MDC 4 UPDATED EXAM SCRIPT QUESTIONS AND
SOLUTIONS RATED A+
✔✔what is affected by a lightning injury? - ✔✔heart and CNS
✔✔who is most at risk for a lightning injury - ✔✔young adult males
✔✔what nursing care is needed for a lightning injury - ✔✔- immediate CPR
- ECG
- CT
- tetanus prophylaxis
✔✔what system is used during a mass casualty to sort patients into priority of care? -
✔✔tag system
✔✔what information do you write on the triage tags? - ✔✔- color/priority
- age/DOB (identifying characteristics)
- treatment and meds already given
- next of kin
✔✔what is the color system for triage tagging - ✔✔- green
- yellow
- red
- black
✔✔what does the color green mean in triage? - ✔✔non-urgent/walking, talking
✔✔what does yellow mean in triage - ✔✔urgent but not life threatening
✔✔what does the red tag mean in triage - ✔✔emergent could die if not treatment but
have better odds
✔✔what does black mean in triage - ✔✔do not attempt to treat them because their
injuries are too extensive and will die regardless
✔✔interventions to manage stress - ✔✔- develop a buddy system w/ coworker
- have well balanced meals
- drink alot of water
- take breaks
- do not exceed more than 12hrs/day
- stay in touch with friends/family
- crisis debriefing
- take a few minutes each shift to decompress
,✔✔MRC - ✔✔Medical Reserve Corps
✔✔why is MRC a thing? - ✔✔Created for volunteers in the community who want to
donate their time ad expertise to prepare for and respond to emergencies on a local
scale
✔✔DMAT - ✔✔Disaster Medical Assistance Team
✔✔what does DMAT do - ✔✔they are federal employees who make up a medical relief
team made up of civilians who's license is valid in all states when working
✔✔how can a person be prepared for disasters - ✔✔have a go bag with personal
readiness supplies
**should be enough for three days at least
✔✔what is an internal disaster - ✔✔anything impacting inside the hospital
✔✔examples of an internal disaster - ✔✔- fire
- water pipe burst
- power outage
- shooting at Seattle Grace
✔✔what is an external disaster - ✔✔A disaster that occurs in the community and may
be natural, manmade, or terror-induced
✔✔examples of external disasters - ✔✔- earthquake
- flood
- car pile up
- ferry boat crash
✔✔What is the most common type of dementia? - ✔✔Alzheimer's disease
✔✔Is Alzheimer's reversible? - ✔✔No
✔✔What is the etiology of Alzheimer's? - ✔✔Unknown
✔✔Alzheimer's is the result of? - ✔✔changes in personality, memory, and/or judgement
✔✔What are risk factors for Alzheimer's? - ✔✔* 65+ years
* female
* head injury
* APOE gene
, ✔✔what is the patho of Alzheimer's - ✔✔plaques, tangles, degeneration of neurons
✔✔How is Alzheimer's diagnosed? - ✔✔biopsy at autopsy is the only definitive way but
dementia can be ruled out with CT, labs, UA, and MRI
✔✔Early s/s of Alzheimer's Disease - ✔✔- decreased short term memory
- decreased sense of smell
- misplaced items
✔✔Middle s/s of Alzheimer's Disease - ✔✔- wander
- agitated
- incontinent
- money issues
✔✔late s/s of Alzheimer's disease - ✔✔- bed ridden
- agnosia (inability to recognize objects, people, or sounds)
✔✔Medications used for Alzheimer's - ✔✔Cholinesterase inhibitors
- slow breakdown of Ach
- Donepezil and Rivastigimine
NMDA receptor antagonists
- block excess amounts of glutamate
- Memantine
✔✔Nursing care for Alzheimer's - ✔✔- safe environment (#1) good lighting, no clutter
- stick with a routine
- offer walks, exercise
- reduce distractions
- avoid use of restraints
✔✔What is Parkinson's Disease - ✔✔Movement disorder caused by the death of cells
that generate dopamine in the basal ganglia and substantial nigra.
Low levels of dopamine and high levels of Ach
✔✔How does Parkinson's progress? - ✔✔slowly, but will eventually lead to disability
✔✔How is parkinson's diagnosed - ✔✔history and s/s
✔✔s/s of parkinsons - ✔✔- tremors
- muscle rigidity
- mak like facial expression
- bradykinesia
- shuffling gait
SOLUTIONS RATED A+
✔✔what is affected by a lightning injury? - ✔✔heart and CNS
✔✔who is most at risk for a lightning injury - ✔✔young adult males
✔✔what nursing care is needed for a lightning injury - ✔✔- immediate CPR
- ECG
- CT
- tetanus prophylaxis
✔✔what system is used during a mass casualty to sort patients into priority of care? -
✔✔tag system
✔✔what information do you write on the triage tags? - ✔✔- color/priority
- age/DOB (identifying characteristics)
- treatment and meds already given
- next of kin
✔✔what is the color system for triage tagging - ✔✔- green
- yellow
- red
- black
✔✔what does the color green mean in triage? - ✔✔non-urgent/walking, talking
✔✔what does yellow mean in triage - ✔✔urgent but not life threatening
✔✔what does the red tag mean in triage - ✔✔emergent could die if not treatment but
have better odds
✔✔what does black mean in triage - ✔✔do not attempt to treat them because their
injuries are too extensive and will die regardless
✔✔interventions to manage stress - ✔✔- develop a buddy system w/ coworker
- have well balanced meals
- drink alot of water
- take breaks
- do not exceed more than 12hrs/day
- stay in touch with friends/family
- crisis debriefing
- take a few minutes each shift to decompress
,✔✔MRC - ✔✔Medical Reserve Corps
✔✔why is MRC a thing? - ✔✔Created for volunteers in the community who want to
donate their time ad expertise to prepare for and respond to emergencies on a local
scale
✔✔DMAT - ✔✔Disaster Medical Assistance Team
✔✔what does DMAT do - ✔✔they are federal employees who make up a medical relief
team made up of civilians who's license is valid in all states when working
✔✔how can a person be prepared for disasters - ✔✔have a go bag with personal
readiness supplies
**should be enough for three days at least
✔✔what is an internal disaster - ✔✔anything impacting inside the hospital
✔✔examples of an internal disaster - ✔✔- fire
- water pipe burst
- power outage
- shooting at Seattle Grace
✔✔what is an external disaster - ✔✔A disaster that occurs in the community and may
be natural, manmade, or terror-induced
✔✔examples of external disasters - ✔✔- earthquake
- flood
- car pile up
- ferry boat crash
✔✔What is the most common type of dementia? - ✔✔Alzheimer's disease
✔✔Is Alzheimer's reversible? - ✔✔No
✔✔What is the etiology of Alzheimer's? - ✔✔Unknown
✔✔Alzheimer's is the result of? - ✔✔changes in personality, memory, and/or judgement
✔✔What are risk factors for Alzheimer's? - ✔✔* 65+ years
* female
* head injury
* APOE gene
, ✔✔what is the patho of Alzheimer's - ✔✔plaques, tangles, degeneration of neurons
✔✔How is Alzheimer's diagnosed? - ✔✔biopsy at autopsy is the only definitive way but
dementia can be ruled out with CT, labs, UA, and MRI
✔✔Early s/s of Alzheimer's Disease - ✔✔- decreased short term memory
- decreased sense of smell
- misplaced items
✔✔Middle s/s of Alzheimer's Disease - ✔✔- wander
- agitated
- incontinent
- money issues
✔✔late s/s of Alzheimer's disease - ✔✔- bed ridden
- agnosia (inability to recognize objects, people, or sounds)
✔✔Medications used for Alzheimer's - ✔✔Cholinesterase inhibitors
- slow breakdown of Ach
- Donepezil and Rivastigimine
NMDA receptor antagonists
- block excess amounts of glutamate
- Memantine
✔✔Nursing care for Alzheimer's - ✔✔- safe environment (#1) good lighting, no clutter
- stick with a routine
- offer walks, exercise
- reduce distractions
- avoid use of restraints
✔✔What is Parkinson's Disease - ✔✔Movement disorder caused by the death of cells
that generate dopamine in the basal ganglia and substantial nigra.
Low levels of dopamine and high levels of Ach
✔✔How does Parkinson's progress? - ✔✔slowly, but will eventually lead to disability
✔✔How is parkinson's diagnosed - ✔✔history and s/s
✔✔s/s of parkinsons - ✔✔- tremors
- muscle rigidity
- mak like facial expression
- bradykinesia
- shuffling gait
