5/9/25, 6:07 AM STAT PEARLS- CHSOS EXAM 2024-2025(APRN Acute Care Exam Prep)
STAT PEARLS- CHSOS EXAM 2024-2025(APRN
Acute Care Exam Prep) ACTUAL EXAM AND
CORRECT DETAILED ANSWERS WITH
RATIONALES|ALREADY GRADED A+/NEWEST
UPDATE
Terms in this set (128)
A male is brought to the B. Lemierre syndrome
healthcare provider with
severe throat pain. He -The patient's condition can spread to the lateral
recently had a dental pharyngeal space and from there further into the
procedure. Temperature internal jugular vein which can lead to
102.1 F, blood pressure is thrombophlebitis.
110/82 mmHg, and the
pulse is 101/min. The -Lemierre syndrome is a rare, potentially lethal
physical examination condition occurring in immunocompetent young
reveals left-sided neck adults that is characterized by septic thrombophlebitis
swelling and torticollis. If involving the internal jugular vein.
left untreated, what
deadly disease process -Fusobacterium is the bacteria most commonly
may result from this responsible for this syndrome.
condition?
-This condition can lead to bacteremia and cause
endocarditis, pneumonia. If a patent foramen ovale is
present, it can cause a cerebrovascular accident.
A. Preseptal cellulitis
B. Lemierre syndrome
C. Malignant otitis externa
D. Mucormycosis
… 1/141
,5/9/25, 6:07 AM STAT PEARLS- CHSOS EXAM 2024-2025(APRN Acute Care Exam Prep)
A 9-month-old girl D. Nasal suctioning and supplemental oxygen
presents with worsening
rhinorrhea, nasal -This infant should receive supplemental oxygen and
congestion, and increased nasal suctioning as a part of the supportive care used
work of breathing for to treat pediatric patients with viral bronchiolitis.
three days. Vital signs are Nebulized racemic epinephrine is not a part of that
temperature 37.8 C (100.4 supportive care. Some infants can get mild stridor in
F), heart rate 152 bpm, the setting of bronchiolitis due to persistent coughing
respiratory rate 75 that causes laryngeal edema, resulting in a small
breaths/min, blood degree of upper airway obstruction. Generally, if
pressure 92/40 mmHg, stridor only occurs with exertion or agitation, it does
and arterial not require treatment, as in the vignette.
oxyhemoglobin saturation
90%. The child weighs 9.4 -Medications, such as epinephrine, are not
kg (20 lb 11 oz). Physical recommended as part of supportive care or in the
examination findings treatment of bronchiolitis.
include thick mucus in her
nares, erythematous -Corticosteroids and other drugs are not
tympanic membranes, recommended as part of the treatment of viral
intercostal retractions, bronchiolitis.
expiratory wheezes on
auscultation, mild stridor -Nebulized albuterol is not recommended, but the
that is only evident when healthcare provider in the question already gave it
she is agitated, regular S1 without effect.
and S2 heart sounds, and
normal tone. Nebulized
albuterol 2.5 milligrams is
administered without
improvement of
respiratory status. Based
on the underlying
diagnosis, what is the most
appropriate next step in
management?
A. Nebulized racemic
epinephrine
… 2/141
,5/9/25, 6:07 AM STAT PEARLS- CHSOS EXAM 2024-2025(APRN Acute Care Exam Prep)
epinephrine
oxygen
… 3/141
, 5/9/25, 6:07 AM STAT PEARLS- CHSOS EXAM 2024-2025(APRN Acute Care Exam Prep)
B. Acute dystonic reaction
-There are several well-defined presentations of acute
dystonic reactions. A buccolingual crisis is
characterized by trismus, risus sardonicus, dysarthria,
dysphagia, grimacing, and tongue protrusion. An
oculogyric crisis is characterized by spasms of the
extraocular muscles, most commonly deviating
upward. A torticollis crisis is characterized by an
abnormal, asymmetric head or neck position. Irregular
contractions of the abdominal wall, hip, and pelvic
musculature characterize a tortipelvic crisis. An
A 17-year-old boy
opisthotonic crisis is characterized by characteristic
presents to the
flexion posturing with back arching. Laryngeal
emergency department
dystonia is characterized by dysphonia and stridor. A
with acute neck spasms
sensation of tongue swelling and protrusion
for the last 2 hours. His
characterizes Pseudomacroglossia.
mother reports he was
watching television when
-Evaluation of a patient with acute dystonic reaction
his symptoms began. He
should be performed with the same necessary steps
has a history of intrusive
as any other critical presentation, including
auditory hallucinations
assessment of airway, breathing, and circulation.
and was recently started
Subtle signs such as dysphonia or complaints of throat
on a new antipsychotic
discomfort following the administration of a potential
medication. What is his
offending agent should raise suspicion of laryngeal
most likely diagnosis?
dystonia.
A. Tardive dyskinesia
-Conditions that can mimic acute dystonic reactions
B. Acute dystonic reaction
include functional neurological disorder, tetanus,
C. Acute cervical strain
focal seizure, strychnine poisoning, hypocalcemia,
D. Malingering
anticholinergic toxicity, meningitis, neuroleptic
malignant syndrome, stroke, temporomandibular joint
dislocation, mandibular fracture, orbital fracture, and
clonus.
-Treatment of acute dystonic reaction centers around
discontinuation of the offending agent and balancing
… 4/141
STAT PEARLS- CHSOS EXAM 2024-2025(APRN
Acute Care Exam Prep) ACTUAL EXAM AND
CORRECT DETAILED ANSWERS WITH
RATIONALES|ALREADY GRADED A+/NEWEST
UPDATE
Terms in this set (128)
A male is brought to the B. Lemierre syndrome
healthcare provider with
severe throat pain. He -The patient's condition can spread to the lateral
recently had a dental pharyngeal space and from there further into the
procedure. Temperature internal jugular vein which can lead to
102.1 F, blood pressure is thrombophlebitis.
110/82 mmHg, and the
pulse is 101/min. The -Lemierre syndrome is a rare, potentially lethal
physical examination condition occurring in immunocompetent young
reveals left-sided neck adults that is characterized by septic thrombophlebitis
swelling and torticollis. If involving the internal jugular vein.
left untreated, what
deadly disease process -Fusobacterium is the bacteria most commonly
may result from this responsible for this syndrome.
condition?
-This condition can lead to bacteremia and cause
endocarditis, pneumonia. If a patent foramen ovale is
present, it can cause a cerebrovascular accident.
A. Preseptal cellulitis
B. Lemierre syndrome
C. Malignant otitis externa
D. Mucormycosis
… 1/141
,5/9/25, 6:07 AM STAT PEARLS- CHSOS EXAM 2024-2025(APRN Acute Care Exam Prep)
A 9-month-old girl D. Nasal suctioning and supplemental oxygen
presents with worsening
rhinorrhea, nasal -This infant should receive supplemental oxygen and
congestion, and increased nasal suctioning as a part of the supportive care used
work of breathing for to treat pediatric patients with viral bronchiolitis.
three days. Vital signs are Nebulized racemic epinephrine is not a part of that
temperature 37.8 C (100.4 supportive care. Some infants can get mild stridor in
F), heart rate 152 bpm, the setting of bronchiolitis due to persistent coughing
respiratory rate 75 that causes laryngeal edema, resulting in a small
breaths/min, blood degree of upper airway obstruction. Generally, if
pressure 92/40 mmHg, stridor only occurs with exertion or agitation, it does
and arterial not require treatment, as in the vignette.
oxyhemoglobin saturation
90%. The child weighs 9.4 -Medications, such as epinephrine, are not
kg (20 lb 11 oz). Physical recommended as part of supportive care or in the
examination findings treatment of bronchiolitis.
include thick mucus in her
nares, erythematous -Corticosteroids and other drugs are not
tympanic membranes, recommended as part of the treatment of viral
intercostal retractions, bronchiolitis.
expiratory wheezes on
auscultation, mild stridor -Nebulized albuterol is not recommended, but the
that is only evident when healthcare provider in the question already gave it
she is agitated, regular S1 without effect.
and S2 heart sounds, and
normal tone. Nebulized
albuterol 2.5 milligrams is
administered without
improvement of
respiratory status. Based
on the underlying
diagnosis, what is the most
appropriate next step in
management?
A. Nebulized racemic
epinephrine
… 2/141
,5/9/25, 6:07 AM STAT PEARLS- CHSOS EXAM 2024-2025(APRN Acute Care Exam Prep)
epinephrine
oxygen
… 3/141
, 5/9/25, 6:07 AM STAT PEARLS- CHSOS EXAM 2024-2025(APRN Acute Care Exam Prep)
B. Acute dystonic reaction
-There are several well-defined presentations of acute
dystonic reactions. A buccolingual crisis is
characterized by trismus, risus sardonicus, dysarthria,
dysphagia, grimacing, and tongue protrusion. An
oculogyric crisis is characterized by spasms of the
extraocular muscles, most commonly deviating
upward. A torticollis crisis is characterized by an
abnormal, asymmetric head or neck position. Irregular
contractions of the abdominal wall, hip, and pelvic
musculature characterize a tortipelvic crisis. An
A 17-year-old boy
opisthotonic crisis is characterized by characteristic
presents to the
flexion posturing with back arching. Laryngeal
emergency department
dystonia is characterized by dysphonia and stridor. A
with acute neck spasms
sensation of tongue swelling and protrusion
for the last 2 hours. His
characterizes Pseudomacroglossia.
mother reports he was
watching television when
-Evaluation of a patient with acute dystonic reaction
his symptoms began. He
should be performed with the same necessary steps
has a history of intrusive
as any other critical presentation, including
auditory hallucinations
assessment of airway, breathing, and circulation.
and was recently started
Subtle signs such as dysphonia or complaints of throat
on a new antipsychotic
discomfort following the administration of a potential
medication. What is his
offending agent should raise suspicion of laryngeal
most likely diagnosis?
dystonia.
A. Tardive dyskinesia
-Conditions that can mimic acute dystonic reactions
B. Acute dystonic reaction
include functional neurological disorder, tetanus,
C. Acute cervical strain
focal seizure, strychnine poisoning, hypocalcemia,
D. Malingering
anticholinergic toxicity, meningitis, neuroleptic
malignant syndrome, stroke, temporomandibular joint
dislocation, mandibular fracture, orbital fracture, and
clonus.
-Treatment of acute dystonic reaction centers around
discontinuation of the offending agent and balancing
… 4/141
