Practice Questions and Answers – Ideal Study
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A 3-hour-old neonate is found to be polycythemic. What is the likely cause?
A: Placental transfusion
B: Low amniotic fluid level
C: Normal fetal hemoglobin (HbF)
D: Fetal anemia
Accurate Answer: A:
Inadvertant migration of the intra-aortic balloon may cause all of the following EXCEPT:
A: Loss of renal perfusion
B: Loss of flow to the carotid artery
C: Loss of blood flow to the renal arteries
D: Loss of flow to the subclavian artery
Accurate Answer: B:
,The transport team provider has arrived to transfer a patient with a confirmed hemorrhagic
stroke. During pupillary assessment the clinical provider notices bilateral eyelid retraction. What
is this assessment finding called?
A: Collier's Sign
B: Kernig's Sign
C: Cullen's
D: Kehr's Sign
Accurate Answer: A:
In evaluating fetal heart characteristics, which finding is most important in determining
neurological maturity?
A: Transient accelerations and decelerations
B: Variability
C: Accelerations
D: Flat or decreased beat-to-beat variability
Accurate Answer: B:
Which of the following hemodynamic parameters would indicate left ventricular failure in a
patient with chronic obstructive pulmonary disease (COPD)?
A: PAP 48/26, PCWP 20
B: PAP 25/21, PCWP 13
,C: PAP 48/26, PCWP 12
D: PAP 22/12, PCWP 16
Accurate Answer: A:
Which of the following hemodynamic parameters would be most indicative of cardiogenic
shock?
A: Systolic blood pressure 140 mmHg, CI 3 L/min, PCWP 8 mmHg
B: Systolic blood pressure 80 mmHg, CI 1.8 L/min, PCWP 30 mmHg
C: Systolic blood pressure 90 mmHg, CI 2.2 L/min, PCWP 5 mmHg
D: Systolic blood pressure 120 mmHg, CI 4 L/min, PCWP 12 mmHg
Accurate Answer: B:
The primary treatment in reversing malignant hyperthermia is what medication?
A: Dantrolene
B: Calcium chloride
C: Vecuronium
D: Fentanyl
Accurate Answer: A:
, A 40-year-old male patient with a history of a traumatic brain injury is being transported by
helicopter to a regional facility. During the flight, you review the medical records and note that
the patient presented to the emergency department that morning with low serum osmolality,
hyponatremia, and a high urine specific gravity. You suspect this patient may be suffering from:
A: Anaphylaxis
B: Diabetes insipidus (DI)
C: Syndrome of inappropriate anti-diuretic hormone (SIADH)
D: Traumatic brain injury (TBI)
Accurate Answer: C:
A patient presents in thyroid storm from an exacerbation of hyperthyroidism. What are their
expected labs?
A: TSH elevated, T3 and T4 decreased
B: TSH elevated, T3 and T4 increased
C: TSH depressed, T3 and T4 decreased
D: TSH depressed, T3 and T4 increased
Accurate Answer: D:
Regarding the diabetic ketoacidosis PT, Glucose should be decreased based on the following
guidlines?
A: Glucose decreased < 200mg/dL per hour
B: Glucose decrease < 100mg/dL per hour