SCRIBEAMERICA ED COMPREHENSIVE UPDATED EXAM
QUESTIONS AND ANSWERS GRADED A+
✔✔What are the cardiac orders? - ✔✔BMP, CBC, CK, CK-MB, CXR, EKG, Troponin
✔✔Low PH VBG significance - ✔✔Acidosis
✔✔CSF Analysis - ✔✔Cerebrospinal fluid-micro analysis
✔✔CSF analysis - ✔✔if abnormal results are seen in ALL 4 tubes then the results are
valid --> meningitis, brain bleed
✔✔VBG and BNP are what type of labs - ✔✔respiratory
✔✔PT and INR are what type of labs - ✔✔coagulation study
✔✔PT - ✔✔Prothrombin Time
✔✔High PT Significance - ✔✔Blood is too thin
✔✔INR > 3 means - ✔✔supratherapeutic (too much Coumadin)
✔✔INR < 2 means - ✔✔subtherapeutic (not enough Coumadin)
✔✔ENT labs are used for - ✔✔swab for:
strep, mono, flu, RSV
✔✔who performs ENT labs - ✔✔nurse
✔✔what is a normal INR - ✔✔1
✔✔what is the antidote to coumadin - ✔✔vitamin k
✔✔Lip and Amy labs test for - ✔✔pancreatitis
✔✔high TSH indicates - ✔✔hypothyroidism
✔✔low TSH indicates - ✔✔hyperthyroidism
✔✔HCG indicates - ✔✔pregnant vs not pregnant
✔✔Serum HCG quant indicates? - ✔✔should double to show pregnancy is further along
vs failed
, ✔✔T+X lab is used for - ✔✔Blood transfusion
✔✔wet prep is a lab used during what exam - ✔✔pelvic
✔✔GC and CT test for ? and how long do results take? - ✔✔gonorrhea and chlamydia
2 days
✔✔nitrite and leukocyte esterase in a urine dip indicates - ✔✔UTI
✔✔glycosuria indicates - ✔✔DM
✔✔Signs of sepsis - ✔✔increased HR
decreased BP
increased Temp
✔✔high lactate indicates - ✔✔sepsis
✔✔what should not be seen in a microscopic urinalysis - ✔✔epithelial cells
✔✔large amounts of ketones indicate - ✔✔DKA
✔✔number one symptom of ppl with too many ketones - ✔✔vomiting
✔✔Dig - ✔✔digotoxin
✔✔low Dig indicates - ✔✔subtherapeutic at risk for a-fib
✔✔what test must be given before receiving IV contrast? - ✔✔creatinine if greater than
1.4 can't receive contrast
✔✔3 key labs for efficiency - ✔✔D-dimer
troponin
creatinine
✔✔AAS (acute abdominal series) xray indicates - ✔✔constipation
✔✔Difference between X-ray and CT - ✔✔CT can see bone and soft tissue
✔✔3 ways a CT can be ordered - ✔✔dry - no contrast
IV contrast - show vessels
PO contrast - swallowed by mouth
✔✔backup test if creatinine is too high and can't use contrast? - ✔✔VQ scan
QUESTIONS AND ANSWERS GRADED A+
✔✔What are the cardiac orders? - ✔✔BMP, CBC, CK, CK-MB, CXR, EKG, Troponin
✔✔Low PH VBG significance - ✔✔Acidosis
✔✔CSF Analysis - ✔✔Cerebrospinal fluid-micro analysis
✔✔CSF analysis - ✔✔if abnormal results are seen in ALL 4 tubes then the results are
valid --> meningitis, brain bleed
✔✔VBG and BNP are what type of labs - ✔✔respiratory
✔✔PT and INR are what type of labs - ✔✔coagulation study
✔✔PT - ✔✔Prothrombin Time
✔✔High PT Significance - ✔✔Blood is too thin
✔✔INR > 3 means - ✔✔supratherapeutic (too much Coumadin)
✔✔INR < 2 means - ✔✔subtherapeutic (not enough Coumadin)
✔✔ENT labs are used for - ✔✔swab for:
strep, mono, flu, RSV
✔✔who performs ENT labs - ✔✔nurse
✔✔what is a normal INR - ✔✔1
✔✔what is the antidote to coumadin - ✔✔vitamin k
✔✔Lip and Amy labs test for - ✔✔pancreatitis
✔✔high TSH indicates - ✔✔hypothyroidism
✔✔low TSH indicates - ✔✔hyperthyroidism
✔✔HCG indicates - ✔✔pregnant vs not pregnant
✔✔Serum HCG quant indicates? - ✔✔should double to show pregnancy is further along
vs failed
, ✔✔T+X lab is used for - ✔✔Blood transfusion
✔✔wet prep is a lab used during what exam - ✔✔pelvic
✔✔GC and CT test for ? and how long do results take? - ✔✔gonorrhea and chlamydia
2 days
✔✔nitrite and leukocyte esterase in a urine dip indicates - ✔✔UTI
✔✔glycosuria indicates - ✔✔DM
✔✔Signs of sepsis - ✔✔increased HR
decreased BP
increased Temp
✔✔high lactate indicates - ✔✔sepsis
✔✔what should not be seen in a microscopic urinalysis - ✔✔epithelial cells
✔✔large amounts of ketones indicate - ✔✔DKA
✔✔number one symptom of ppl with too many ketones - ✔✔vomiting
✔✔Dig - ✔✔digotoxin
✔✔low Dig indicates - ✔✔subtherapeutic at risk for a-fib
✔✔what test must be given before receiving IV contrast? - ✔✔creatinine if greater than
1.4 can't receive contrast
✔✔3 key labs for efficiency - ✔✔D-dimer
troponin
creatinine
✔✔AAS (acute abdominal series) xray indicates - ✔✔constipation
✔✔Difference between X-ray and CT - ✔✔CT can see bone and soft tissue
✔✔3 ways a CT can be ordered - ✔✔dry - no contrast
IV contrast - show vessels
PO contrast - swallowed by mouth
✔✔backup test if creatinine is too high and can't use contrast? - ✔✔VQ scan
