NR574/t NRt 574t Finalt Exam:t Acutet Caret
Practicumt Guidet (Latestt 2025/t 2026t
Update)t |t Questionst &t Answers|t Gradet
A|t 100%t Correctt (Verifiedt Solutions)-t
Chamberlain
QUESTION
Managementt oft ribt fractures
Answer:
•t aggressivet multimodalityt paint control
•t Systemict narcotics
•NSAIDSt (avoidt int patientst witht renalt insufficiencyt ort renalt failure)
•t localt anesthesiat (intercostalt block)
•t regionalt anesthesiat (epiduralt block)
Elderlyt patientst witht multiplet roof,t fracturest andt poort paint controlt requiret ICUt
admissiont duet tot hight riskt oft respiratoryt compromiset event ift not othert traumat ist
present.t Include:t
-pulmonaryt hygienet (deept breathingt andt coughing,t incentivet spirometry).
QUESTION
Kehr'st sign
Answer:
QUESTION
systemict lupust erythematosust (SLE)
Answer:
Chronict autot immunet disordert thatt affectst allt oft thet majort organst oft thet body.
QUESTION
Classict triadt oft symptomst witht SLE
,Answer:
-fever
-arthralgia
-Rash
QUESTION
Clinicalt presentationt oft SLEt (general)
Answer:
-fever
-arthralgia
-Rasht (malart rash/butterflyt rash)
-Fatigue,t weakness,t malaise,t jointt pain
QUESTION
SLEt clinicalt featurest
*DOPAMINEt RASH*t mneumonic
Answer:
D-t discoidt rash
O-t oralt ulcers
P-t photosensitivity
A-t arthritis
M-t malart rasht (butterfly)
I-t immunet componentt
N-t neurologicalt symptoms
E-t t ESR
R-t renalt issues
A-t ANAt +
S-t serosotis
H-t hematologicalt conditionst (cytopenias)
QUESTION
Differentialst fort SLE
Answer:
-glomerulonephritis
-Pleuralt effusion
-cytopenia
-pericarditis
,-pleurisy
-rheumatoidt arthritis
-Mixedt connectivet tissuet disease
-Sjogren'st syndrome
-multiplet sclerosis
-malignancies
QUESTION
Diagnostict criteriat fort SLE
Answer:
Mustt includet att leastt 4️⃣t oft thet criteriat listed:t
SOAPt BRAINt MD
S-t serositist (pleuritis,t pericarditis,t peritonitis)
O-t oralt ulcerst (painless)
A-t arthralgia/arthritis
P-photosensitivity
B-bloodt disordert (anemia,t thrombocytopenia,t hemolytict anemia)t
R-t renalt involvementt (nephrotict ort nephritict disorders)
A-t ANAt +
I-immunologict phenomenont (anti-SM,t anti-t dsDNA,t Ro,t La,t anti-histone)
N-t neurologict phenomenont (AMSt seizure,t CVA,t HA)
M-t Malart rash
D-t Discoidt rash
QUESTION
Diagnostict testingt fort SLE
Answer:
ANAt +t (consideredt highlyt sensitive,t butt nott diagnostict ast mayt presentt andt othert
autoimmunet diseases)
CBCt (anemia,t thrombocytopenia,t leukocytosis,t ort leukopenia)
CRP/ESRt
kidneyt biopsyt (donet whent lupust nephritist ist at consideration)
QUESTION
Additionalt diagnosticst donet tot detectt systemict manifestationst oft SLE
Answer:
•t rheumatoidt factort (RF)
•anti-Ro/SSAt andt anti-La/SSA
, •t anti-double-strandt DNAt (anti-dsDNA)
•t EKGt andt CXRt tot evaluatet fort cardiot pulmonaryt disorders
•t Renalt functiont abnormalitiest requiret furthert testing,t liket urinet creatininet andt protein,t
andt renalt ultrasound
QUESTION
Insertiont sitet fort at chestt tubet -t pneumothorax
Answer:
5tht intercostalt space
QUESTION
Specifict treatmentt fort tensiont pneumothorax
Answer:
•Needlet decompressiont intot thet 2ndt intercostalt spacet int thet midclaviculart linet oft thet
affectedt side.
•Chestt tubet placementt intot thet 5tht intercostalt spacet ist requiredt aftert decompression.
QUESTION
Criticalt findingst oft cardiact tamponade
Answer:
-Beck'st Triad
-distendedt neckt veinst (mayt occurt witht activet hemorrhage)
-elevatedt CVP
-PEAt arrest
QUESTION
Beck'st triad
Answer:
-JVD
-Hypotensiont witht narrowt pulset pressuret
-muffledt heartt tones
QUESTION
Clinicalt findingst oft at flailt chest
Answer:
-Paradoxicalt chestt movements
Practicumt Guidet (Latestt 2025/t 2026t
Update)t |t Questionst &t Answers|t Gradet
A|t 100%t Correctt (Verifiedt Solutions)-t
Chamberlain
QUESTION
Managementt oft ribt fractures
Answer:
•t aggressivet multimodalityt paint control
•t Systemict narcotics
•NSAIDSt (avoidt int patientst witht renalt insufficiencyt ort renalt failure)
•t localt anesthesiat (intercostalt block)
•t regionalt anesthesiat (epiduralt block)
Elderlyt patientst witht multiplet roof,t fracturest andt poort paint controlt requiret ICUt
admissiont duet tot hight riskt oft respiratoryt compromiset event ift not othert traumat ist
present.t Include:t
-pulmonaryt hygienet (deept breathingt andt coughing,t incentivet spirometry).
QUESTION
Kehr'st sign
Answer:
QUESTION
systemict lupust erythematosust (SLE)
Answer:
Chronict autot immunet disordert thatt affectst allt oft thet majort organst oft thet body.
QUESTION
Classict triadt oft symptomst witht SLE
,Answer:
-fever
-arthralgia
-Rash
QUESTION
Clinicalt presentationt oft SLEt (general)
Answer:
-fever
-arthralgia
-Rasht (malart rash/butterflyt rash)
-Fatigue,t weakness,t malaise,t jointt pain
QUESTION
SLEt clinicalt featurest
*DOPAMINEt RASH*t mneumonic
Answer:
D-t discoidt rash
O-t oralt ulcers
P-t photosensitivity
A-t arthritis
M-t malart rasht (butterfly)
I-t immunet componentt
N-t neurologicalt symptoms
E-t t ESR
R-t renalt issues
A-t ANAt +
S-t serosotis
H-t hematologicalt conditionst (cytopenias)
QUESTION
Differentialst fort SLE
Answer:
-glomerulonephritis
-Pleuralt effusion
-cytopenia
-pericarditis
,-pleurisy
-rheumatoidt arthritis
-Mixedt connectivet tissuet disease
-Sjogren'st syndrome
-multiplet sclerosis
-malignancies
QUESTION
Diagnostict criteriat fort SLE
Answer:
Mustt includet att leastt 4️⃣t oft thet criteriat listed:t
SOAPt BRAINt MD
S-t serositist (pleuritis,t pericarditis,t peritonitis)
O-t oralt ulcerst (painless)
A-t arthralgia/arthritis
P-photosensitivity
B-bloodt disordert (anemia,t thrombocytopenia,t hemolytict anemia)t
R-t renalt involvementt (nephrotict ort nephritict disorders)
A-t ANAt +
I-immunologict phenomenont (anti-SM,t anti-t dsDNA,t Ro,t La,t anti-histone)
N-t neurologict phenomenont (AMSt seizure,t CVA,t HA)
M-t Malart rash
D-t Discoidt rash
QUESTION
Diagnostict testingt fort SLE
Answer:
ANAt +t (consideredt highlyt sensitive,t butt nott diagnostict ast mayt presentt andt othert
autoimmunet diseases)
CBCt (anemia,t thrombocytopenia,t leukocytosis,t ort leukopenia)
CRP/ESRt
kidneyt biopsyt (donet whent lupust nephritist ist at consideration)
QUESTION
Additionalt diagnosticst donet tot detectt systemict manifestationst oft SLE
Answer:
•t rheumatoidt factort (RF)
•anti-Ro/SSAt andt anti-La/SSA
, •t anti-double-strandt DNAt (anti-dsDNA)
•t EKGt andt CXRt tot evaluatet fort cardiot pulmonaryt disorders
•t Renalt functiont abnormalitiest requiret furthert testing,t liket urinet creatininet andt protein,t
andt renalt ultrasound
QUESTION
Insertiont sitet fort at chestt tubet -t pneumothorax
Answer:
5tht intercostalt space
QUESTION
Specifict treatmentt fort tensiont pneumothorax
Answer:
•Needlet decompressiont intot thet 2ndt intercostalt spacet int thet midclaviculart linet oft thet
affectedt side.
•Chestt tubet placementt intot thet 5tht intercostalt spacet ist requiredt aftert decompression.
QUESTION
Criticalt findingst oft cardiact tamponade
Answer:
-Beck'st Triad
-distendedt neckt veinst (mayt occurt witht activet hemorrhage)
-elevatedt CVP
-PEAt arrest
QUESTION
Beck'st triad
Answer:
-JVD
-Hypotensiont witht narrowt pulset pressuret
-muffledt heartt tones
QUESTION
Clinicalt findingst oft at flailt chest
Answer:
-Paradoxicalt chestt movements
