
Fetal position
Which rhythm requires immediate unsynchronized cardioversion?
Ventricular tachycardia (pulseless)
Pain that begins periumbilically and localizes to the RLQ suggests what condition?
Appendicitis
Pinpoint pupils and respiratory depression indicate overdose of what class?
Narcotics / opioids
What drug causes progressive liver failure in overdose?
Acetaminophen
You find an elderly patient with shortness of breath and edema in both legs. Which condition should you suspect?
Congestive heart failure
What rhythm has AV dissociation with no relationship between P waves and QRS complexes?
Third-degree heart block
What abdominal condition is inflammation of outpouchings in the colon?
Diverticulitis
What type of pain is localized and intense?
Somatic / parietal pain
Burns around the mouth suggest what route of poisoning?
Ingestion (caustic)
You find a patient with fever, productive cough, and left lower lobe diminished breath sounds. The patient is mildly hypotensive and tachycardic. Which condition should you suspect?
Pneumonia with early sepsis
Which junctional rhythm has a rate greater than 100 bpm?
Junctional tachycardia
What is the MOST common assessment finding in bowel infarction?
Pain
Which assessment finding would MOST strongly suggest an infectious cause of altered mental status?
Fever
What drug is used to reverse opioid overdose while preserving ventilation?
Naloxone
You arrive at a patient who has a sudden onset of fever, severe headache, neck stiffness, and photophobia. The patient also appears confused and has a purplish rash on the extremities. Which condition should you suspect?
Bacterial meningitis