SUBJECTS
|
BROWSE
|
CAREER CENTER
|
POPULAR
|
JOIN
|
LOGIN
Business Skills
|
Soft Skills
|
Basic Literacy
|
Certifications
About
|
Help
|
Privacy
|
Terms
|
Email
Search
Test your basic knowledge |
Emergency Medicine
Start Test
Study First
Subjects
:
health-sciences
,
emergency-medicine
Instructions:
Answer 50 questions in 15 minutes.
If you are not ready to take this test, you can
study here
.
Match each statement with the correct term.
Don't refresh. All questions and answers are randomly picked and ordered every time you load a test.
This is a study tool. The 3 wrong answers for each question are randomly chosen from answers to other questions. So, you might find at times the answers obvious, but you will see it re-enforces your understanding as you take the test each time.
1. ABC's - IV - O2 - cardiac monitor - Diuretics - Lasix - Lasix naive patients start at 20 mg IV - chronic users start at 40 mg IV - Morphine - Nitro if pain - Pressors prn
Pericarditis
Cardiac Tamponade
Tx of CHF
Bradycardia
2. Gram negative - bad eggs - dairy - poultry. - S/S: bloody diarrhea - fever - abd pain - Resolves in 10-14 days.
Abdominal Aortic Aneurysm
When to do a pelvic exam
Types of Infectious diarrhea - Salmonella
Divertriculitis
3. Abnormal dilatation of the arterial wall - most common in abdominal area below renal arteries - risk factors; atherosclerosis - age - HTN - smoking - connective tissue dz - fam hx - hyperlipidemia - DM - S/S : often ASYMPTOMATIC - dull abd or back pa
Abdominal Aortic Aneurysm
ED work up for cholecystitis
Causes of 3rd trimester bleeding
Pain scale for infants
4. HEAD TILT-CHIN LIFT: assess if airway is obstructed vs. open - look for foreign body - vomit - blood. - JAW THRUST - if C-spine injury suspected - 30 compressions for every 2 breaths - Give one breath every 5-6 sections (don't over-ventilate the pat
Ascending Cholangitis
How to assess Airway
EKG changes
Types of GI bleeds
5. Incarcerated - means cannot reduce - Strangulated - bowel edema is compromosing blood flow
Abdominal Aortic Aneurysm
Causes of 3rd trimester bleeding
Incarcerated vs strangulated hernias
When are Beta Blockers contraindicated
6. Obstruction of appendiceal lumen (fecalith) - leads to edema - ischemia - infection - necrosis - ? perf and peritonitis - +Rosvig's sign (push and feel on opposite side)
Volvulus
Hypertensive Emergency
Appendicitis
Ovarian Cysts
7. RUQ/epigastric pain - lasts 30 min to 6 hours - once gallbladder contracts and it relieves the obstruction - pain resolves - NO Fever
Triage
Dx of Aortic dissection
ED treatment of a Miscarriage
Define Biliary colic
8. 'trier' - to separate - sift or select based on priority of condition
Incidence of AMI
Triage
Miscarriage
Contraindications for thrombolytics
9. For any chest pain due to COCAINE USE!!! (because cocaine makes the arteries spasm)
Defibrillation
When are Beta Blockers contraindicated
Advanced airway techniques
Where to check pulses
10. CDAB - Circulation (rapid CPR to reestablish circulation) - Defibrillaiton - Airway - Breathing - the main goal is to restore effective oxygenation -ventilation and circulation until return of spontaneous circulation or ACLS
Initial steps in stabilizing a patient
ED work up for cholecystitis
Types of GI bleeds
Advanced airway techniques
11. Directly invades the intestine - s/s abd pain - watery or bloody diarrhea - vomiting
Types of Infectious diarrhea Yersinia
Inferior leads
Missed Abortion
Types of Infectious diarrhea Shigella
12. Shock to electrically terminate abnormal heart rate and restart. - The earlier a fibrillating heart is defibrillated - the more successful (survival drops by 10% with each minute)
Defibrillation
Ectopic Pregnancy
GIB work up
Incarcerated vs strangulated hernias
13. Troponin T or I - mores specific for heart. Tropoinin I stays elevated for 7-10 days - Troponin T stays elevated for 10-14 days - CK - MB: - peaks 20 hours after AMI (specific to cardiac muscle) - CPK - measures muscle breakdown so nonspecific
Cardiac Enzymes
LCA
STEMI vs Nstemi
Appendicitis work up
14. S/S - PAIN OUT OF PROPORTION TO ABDOMINAL EXAM - benign compared to pain - At risk patients: elderly - vasculopaths - patients with afib - patients in cardiogenic shock/cardiopulm bypass or on high dose pressors - most occur in SMA (ie intracardiac e
Stable vs. Unstable Ectopic Pregnancy
Urosepsis
Acute Mesenteric Ishemia
Define Acute Cholecystitis
15. No bleeding - no fetal cardiac activity - uterus small - os closed - retained fetal tissue - Tx: D and C - Can have sepsis due to retained tissue/ fetus. Treat with IV abx (ampicillin and gentamycin) - Can give Misoprostol and cytotec (to dilate cerv
Emergency Severity Index
Viral Gastroenteritis
Urosepsis
Missed Abortion
16. Often embolic phenomenon triggered by afib or endocarditis - 6 P's: Pain - pallor - paralysis - paresthesias - poikilothermia - pulselessness - DX: dopplers with ABI - ankle brachial index
ED workup of kidney stones
Lateral Leads
Tx of Unstable Angina
Acute Arterial occlusion - to lower extremities
17. Testis twists on a spermatic cord - restore blood flow in 6 hours or may have infertility - common at puberty and in 1 year olds - High risk - Bell Clapper Deformity (tunica vaginalis isterts high on the spermatic cord) - horizontal lie spermatic cor
ED workup of kidney stones
Testicular Torsion
Triage
Gonorrhea
18. Chronic anticoagulation - Coumadin - Pradaxa/Dabigatran (no meds to reverse it) - Lovenox - ESLD / alcoholism (lack clotting factors) - NSAIDS (increase risk PUD and blood thinning) - Smoking
ED workup of kidney stones
Testicular Torsion
Common risk factors for UGIB
Hypertensive Emergency
19. Due to HSV-1 S/S: painful vesicles after 1-2 weeks of exposure - HA - fever - dysuria - myalgias. First outbreak lasts 2-3 weeks - likely to recur DxL PCR from vesicular fluid Tx: Acyclovir 400 mg po TID x 2 weeks or Valacyclovir x 10 days. Most pat
Pancreatitis work up
DUKE criteria for endocarditis
Genital Herpes
UTI
20. Bp diffrence between R and L arms: > 20 difference in systolic or > 15 mm Hg difference in diastolic - Aortography - gold standard - CT scan with contrast - EKG - CXR - widended mediastinum - obliteraiton of aortic knowb - tracheal deviation - L hemo
Incomplete abortion
Causes of 3rd trimester bleeding
Dx of Aortic dissection
What to do with weak/thready pulses
21. Placenta previa - vaginal/cervical trauma - polyps - genital infections - hemorrhoids - onset of labor (no fetal distress) - placental abruption (have fetal distress)
Tx of Unstable Angina
Advanced airway techniques
Causes of 3rd trimester bleeding
Defibrillation
22. Reassess circulation: compression - check cardiac rhythm - pulse - give meds to help Bp or rhythm prn - Monitor Oxygen and IV - DDx -goalis to find and treat reversible causes
Supplemental O2
How to monitor CDAB
UTI
Aortic Dissection definition - risks and S/S
23. All cardiac arrest patients get 100% O2 - Room air= 21% - Nasal cannula O2 - raises FiO2 by 2-3% per liter. Normally give 1-6 Liters/minute - Non-rebreather mask --> you are receiving 100% O2
Types of Infectious diarrhea E coli
Supplemental O2
CHF
Chlamydia
24. Especially O157: H7 causes enterohemorrhagic diarrhea. Inundercooked beef - complicated by hemolytic uremic syndrome and TTP
Types of Infectious diarrhea E coli
GIB work up
ED treatment for Ectopic Pregnancy
Emergency Severity Index
25. Active internal bleeding - hx hemorrhagic stroke/TIA in the past year - Intracranial tumor - AV malformation or aneurysm - suspected aortic dissection or tamponade - Severe bleeding disorder - Head trauma - Intracranial procedure
Contraindications for thrombolytics
What to do with weak/thready pulses
Types of Infectious diarrhea Shigella
Acute Arterial occlusion - to lower extremities
26. Categorize based on severity: 1 to 5 1 - most severe: cyanotic/not breathing - unreseponsive or not talking 2 - MI (life threatening but talking) 3- appendicitis/ abdomino pelvic pain 4- ankle swelling - broken leg 5- suture removal Things you ca
RCA
Lateral Leads
Emergency Severity Index
Common Presentation of GIB
27. Sigmoid - volvulus: High risk patients: chronic constipation - elderly and debilitated patients - Dx: plain film - Tx: decompress with rectal tube - Cecal volvulus - see congenital hypermobile cecum. also dx with plain films
Appendicitis
Ranson's criteria
Volvulus
Emergency Severity Index
28. Def: Defect in the intimal layer of the aorta allows for blood to enter space between vascular layers - Risk actors: age - HTN - Connective tissue dz (marphans) - bicuspid aortic valve - coarctation of the aorta - inflam dz of aorta - atherosclerosi
Incomplete abortion
Aortic Dissection definition - risks and S/S
Common Presentation of GIB
Acute Arterial occlusion - to lower extremities
29. Given to any woman that is Rh Negative who is HCG positive and has any vaginal bleeding during pregnancy - to Rh Negative patients (prevent formation of anti Rh antibodies - against baby)
What to do with weak/thready pulses
ED treatment for Ectopic Pregnancy
Ovarian Torsion
When is Rho GAM used
30. School/work outbreak - Common viruses: rotavirus - norwalk - adenovirus - astrovirus - last 24 to 48 hours - ALWAYS DX as VOMITING AND DIARRHEA - never use the term viral gastroenteritis (CYA medicine) Tx: CBC - chem 7 - LFT's - lIpase - UA - general
Viral Gastroenteritis
Tx of CHF
EKG changes
ED work up for cholecystitis
31. V1-V2 Right Posterior Descending Artery
Causes of 3rd trimester bleeding
Posterior
Cardiac Tamponade
Lateral Leads
32. 16-18 Gauge
Appendicitis
What is a large bore IV?
Pericarditis
Emergency Severity Index
33. Gram negative - contaminated salads (mayo) - dairy - mean. Severe Dysentery (bloody diarrhea)'
Define Acute Cholecystitis
Types of Infectious diarrhea Shigella
Inferior leads
Bradycardia
34. Common complication after an AMI - S/S: edema - elevated JVP - hepatojugular reflux - pulm rales - rhochi - decrease BS - +/- cardiac murmurs - low O2 sat - elevated BNP
Types of GI bleeds
When are Beta Blockers contraindicated
Hypertensive Emergency
CHF
35. Spontaneous abortion - Never CALL IT ABORTION IN FRONT OF PATIENT
Miscarriage
Early miscarriage (20 weeks)
ED Tx of GIB
ED work up for cholecystitis
36. Infection of endocardium and/or heart valves due to Strep bacteria (viridans or aureus) and HACEK species - Risk factors: IVDU - structural heart abomality - prosthetic valve - rheumatic heart dz - HIV Tx: IV antibioticx x 4 weeks
Pain scale for infants
Inferior leads
Endocarditis
Define Biliary colic
37. On ANY FEMALE WITH ABDOMINAL PAIN- including bimanual vagino-rectal exam
LCA
When to do a pelvic exam
Divertriculitis
Ovarian Cysts
38. Abd pain: varies - achy - burning - Melena: dark - tarry stool (UGIB) - Hematemesis - vomiting blood - Hematochezia - BRBPR - Hypotension - tachycardia - Pallor - Guaiac + rectal exam
ED treatment of a Miscarriage
Types of Infectious diarrhea - Salmonella
Common Presentation of GIB
Abdominal Aortic Aneurysm
39. V1-V3 - V2-V4 Means LAD (left anterior descending) involved
STEMI vs Nstemi
Anteroseptal leads and Anterior
Bradycardia
RCA
40. O2 - 2 large bore IV's: IVF with crystalloid (NS or LR) - type and screen crossmatch - transfuse prn - OB GYN cx ASAP
Aortic Dissection definition - risks and S/S
Urosepsis
DUKE criteria for endocarditis
ED treatment for Ectopic Pregnancy
41. II - III - aVF - Means RCA involved
EKG changes
Inferior leads
Dx of Aortic dissection
Pericarditis
42. LAD - Left Anterior Descending Artery (anterior) - Diagonal branch of LAD (anterior) - Left Circumflex artery (posterior) - Obtuse Marginal Artery
When is Rho GAM used
Incarcerated vs strangulated hernias
Tx of CHF
Other major arteries
43. Emergency Medical Treatment and Active Labor Act - hospitals are obligated to screen/treat a patient in the ER regardless of insurance - if a emergency medical condition exists - they must stabilize the patient before transferring or d/c the patient
EMTALA
Placenta Previa
Pain scale for infants
Types of Infectious diarrhea Yersinia
44. Ovary torsion causes venous and arterial obstruction leading to ischemia and obstruction - At risk: long fallopian tubes - pregnancy - enlarged ovaries - ovarian tumors - tubal surgery - large ovarian cysts **anything that enlarges the ovary! - S/S:
Acute Coronary syndrome
Ovarian Torsion
Pericarditis
Contraindications for thrombolytics
45. Prolonged/ more severe angina that doens't resolve with rest - 50% triggered by event: stress - exercise - surgery - illness - More common in early am - substernal pain elephant in chest - crushing - heavy +/- radiation to left arm - jaw - neck - may
Incidence of AMI
Tachycardia
How to assess Airway
Acute Mesenteric Ishemia
46. Chinese food bug - Fever - abdo pain - blood diarrhea - lasts x 1 week.Get from dirty wateror poultry - may cause/trigger Guillan Barre
Types of Infectious diarrhea Campylobacter
Acute Arterial occlusion - to lower extremities
Causes of 3rd trimester bleeding
Pericarditis
47. CXR - may see cardiomegaly - consolidation or effusions - Echo - look at wall motion - anuersysm - pericardial effusion - LV thrombus - Stress EcHO - CT Angiogram for Pulmonary Embolism!!!! (need good kidneys for dye) - can also do a spiral CT
Additional cardiac Tests
Types of Infectious diarrhea - Salmonella
ED treatment of a Miscarriage
Advanced airway techniques
48. Check Vital Signs
Warning
: Invalid argument supplied for foreach() in
/var/www/html/basicversity.com/show_quiz.php
on line
183
49. Accounts for 20% o all 3rd trimester bleeding - Placenta overlaps with the cervix near the os (complete - partial - vaginal -low lying) - S/s: bright red vaginal bleeding - painless - NO NOT PERFORM VAGINAL DIGITAL EXAM - risk factors: prior c sect
Breathing
Emergency Severity Index
Placenta Previa
LCA
50. HR/pulse: 60-100 - Bp: 120/80 - Resp rate: 16-20 - Temp 97-99 - O2 sat > 94% - Pain!!! - 6th vital sign
The vital signs
Bradycardia
Viral Gastroenteritis
Ascending Cholangitis