Trauma/misc
A 32-year-old male was pouring gasoline into a hot lawn mower engine when it suddenly caught fire, burning his bilateral anterior arms and anterior chest. He is complaining of 10/10 pain in these areas, and blistering is noted on his chest and arms. Based on the rule of 9's, what is the burn severity based on trauma criteria for this patient?
Minor, Moderate, Critical, Unable to classify
Moderate
You have a 77-year-old female who presents with an altered mental status responsive only to painful stimuli with moaning and localization. She has a fingerstick blood sugar of 24 mg/dL, and an IV line has infiltrated. What is the most appropriate medication for this patient at this time (give med, dose, route) to receive credit
1 mg glucagon IM
Heat cramps have all of the following signs and symptoms EXCEPT; dry skin, flushed skin, muscle spasms, tachycardia.
dry skin
You are transporting a 44-year-old female for minor right leg pain after a motor vehicle accident when she begins to complain of the walls closing in on her. She states that she often suffers from claustrophobia. What is the best initial treatment for this patient?
Reassure her that she is safe and that the walls are not actually closing in on her.
What is the most populated country in the world
India 1.47 billion
You have decided to intubate an 80-year-old male who is in respiratory arrest. You have prepared your equipment and verified all work properly. You have pre-oxygenated the patient and obtained a pulse oximetry of 97%. What is the next step; Insert the laryngoscope blade into the vallecula, Lubricate the tip of the stylet and ETT, Position the patient in a sniffing position with the head raised, Suction the oropharynx.
Position the patient in a sniffing position with the head raised.
How many pairs of true ribs does a person have
7
Which of the following hormones is NOT produced by the pancreas: Cholecystokinin, Insulin, Glucagon, Somatostatin
Cholecystokinin
Bites from which of the following animals may cause a localized area of necrosis known as a loxoscelism; Elapid Snake (coral snake), Brown recluse spider, Black widow spider, Pit viper
Brown recluse spider
Describe what a phobia is
Having irrational fear of specific objects or situations
What direction do Oklahoma tornadoes spin
Counterclockwise
You are on scene with a 57-year-old female complaining of chest pain and difficulty breathing. Her vital signs are HR: 122, BP: 184/100, RR: 28, SpO2: 88%. Her EtCO2 waveform capnography is shown with a shark-fin presentation. Which of the following conditions is this patient most likely suffering
Bronchospasm
When operating at a large-scale incident with all roles assigned, to whom should an injured provider report
Safety officer
What hormone is responsible for lowering blood calcium
Calcitonin
Which of the following represents a method of thermogenesis; Dilation of the peripheral blood vessels, Hypoventilation, Increasing the basal metabolic rate, Peripheral vasoconstriction
Increasing the basal metabolic rate
How does a patient with Munchausen syndrome present
The patient fakes actual signs and symptoms of a real disease to gain attention.
Who is the most decorated Olympian of all time
Michael Phelps
All of the following are signs or symptoms generally associated with a pulmonary embolism EXCEPT; hypoxia, JVD, unilateral edema, V/Q mismatch.
JVD
In evaluating the mechanism of injury of a patient involved in a head-on motor vehicle crash with another vehicle, which of the following plays the greatest role in determining morbidity
Total (sum) velocity of both of the cars at the time of impact
A patient who has a history of hyperparathyroidism is at risk for which of the following conditions; Hypocalcemia, Osteoporosis, Osteogenesis imperfecta, Seizures
Osteoporosis
Dilation of peripheral subcutaneous blood vessels helps the body dissipate excess heat by taking advantage of which two methods of thermolysis
Convection and radiation
describe anorexia nervosa
A patient believes he or she is already overweight so eats as little as possible.
Who was the second united states president
John Adams
What is the calculated FiO2% for a patient who is on 4 liters of oxygen per minute (LPM) via nasal cannula
33%
You are treating a 53-year-old, 65-kg female patient with partial-thickness burns over 36% of her body. How much fluid should this patient receive over the first 8 hours of her treatment?
4680 mL
You have a patient who presents with tachycardia and diaphoresis in an agitated delirium. Assessing which of the following could help you distinguish between diabetes-related hypoglycemia and thyroid storm
Skin color and temperature
exposure to water at what temperature paired with what type of vascular response is the most common cause of trench foot
Vasoconstriction in the foot secondary to being submerged in water with temperatures <65°F (18°C)
During your assessment of a 42-year-old depressed female patient, you determine that the patient experiences periods of time when she is extraordinarily sad and other times when she is especially euphoric. What is the best way to describe this patient's experiences?
Bipolar
What is the name of the tallest building in the world
Burj Khalifa
Which of the following best explains why it is far more common for an endotracheal tube (ETT) to enter the right mainstem bronchus as opposed to the left mainstem
The left mainstem branches off the trachea at a sharper angle than the right mainstem
Which brain injury can have a variety of symptoms and carries with it the greatest risk of death because of the extensive damage it can cause
Intracerebral hematoma
Inadequate production of which hormones could lead to secondary adrenal insufficiency
(not cortisol/aldosterone)
Adrenocorticotropic hormone (ACTH)
You are called to the boating docks for a 28-year-old female who is experiencing severe difficulty breathing after surfacing from a dive. Her dive partner tells you that she panicked after seeing a lemon shark up close and sped to the surface from a depth of approximately 35 ft (11 m). What condition do you suspect
Pulmonary overpressurization syndrome (POPS)
You are called to the scene of a 58-year-old male with an altered mental status. The patient is a known alcoholic suffering from liver cancer and cirrhosis. He is responsive only to deep painful stimuli and unable to answer any questions. His wife tells you that he has run out of his lactulose and has not had a drink in several months. What is the best way to describe this patient's current psychological condition?
Hypoactive delirium
What is jimmy neutron's dogs name
Goddard
You are treating a 65-year-old male with an extensive history of chronic obstructive pulmonary disease (COPD). What ECG rhythms is commonly caused by lung problems including COPD
Multifocal atrial tachycardia