Definition
A patient is admitted with adrenal insufficiency. The provider orders
Dexamethasone (Decadron). Which side effect should you
anticipate?
A. Increased potassium level
B. Increased calcium level
C. Hypoglycemia
D. Proximal muscle weakness
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d (Side effects of dexamethasone include decreased potassium and
calcium levels, hyperglycemia, and myopathy that results in proximal
muscle weakness.)
a (The best place to auscultate the mitral valve is the left mid-clavicular line, 5th
ICS-directly over the anatomic location of the valve. The mitral valve is open
during diastole, so altered flow due to stenosis is best heard then.)
, b (In acute asthma exacerbation, hypercapnia or elevated PaCO2 is an ominous
sign and indicates the patient is becoming fatigued and going into acute
respiratory failure.)
Lepirudin (Refludan)
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Term
a (Atrial fibrillation. Atrial fibrillation occurs due to distension of the
atrial myocardial tissue as a result of reduced left ventricular
emptying. The tissues around the pulmonary veins are typical sites
for atrial ectopy. 2nd degree AV block type II and 3rd degree AV
block are complications associated with occlusion of the left
anterior descending artery during acute coronary syndrome. 2nd
degree AV block type I is seen with conditions that produce
ischemia to the AV node.)
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Pharmaceutical management of hypertrophic cardiomyopathy should include:
A. Metoprolol (Lopressor)
B. Furosemide (Lasix)
C. Digoxin (Lanoxin)
D. Nitroprusside (Nipride)
A patient with Diabetes Insipidus (DI) should be closely monitored for:
A. Ventricular dysrhythmias
, B. S3 ventricular gallop
C. Hypovolemic shock
D. Adrenal crisis
Which set of lab values is commonly seen in acute pancreatitis?
A. Hyperglycemia, hypercalcemia, hyperkalemia
B. Hyperglycemia, hypocalcemia, hypokalemia
C. Hypoglycemia, hypocalcemia, hypokalemia
D. Hypoglycemia, hypercalcemia, hyperkalemia
Which arrhythmia is commonly associated with left-sided heart failure? A.
Atrial fibrillation
B. 2nd degree AV block type I
C. 2nd degree AV block type II
D. 3rd degree AV block
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Definition
Janeway lesions, splinter hemorrhages, mucosal petechiae, and
Roth's spots are indicators of ______________________.
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pericarditis endocarditis
myocarditis valvular prolapse
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Definition
A patient with refractory hypoxemia and diffuse crackles should be
evaluated for ______________.
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ARDS (acute respiratory
Pneumothorax
distress syndrome)
Asthmatic bronchitis COPD exacerbation
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Definition
Diuresis and dehydration cause preload to ___________.
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increase decrease
fluctuate stabilize
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