RRT Clin Sim important associations (NBRC) 72 Questions with Verified Answers,100% CORRECT

RRT Clin Sim important associations (NBRC) 72 Questions with Verified Answers Neostygmine - CORRECT ANSWER Treatment for Myasthenia Gravis Mestanon - CORRECT ANSWER Treatment for Myasthenia Gravis Tensilon - CORRECT ANSWER TEST for Myasthenia Gravis Nitro (sodium nipride) - CORRECT ANSWER Vasodilator Manitol (Osmitol) - CORRECT ANSWER ICP Dilantin - CORRECT ANSWER Treats seizures Phenobarbitaol (luminal) - CORRECT ANSWER For thrashing Isuprel - CORRECT ANSWER Bradycardia Survanta - CORRECT ANSWER 100 mL/kg, divide 4 doses, instill dose, vigorously ventilate for 30 sec, change position and repeat Doxapram (Dopram) - CORRECT ANSWER Central sleep apnea Cromolyn Sodium - CORRECT ANSWER Preventative ONLY. Contraindicated in the presence of wheezing. Pentamadine - CORRECT ANSWER AIDS (600 mg monthly) Verapamil - CORRECT ANSWER Controls HR Digitalis (Crystodigin) - CORRECT ANSWER Increases cardiac contractility Aminophyline /theophylline (xanthine) IV bronchodilator - CORRECT ANSWER 10-20 mcg in blood Rifampin & Isoniazid INH - CORRECT ANSWER Tuberculosis Tine test - CORRECT ANSWER For ALLERGIES V/Q Scan - CORRECT ANSWER Suspicion of Pulmonary Emboli (aka deadspace disease) test only ONCE Coombs test (preNATAL and neoNATAL) - CORRECT ANSWER Used to determine anemia and transfusablility Tensilon - CORRECT ANSWER Myasthenia Gravis ELISA - CORRECT ANSWER AIDS HLTV-III - CORRECT ANSWER HIV Mantoux - CORRECT ANSWER Tuberculosis PPD - CORRECT ANSWER Tuberculosis Acid Fast Stain - CORRECT ANSWER Tuberculosis SGAW (specific airway conductance) - CORRECT ANSWER Complete PFT Methacholine Challenge - CORRECT ANSWER Complete PFT P50 - CORRECT ANSWER Hemoglobin affinity for O2, Oxygen Dissociation Curve Moro reflex - CORRECT ANSWER fear of falling (evaluates CNS) Babinski reflex - CORRECT ANSWER normal in child, indicated neuro problem in adult Hering Breuer reflex - CORRECT ANSWER limits inflation of lungs - NO TEST Rooting reflex - CORRECT ANSWER infant turns head toward anything that strokes its face Reticulogranular - CORRECT ANSWER IRDS Ground glass - CORRECT ANSWER ARDS "Boot-shaped" heart - CORRECT ANSWER Tetralogy of Fallot "Egg-shaped" heart - CORRECT ANSWER Transposition of Great Vessels Tetralogy of Fallot - CORRECT ANSWER Boot-shaped heart, right ventricular hypertrophy (SURGERY - confirm by ECG) Transposition of Great Vessels - CORRECT ANSWER Egg-shaped heart, aorta on right/pul. Artery on left (SURGERY) Patent Ductus Arteriosis - CORRECT ANSWER 15 mmHg difference of PO2 in pre-DA and post-DA arteries (SURGERY) Transillumination of chest - CORRECT ANSWER "Halo" is normal. If chest "lights up", there is a PNEUMOTHORAX Coarctation of the aorta - CORRECT ANSWER Hypertension in upper extremities, hypotension in lower, cyanotic despite FIO2 Meconium aspiration - CORRECT ANSWER Suction mouth, THEN nose ASAP. Repeated, vigorous suction. INTUBATE tube may need to be replaced at least once. IRDS Type II (TTN) - CORRECT ANSWER Late onset (~2 days) Diaphragmatic Hernia - CORRECT ANSWER Nasogastric tube is key intervention. Bowel or bowel sounds in chest, mediastinal shift, barrel chest and scaphoid abdomen are all indicators. Smoke/fire/burn - CORRECT ANSWER Intubate immediately Tube position - CORRECT ANSWER 2 cm (1 in) past vocal cords Chest pain, cold and clammy skin, diaphoresis - CORRECT ANSWER Myocardial infarction V-fib - CORRECT ANSWER Defibrillate! Pulseless v-tach - CORRECT ANSWER CPR Laryngeal mask intubation - CORRECT ANSWER Temporary, non-emergent, as in surgery Pickwickian syndrome - CORRECT ANSWER Obesity Hypoventialtion Sydrome, often accompanies OSA BARKING cough - CORRECT ANSWER CROUP!! (laryngotracheobronchitis) AVOID weaning if PIP is too high! - CORRECT ANSWER 39 mmHg Normal rise/fall of pul. artery catheter - CORRECT ANSWER Between 25 and 10 mmHg WITH a dicrotic notch. No dicrotic notch - CORRECT ANSWER Pressure dampening. Either flush, rotate or inflate balloon and "sail" back into position Rales - CORRECT ANSWER Diurese! Choanale atresia - CORRECT ANSWER Nasal tissue blockage, cyanotic, resp distress while feeding, fine the next Silverman-Anderson score - CORRECT ANSWER Scores respiratory depression in infants 0-10. 10 is worst. Exosurf dosing - CORRECT ANSWER 2.5 mL/kg divided into two doses Place on one side, instill one dose, ventilate Place on other side, instill other dose, ventilate Pulmonary angiogram - CORRECT ANSWER Suspicion of Pulmonary Emboli, esp if V/Q scan is inconclusive Potassium - CORRECT ANSWER For PVCs, Increased urine output, metabolic alkalosis HBO - CORRECT ANSWER Slow for decompression, 2 ATM Rapid for CO poisoning or infection, 3 ATM, 90 min TID/BID CSF protein test (spinal tap) - CORRECT ANSWER Tests for Guillain-Barre Ribavirin dosing (for RSV) - CORRECT ANSWER 20 mg/mL, diluted in sterile water, via SPAG Steeple sign Xray - CORRECT ANSWER Croup Thumb sign Xray - CORRECT ANSWER Epiglottitis Dobutamine - CORRECT ANSWER For heart failure and cardiogenic shock Butterfly pattern Xray or fluffy infiltrates - CORRECT ANSWER Pulmonary edema Wedge-shaped Xray - CORRECT ANSWER Pulmonary embolus Hochsinger's Sign, Doll's eyes - CORRECT ANSWER Test for tetanus (NOT DONE) MRSA infection control - CORRECT ANSWER Strict isolation Contact precautions Decadron (Dexamethasone) - CORRECT ANSWER Corticosteroid, PO or IV For croup!