Medical
Your adult trauma patient may be experiencing the adverse effects of a crush injury that triggered the sudden release of high levels of histamine. What would this usually cause?
Increased spontaneous respiration and unequal blood pressure readings in arms and legs
Bronchodilation and vasoconstriction
Bronchoconstriction and vasodilation
Irregular, shallow respirations and a normotensive blood pressure
Bronchoconstriction and vasodilation
Which of the following patients is most appropriate for traction splint application?
A patient with a closed femur fracture and a suspected knee injury
A patient with a closed mid-shaft femur fracture and no other injuries to the affected limb
A patient with a closed femur fracture and a possible ankle injury
A patient with an open femur fracture without other limb injuries
A patient with a closed mid-shaft femur fracture and no other injuries to the affected limb
When someone says that they have been pregnant twice and delivered once what do we call that?
Gravida 2, Para 1
What mediation is used to reverse Acidosis in a cardiac arrest
Sodium Bicarbonate 1mEq/kg
What medication is given in Trauma situations that essentially adds clotting factors to the blood
tranexamic acid (txa)
A 1-year-old male presents with intermittent, severe abdominal pain that causes him to draw his knees to his chest and cry inconsolably. Between episodes, he appears relatively comfortable. His mother reports that he has had "currant jelly" stools.
What is the most likely diagnosis?
Intussusception
Gastroenteritis
Pyloric stenosis
Volvulus
Intussception
A child is more susceptible to injury of what part of their body in a fall and why
Head because it is proportionally larger
What is the difference between preeclampsia and eclampsia?
Seizures
How do compressions change after the patient has had an advanced airway placed
Continuous compressions
What is the adult dosage for Benadryl IM
1mg/kg MAX 50mg
Which of the following corticosteroids is produced by the adrenal cortex and may be potentially fatal for a patient with Addison's disease if the deficiency worsens?
Insulin and glucagon
Acetylcholine and dopamine
Epinephrine and norepinephrine
Cortisol and aldosterone
Cortisol and Aldosterone
A patient is found unresponsive after a diving accident. Assessment reveals apnea with no spontaneous chest rise, and a high cervical spinal cord injury is suspected.
Damage to which nerve most directly explains the loss of spontaneous breathing?
Phrenic nerve
Vagus nerve
Trochlear nerve
Brachial plexus nerves
Phrenic nerve
A six year-old male presents with a high fever, striderous cough, and drooling. What do you suspect as a provider?
Epiglottitis
A pulseless and apneic patient presents with Torsades De Pointes. What medication is given and when is it given in the ACLS algorithm
Magnesium Sulfate 2g
When you would normally give the Amiodarone
A sudden cessation of usage of corticosteroids can cause what pathological condition
Secondary Adrenal Insufficiency
The human body attempts to prevent substantial blood loss from an injury by initiating the formation of a blood clot at the injury site. Which of the following is a blood protein that is responsible for initiating the formation of thread-like fibers to form the clot?
Prothrombin
Albumin
Collagen
Erythrocytes
Prothrombin
Your adult patient with a closed head injury is suspected of brainstem herniation. Which of the following findings is most consistent with this condition?
Hemiplegia and unequal pupils that are sluggish to respond
Decreased systolic blood pressure and non-reactive, dilated pupils
Abnormal posturing with decorticate posturing and an increased pulse rate
Abnormal extension with decerebrate posturing or no motor response to painful stimuli
Abnormal extension with decerebrate posturing or no motor response to painful stimuli
Preeclampsia is primarily characterized by which pathophysiological changes?
Progesterone deficiency leading to uterine irritability
Maternal hypoglycemia and fetal bradycardia
Widespread vasodilation and decreased systemic vascular resistance
Generalized vasospasm, endothelial dysfunction, and increased capillary permeability
Generalized vasospasm, endothelial dysfunction, and increased capillary permeability
Pediatric patient in VT. What energies are you providing for electrical therapy
Initial Shock 2j/kg
Second Shock 4j/kg
Third and beyond >4j/kg NO MORE THAN 10j/kg (or the adult dose)
What is Furosemide (Lasix) and where does it work?
Loop Diuretic
Loop of henle in the nephron of the kidney
Which of the following is correct regarding the difference between DKA and HHS?Select the 2 answer options which are correct.
Level of consciousness is not altered in DKA
Blood glucose levels are higher in HHS
Ketones are present in DKA and not in HHS
The pulse changes little in HHS
Blood glucose levels are higher in HHS
Ketones are present in DKA and not in HHS
You are treating a burn patient who has partial-thickness burns over 25% of his total body surface area. According to the classification of burn severity, to what category of injury does this patient belong?
Moderately severe burn requiring a burn center
Minor burn requiring no further medical intervention
Major or critical burn requiring a burn center
Moderate burn requiring a level 2
trauma center
Major or critical burn requiring a burn center
Dilation and Curettage can cause what condition
What are the Hs and Ts
Hypoxia, Hypothermia, Hypovolemic Hypoglycemia, Hyop/Hyperkalemia Hydrogen Ions
Toxins, Tension Pneumothorax, Tamponade, Cardiac/Pulmonary Thrombosis
Why may lidocaine be considered in RSI with a patient who has head trauma
Decreases ICP