ED SAEM Test/ 68 Quizzes & Correct Ans/
2024-2025.
name the AEIOUTIPS of AMS - Answer: A = alcohol
E = epilepsy, electrolytes, encephalopathy
I = insulin
O = opiates & oxygen
U = uremia
T = trauma & temp
I = infection
P = poison & psychogenic
S = shock, stroke, subarachnoid hemorrhage, space-occupying lesion
1. MC cause of asthma exacerbation?
2. Qs to ask pt when they come in?
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,3. mainstay of therapy? (1st line)
4. if mod/severe, give what?
5. if severe & not improving with albuterol, use what? (4 things)
6. criteria for ICU admission? - Answer: 1. URI
2. previous episodes, prior ED visits, hospitalizations or ICU admissions, steroid
use, past intubations
3. albuterol nebulizer continuous 6-8L/min or via nasal cannula, place on cardiac
monitor/continuous pulse oximetry with goal SpO2 >92%
4. oral/IV steroids
5. IM > SQ epinephrine 0.2mg or terbutaline 0.25 mg. Also ipratropium
(anticholinergic) combined w albuterol = Duonebs. Last line: MgSO4
6. <90% SpO2, FEV1 < 40%
1. how is dosing of drugs administered endotracheally? which drugs?
2. when do you think of H's and T's?
3. things to order during ACLS?
4. successful resuscitation dependent on what? Joules on biphasic & monophasic?
5. doses of Epi, vasopressin, amiodarone? - Answer: 1. 2-2.5x the IV route. Drugs:
NAVEL- naloxone, atropine, vasopressin, Epi, Licocaine
2. during PEA/asystole
3. EKG, ABG, serum electrolytes, CXR, US
4. rapid defibrillation. biphasic: 200. Monophasic: 360
5. Epi 1mg (1:10,000), vaso 40U, amiodarone 300mg >150mg
1. what is the leading cause of systolic HF?
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, 2. Tx for CHF exacerbation?
3. prognosis at Dx? - Answer: 1. myocardial infarction
2. nitrates are 1st line. IF fluid overloaded, then lasix. If in cardiogenic shock,
levophed.
3. 5 years
1. classic triad of ruptured AAA
2. imaging of choice?
3. continuous abd bruit & palpable thrill?
4. bloody stool?
5. Mgmt of AAA? goal MAP? - Answer: 1. pain, hypo-TN, pulsatile abd mass
2. US
3. aortovenous fistula
4. aortoenteric fistula
5. 2 large bore IVs, type/cross, goal MAP 90-100, emergent surgery
1. name 4 causes of mesenteric ischemia & presentation?
2. which patients should you watch for? Sx?
3. MC cause? RF?
4. which has worst prognosis?
5. which occurs in younger pop?
6. Imaging used & gold standard?
7. Tx? For artery thrombus, embolus, veinous thrombosis. - Answer: 1. mesenteric
artery embolus, thrombus, mesenteric vein thrombosis
2. elderly- N/V/D, sudden onset diffuse abd pain
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2024-2025.
name the AEIOUTIPS of AMS - Answer: A = alcohol
E = epilepsy, electrolytes, encephalopathy
I = insulin
O = opiates & oxygen
U = uremia
T = trauma & temp
I = infection
P = poison & psychogenic
S = shock, stroke, subarachnoid hemorrhage, space-occupying lesion
1. MC cause of asthma exacerbation?
2. Qs to ask pt when they come in?
Page 1 of 28
,3. mainstay of therapy? (1st line)
4. if mod/severe, give what?
5. if severe & not improving with albuterol, use what? (4 things)
6. criteria for ICU admission? - Answer: 1. URI
2. previous episodes, prior ED visits, hospitalizations or ICU admissions, steroid
use, past intubations
3. albuterol nebulizer continuous 6-8L/min or via nasal cannula, place on cardiac
monitor/continuous pulse oximetry with goal SpO2 >92%
4. oral/IV steroids
5. IM > SQ epinephrine 0.2mg or terbutaline 0.25 mg. Also ipratropium
(anticholinergic) combined w albuterol = Duonebs. Last line: MgSO4
6. <90% SpO2, FEV1 < 40%
1. how is dosing of drugs administered endotracheally? which drugs?
2. when do you think of H's and T's?
3. things to order during ACLS?
4. successful resuscitation dependent on what? Joules on biphasic & monophasic?
5. doses of Epi, vasopressin, amiodarone? - Answer: 1. 2-2.5x the IV route. Drugs:
NAVEL- naloxone, atropine, vasopressin, Epi, Licocaine
2. during PEA/asystole
3. EKG, ABG, serum electrolytes, CXR, US
4. rapid defibrillation. biphasic: 200. Monophasic: 360
5. Epi 1mg (1:10,000), vaso 40U, amiodarone 300mg >150mg
1. what is the leading cause of systolic HF?
Page 2 of 28
, 2. Tx for CHF exacerbation?
3. prognosis at Dx? - Answer: 1. myocardial infarction
2. nitrates are 1st line. IF fluid overloaded, then lasix. If in cardiogenic shock,
levophed.
3. 5 years
1. classic triad of ruptured AAA
2. imaging of choice?
3. continuous abd bruit & palpable thrill?
4. bloody stool?
5. Mgmt of AAA? goal MAP? - Answer: 1. pain, hypo-TN, pulsatile abd mass
2. US
3. aortovenous fistula
4. aortoenteric fistula
5. 2 large bore IVs, type/cross, goal MAP 90-100, emergent surgery
1. name 4 causes of mesenteric ischemia & presentation?
2. which patients should you watch for? Sx?
3. MC cause? RF?
4. which has worst prognosis?
5. which occurs in younger pop?
6. Imaging used & gold standard?
7. Tx? For artery thrombus, embolus, veinous thrombosis. - Answer: 1. mesenteric
artery embolus, thrombus, mesenteric vein thrombosis
2. elderly- N/V/D, sudden onset diffuse abd pain
Page 3 of 28
