NSER 7210 Final Exam Questions With
Correct Answers
Which |of |the |following |statements |about |norepinephrine |is |false?
a) |It |is |a |catecholamine |with |potent |alpha |adrenergic |effects
b) |It |Is |very |helpful |in |distributive |forms |of |shock |because |of |it's |potent |vasoconstrictive |
characteristics
c) |It |does |not |significantly |increase |heart |rate |as |compared |to |epinephrine
d) |It |is |a |good |choice |for |patients |with |low |cardiac |outputs |states |secondary |to |hypovolemia |- |
CORRECT |ANSWER✔✔-D) |It |is |a |good |choice |for |patients |with |low |cardiac |outputs |states |
secondary |to |hypovolemia
When |resuscitating |a |severely |hypovolemic |patient, |when |should |blood |products |be |
considered?
A) |after |4-6 |litres |of |crystalloids |have |been |infused |and |the |patient |remains |unstable
B) |after |2-3 |litres |of |crystalloids |have |been |infused |and |the |patient |remains |unstable
C) |only |when |obvious |deadly |bleeding |is |observed
D) |only |when |the |serum |blood |test |results |reveal |a |severely |low |hemoglobin |- |CORRECT |
ANSWER✔✔-B) |after |2-3 |liters |of |crystalloids |have |been |infused |and |the |patient |remains |
unstable
True |or |false: |all |ectopic |pregnancies |must |be |managed |surgically? |- |CORRECT |ANSWER✔✔-
false
Which |blood |component |contains |coagulation |factors?
a) |PRBC
,b) |platelets
c) |plasma
d) |RH |positive |blood |- |CORRECT |ANSWER✔✔-c) |plasma
A |geriatric |patient |presents |to |your |ED |with |a |sudden |onset |of |confusion. |What |is |the |most |
common |cause |of |acute |confusion |in |the |elderly?
a)
Adverse |effects |from |medications |(i.e. |drug-drug |interaction |or |toxic |levels |of |drug)
b)
Untreated |anemia
c)
Nutritional |deficiency
d)
It |is |a |normal |result |from |the |aging |process |- |CORRECT |ANSWER✔✔-A) |adverse |effects |from |
medications
Which |of |the |following |statements |about |crystalloids |is |false?
a)
They |most |closely |mimic |the |body's |extracellular |fluid
b)
They |draw |fluid |from |the |interstitial |and |intracellular |space |into |the |intravascular |space
c)
Examples |of |crystalloids |include |normal |saline |and |ringers |lactate
d)
They |expand |circulating |volume |so |it |is |important |to |monitor |for |fluid |excess |or |overload |- |
CORRECT |ANSWER✔✔-B) |they |draw |fluid |from |the |interstitial |and |intracellular |space |into |the |
intravascular |space
,Which |of |the |following |statements |about |medications |used |in |RSI |are |true?
1. |An |induction |agent |should |be |given |prior |to |a |neuromuscular |blocking |agent
2. |A |non-depolarizing |NMBA |might |be |preferred |over |a |depolarizing |NMBA |in |a |patient |with |a |
crush |injury, |renal |disease, |or |hyperkalemia
3. |A |dose |of |Atropine |should |be |considered |in |infants |< |12 |months |of |age |to |prevent |reflex |
bradycardia
4. |Propofol |is |a |good |induction |agent |choice |in |the |hemodynamically |unstable |patient |due |to |
it's |hemoprotective |characteristics
a)
1 |and |2
b)
2 |and |3
c)
1, |2, |and |3
d)
1, |3, |and |4 |- |CORRECT |ANSWER✔✔-C) |1, |2, |3
1. |An |induction |agent |should |be |given |prior |to |a |neuromuscular |blocking |agent
2. |A |non-depolarizing |NMBA |might |be |preferred |over |a |depolarizing |NMBA |in |a |patient |with |a |
crush |injury, |renal |disease, |or |hyperkalemia
3. |A |dose |of |Atropine |should |be |considered |in |infants |< |12 |months |of |age |to |prevent |reflex |
bradycardia
Which |of |the |following |would |be |appropriate |actions |to |take |when |a |patient |discloses |they |are
|experiencing |intimate |partner |violence?
1. |Validate |that |the |disclosure |and |ask |open |ended |questions |about |the |abuse |they |are |
experiencing2. |Determine |if |they |feel |safe |leaving |the |ED, |and |if |not, |link |them |to |a |domestic |
violence |agency |to |seek |alternative |housing3. |Offer |the |opportunity |for |assistance |in |
, contacting |law |enforcement |should |they |want |to |report |the |IPV4. |Provide |instructions |on |how
|to |keep |them |(and |their |children) |safe |should |they |need |to |leave |the |home |quickly |if |violence
|escalates5. |Provide |a |referral |to |local |or |national |IPV/domestic |violence |hot |lines.
a)
1, |2, |and |5
b)
1, |3, |and |4
c)
2, |3, |and |5
d)
1, |2, |3, |and |4
e)
1, |2, |3, |4 |and |5 |- |CORRECT |ANSWER✔✔-E) |1, |2, |3, |4, |5
Which |of |the |following |is |not |a |potential |cause |of |hypovolemic |shock?
a)
Ruptured |ectopic |pregnancy
b)
Prolonged |vomiting |and |diarrhea
c)
A |large |surface |burn
d)
A |pulmonary |embolism |- |CORRECT |ANSWER✔✔-D) |pulmonary |embolism
The |most |significant |potential |problem |for |a |patient |with |a |tubal |rupture |from |an |ectopic |
pregnancy |is:
Correct Answers
Which |of |the |following |statements |about |norepinephrine |is |false?
a) |It |is |a |catecholamine |with |potent |alpha |adrenergic |effects
b) |It |Is |very |helpful |in |distributive |forms |of |shock |because |of |it's |potent |vasoconstrictive |
characteristics
c) |It |does |not |significantly |increase |heart |rate |as |compared |to |epinephrine
d) |It |is |a |good |choice |for |patients |with |low |cardiac |outputs |states |secondary |to |hypovolemia |- |
CORRECT |ANSWER✔✔-D) |It |is |a |good |choice |for |patients |with |low |cardiac |outputs |states |
secondary |to |hypovolemia
When |resuscitating |a |severely |hypovolemic |patient, |when |should |blood |products |be |
considered?
A) |after |4-6 |litres |of |crystalloids |have |been |infused |and |the |patient |remains |unstable
B) |after |2-3 |litres |of |crystalloids |have |been |infused |and |the |patient |remains |unstable
C) |only |when |obvious |deadly |bleeding |is |observed
D) |only |when |the |serum |blood |test |results |reveal |a |severely |low |hemoglobin |- |CORRECT |
ANSWER✔✔-B) |after |2-3 |liters |of |crystalloids |have |been |infused |and |the |patient |remains |
unstable
True |or |false: |all |ectopic |pregnancies |must |be |managed |surgically? |- |CORRECT |ANSWER✔✔-
false
Which |blood |component |contains |coagulation |factors?
a) |PRBC
,b) |platelets
c) |plasma
d) |RH |positive |blood |- |CORRECT |ANSWER✔✔-c) |plasma
A |geriatric |patient |presents |to |your |ED |with |a |sudden |onset |of |confusion. |What |is |the |most |
common |cause |of |acute |confusion |in |the |elderly?
a)
Adverse |effects |from |medications |(i.e. |drug-drug |interaction |or |toxic |levels |of |drug)
b)
Untreated |anemia
c)
Nutritional |deficiency
d)
It |is |a |normal |result |from |the |aging |process |- |CORRECT |ANSWER✔✔-A) |adverse |effects |from |
medications
Which |of |the |following |statements |about |crystalloids |is |false?
a)
They |most |closely |mimic |the |body's |extracellular |fluid
b)
They |draw |fluid |from |the |interstitial |and |intracellular |space |into |the |intravascular |space
c)
Examples |of |crystalloids |include |normal |saline |and |ringers |lactate
d)
They |expand |circulating |volume |so |it |is |important |to |monitor |for |fluid |excess |or |overload |- |
CORRECT |ANSWER✔✔-B) |they |draw |fluid |from |the |interstitial |and |intracellular |space |into |the |
intravascular |space
,Which |of |the |following |statements |about |medications |used |in |RSI |are |true?
1. |An |induction |agent |should |be |given |prior |to |a |neuromuscular |blocking |agent
2. |A |non-depolarizing |NMBA |might |be |preferred |over |a |depolarizing |NMBA |in |a |patient |with |a |
crush |injury, |renal |disease, |or |hyperkalemia
3. |A |dose |of |Atropine |should |be |considered |in |infants |< |12 |months |of |age |to |prevent |reflex |
bradycardia
4. |Propofol |is |a |good |induction |agent |choice |in |the |hemodynamically |unstable |patient |due |to |
it's |hemoprotective |characteristics
a)
1 |and |2
b)
2 |and |3
c)
1, |2, |and |3
d)
1, |3, |and |4 |- |CORRECT |ANSWER✔✔-C) |1, |2, |3
1. |An |induction |agent |should |be |given |prior |to |a |neuromuscular |blocking |agent
2. |A |non-depolarizing |NMBA |might |be |preferred |over |a |depolarizing |NMBA |in |a |patient |with |a |
crush |injury, |renal |disease, |or |hyperkalemia
3. |A |dose |of |Atropine |should |be |considered |in |infants |< |12 |months |of |age |to |prevent |reflex |
bradycardia
Which |of |the |following |would |be |appropriate |actions |to |take |when |a |patient |discloses |they |are
|experiencing |intimate |partner |violence?
1. |Validate |that |the |disclosure |and |ask |open |ended |questions |about |the |abuse |they |are |
experiencing2. |Determine |if |they |feel |safe |leaving |the |ED, |and |if |not, |link |them |to |a |domestic |
violence |agency |to |seek |alternative |housing3. |Offer |the |opportunity |for |assistance |in |
, contacting |law |enforcement |should |they |want |to |report |the |IPV4. |Provide |instructions |on |how
|to |keep |them |(and |their |children) |safe |should |they |need |to |leave |the |home |quickly |if |violence
|escalates5. |Provide |a |referral |to |local |or |national |IPV/domestic |violence |hot |lines.
a)
1, |2, |and |5
b)
1, |3, |and |4
c)
2, |3, |and |5
d)
1, |2, |3, |and |4
e)
1, |2, |3, |4 |and |5 |- |CORRECT |ANSWER✔✔-E) |1, |2, |3, |4, |5
Which |of |the |following |is |not |a |potential |cause |of |hypovolemic |shock?
a)
Ruptured |ectopic |pregnancy
b)
Prolonged |vomiting |and |diarrhea
c)
A |large |surface |burn
d)
A |pulmonary |embolism |- |CORRECT |ANSWER✔✔-D) |pulmonary |embolism
The |most |significant |potential |problem |for |a |patient |with |a |tubal |rupture |from |an |ectopic |
pregnancy |is:
