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. Petechiae. Treated with heparin.
s/s of a fat embolism
Besides meds and congenital problems .. What can lead to decreased preload
Graves disease/ Hyperthyroidism
Chief concern in CF


2. Serum acetone and serum ketones rise in DKA. As you treat the acidosis and dehydration expect the potassium to drop rapidly - so be ready - with potassium replacement. Fluids are the most important intervention with HHNS as well as DKA - so get fluid
Labs in DKA>
Common S/S of Pemphigus Vulgaris
Eclampsia is a
After Myringotomy


3. 4 C'S- Coughing - Choking - Cyanosis and continuous droolings
FHR patterns in ob
After Thyroidectomy
Hightest priority for RA
Common S/S of TEF


4. Children with tetralogy of Fallot may develop 'tet spells'. The precise mechanism of these episodes is in doubt - but presumably results from a transient increase in resistance to blood flow to the lungs with increased preferential flow of desaturate
Pancreatitis prioritys
Cullens sign
Tet spells
Eclampsia is a


5. Area of detachment should be in the dependent position -- dependent meaning supported by something
Common S/S of pernicious anemia
Detached Retina
Common S/S of Liver cirrhoisis
Common S/S of Ulcerative Colitis


6. Thoracentesis prep - Take v.s. - shave area around needle insertion - position patient with arms on pillow on over bed table or lying on side - no more than 1000cc at a one time. Post - listen for bilateral breath sounds - v.s. - check leakage - ster
Thoracentesis
Decorticate and Decerebrate
Normal Hemoglobin
STD= gonnorrhea


7. ** William's position - Semi Fowlers with knees flexed (inc. knee gatch) to relieve lower back pain.

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8. Paget's Disease - tinnitus - bone pain - enlargement of bone - thick bones.

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9. Irritable - and poor sucking
Preload and Afterload
TIA
Heroin withdrawl in a neonate
Autonomic Dysreflexia/ Hyperreflexia


10. Yogurt has live cultures - dont give to immunosuppressed pt

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11. Allen's test - occlude both ulnar and radial artery until hand blanches then release ulnar. If the hand pinks up - ulnar artery is good and you can carry on with ABG/radial stick as planned. ABGS must be put on ice and whisked to the lab.

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12. Allergic to eggs (Tristan D. ) !
DKA
Apgar Scoring
Flu shot always ask
Acid/ ASH diet


13. Patients with GERD should lay on their left side with the HOB elevated 30 degrees.
Gerd again
4 year olds
TB health risk
Common S/S of emphysema


14. GLASGOW COMA SCALE. EYES - VerbAL - MOTOR
Eclampsia is a
Common S/S of orbital fracture
Cute way to remember glascow coma
Common S/S of glaucoma


15. Painful vision loss - tunnel/gun barrel/ halo vision (peripheral vision loss)
Fetal alcohol sydrome
What happens when phenylalanine increases
Common S/S of glaucoma
Every new admission needs


16. Burning on urination
Parkisons
Common S/S of Cystitis
More labs suggestive of renal failure
Eclampsia is a


17. Pt will sleep on unaffected side with a night shield for 1-4 weeks.
1 pint = How many cups
Cute way to remember glascow coma
After Cataract surgery
Head Injury


18. Toes curl= GREAT Toes fan = BAD
Common S/S of chicken pox
Common S/S of hypocalcemia
Babinski sign
How will CSF look in meningitis


19. Wheezing on EXPIRATION
Risus Sardonicus
Wilms tumor
What to in the case of - Pt with heat stroke
Common S/S of asthma


20. During the acute stage of Hep - A gown and gloves are required. In the convalescent stage it is no longer contagious.
Green - Minimal
Major risks of epidural
What to do if your patients chest tube accidently getes removed
Hep A precautions


21. Lioning face
Common S/S of Intusseption
Common S/S of leprosy
MORE info on DKA ugh!
Common S/S of Infectious Mononucleosis


22. * To convert Centigrade to F. F= C+40 - multiply 9/5 and substract 40 * To convert Fahrenheit to C. C= F+40 - multiply 5/9 and substract 40.
Cane walking
Temp conversion
Heroin withdrawl in a neonate
Depression manifests itself


23. Use cold for acute pain (sprained ankle) and heat for chronic pain (arthritis)
Where are chest tubes placed
When a pt comes in and she is in active labor
Diabetes Insipidus
Use of cold and hot


24. Inspiratory stridor.. LTB = croup!!!!
Common S/S of Hydrocephalosis
Common S/S of LTB
Paget's disease
Sickle cell crisis


25. Don't fall for 'reestablishing a normal bowel pattern' as a priority with small bowel obstruction. Because the patient can't take in oral fluids 'maintaining fluid balance' comes first.
Change in color is
How do you treat a small bowel obstruction
How many liters of O2
Psuedomembrane in DIptheria


26. Thrombocytopenia - Bleeding precautions! 1)Soft bristled toothbrush 2)No insertion of anything! (c/i suppositories - douche)
Jews
HyperMg
Thrombocyopenia - bleeding precautions
Diff between angina and MI


27. During sickle cell crisis there are two interventions to prioritize: fluids and pain relief.
Penis Problems
Sickle cell crisis
Hyperthyroidism
If you see a nurse make a mistake Chain of command


28. Another c section with any more kids
Rule of thumb for obsessions/distractions
Phenalalanine
A patient with vertical c - section will likely have
Hep A precautions


29. Cat's eye reflex (grayish discoloration of the pupil)
Nuetropenic patients
Common S.S of Retino Blastoma
Post spleenectomy
Best way to warm a newborn


30. It is X- linked. Mother passes the disease to her son
Crackles most likely are...
Facts about hemophilia
Apgar Scoring
Use of cold and hot


31. Kussmauls breathing (deep rapid RR)
Rh
Pneumonia
Hirschsprungs
Common S/S of DKA


32. Peptic ulcer
Menieres's disease
When you see coffee brown emesis think>
How many liters of O2
Common S/S of asthma


33. 1 pint= 2 cups
Eyes
Appendicitis
1 pint = How many cups
Bence Jones protein in urine


34. Nephrotic syndrome s/s edema + hypotension. Turn and reposition (risk for impaired skin integrity)
Most accurate way to test kids for medication accuracy
Before giving MMR>
Dumping syndrome
Nephrotic syndrome


35. Olive like mass
Hyponatremia
More info on intussception
Preload and Afterload
Common S/S of pyloric stenosis


36. HbA1c - test to assess how well blood sugars have been controlled over the past 90-120 days. 4-6 corresponds to a blood sugar of 70-110; 7 is ideal for a diabetic and corresponds to a blood sugar of 130.
From the ass From the Mouth
Protocol for Airborne Transmission
Hba1c
TPN is given in


37. Huntington's Chorea: 50% genetic - autosomal dominant disorder S/S: chorea --> writhing - twisting - movements of face - limbs and body - gait deteriorates to no ambulation - no cure - just palliative care

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38. 1 cup= 8 oz
1 cup= How many oz
After Cataract surgery
Why would a pt with leukemia have epistaxis
When is Rhogam given and how


39. Kopliks spots
Why somone who is allergic to latex would be allergic to food too
Common S/S of measles
Stranger Danger>!
Rh


40. Charcot's Triad (IAN)
Common S/S of MS>
With lower amputations
Potassium and acid base balance
What will alter the accuracy of o2 sats


41. ICP And SHOCK HAVE OPPOSITE V/S ICP- increased BP - decreased pulse - decreased resp. shock - decreased BP - increased pulse - increased resp.
ICP and Shock have
Heart Defects
More info on TB testing a positive result
How to put on traction


42. What could cause bronchopulmonary dysplasia Dysplasia means abnormality or alteration. Mechanical ventilation can cause it. Premature newborns with immature lungs are ventilated and over time it damages the lungs. Other causes could be infection - pn
Dystocia
No Cantalope
What could cause bronchopulmonary dysplasia
Thoracentesis


43. 1. COAL (cane walking): C - cane O - opposite A - affected L - leg
Appendicitis
Cane walking
Placement of a wheelchair
What is a bad sign in asthma


44. With low back aches - bend knees to relieve
Omphalocele
Asthmas and wheezers
Change in color is
How do you teach someone to reduce back aches


45. Hemoglobin Neonates 18-27 3 mos 10.6-16.5 3 yrs 9.4-15.5 10 yrs 10.7-15.5
MG and Guillian Barre
Normal Hemoglobin
Common S/S of MS>
A patient with vertical c - section will likely have


46. Position on the RIGHT side with legs flexed
Post spleenectomy
DKA
Cute way to remember glascow coma
After appendectomy


47. Bethamethasone (celestone)=surfactant. Med for lung expansion.
Common S/S of TEF
Normal Hemoglobin
Babinski sign
Bethamethasone


48. OAmniotic fluid yellow with particles = meconium stained`
Myasthenia gravis
Delegation Rule of Thumb?
Prior to liver biopsy
Meconium stained protocol


49. You can petal the rough edges of a plaster cast with tape to avoid skin irritation.
Russel Traction =
What if a toddler says no to medication
Kernigs sign
Whats petaling


50. Itching under cast area - cool air via blow dryer - ice pack for 10- 15 minutes. NEVER use qtip or anything to scratch area
How to itch under a cast
Addisons
For a lumbar puncture
Common S/S of down syndrome