Finall Exam:l NRl 574/l NR574l (Newl 2025/l
2026l Update)l Acutel Carel Practicuml I
l Guide|l Questionsl &l Answers|l Gradel A|l
100%l Correctl (Verifiedl Solutions)-l
Chamberlain
QUESTION
Insertionl sitel forl al chestl tubel -l pneumothorax
Answer:
5thl intercostall space
QUESTION
Specificl treatmentl forl tensionl pneumothorax
Answer:
•Needlel decompressionl intol thel 2ndl intercostall spacel inl thel midclavicularl linel ofl thel
affectedl side.
•Chestl tubel placementl intol thel 5thl intercostall spacel isl requiredl afterl decompression.
QUESTION
Criticall findingsl ofl cardiacl tamponade
Answer:
-Beck'sl Triad
-distendedl neckl veinsl (mayl occurl withl activel hemorrhage)
-elevatedl CVP
-PEAl arrest
QUESTION
Beck'sl triad
Answer:
-JVD
-Hypotensionl withl narrowl pulsel pressurel
-muffledl heartl tones
,QUESTION
Clinicall findingsl ofl al flaill chest
Answer:
-Paradoxicall chestl movements
-Pain
-hypoxia
-Crepitusl onl palpationl ofl ribl cage
QUESTION
Treatmentl ofl flaill chest
Answer:
-humidifiedl oxygen
-Ventilationl management
-Painl managementl (intercostall nervel block,l preventionl ofl respiratoryl failure,l splintingl ofl
chestl walll withl pillowl withl movementl orl coughing)
-pulmonaryl hygienel (deepl breathingl andl coughing,l incentivel spirometry)
QUESTION
Managementl ofl ribl fractures
Answer:
•l aggressivel multimodalityl painl control
•l Systemicl narcotics
•NSAIDSl (avoidl inl patientsl withl renall insufficiencyl orl renall failure)
•l locall anesthesial (intercostall block)
•l regionall anesthesial (epidurall block)
Elderlyl patientsl withl multiplel roof,l fracturesl andl poorl painl controll requirel ICUl
admissionl duel tol highl riskl ofl respiratoryl compromisel evenl ifl nol otherl traumal isl
present.l Include:l
-pulmonaryl hygienel (deepl breathingl andl coughing,l incentivel spirometry).
QUESTION
Kehr'sl sign
Answer:
,QUESTION
systemicl lupusl erythematosusl (SLE)
Answer:
Chronicl autol immunel disorderl thatl affectsl alll ofl thel majorl organsl ofl thel body.
QUESTION
Classicl triadl ofl symptomsl withl SLE
Answer:
-fever
-arthralgia
-Rash
QUESTION
Clinicall presentationl ofl SLEl (general)
Answer:
-fever
-arthralgia
-Rashl (malarl rash/butterflyl rash)
-Fatigue,l weakness,l malaise,l jointl pain
QUESTION
SLEl clinicall featuresl
*DOPAMINEl RASH*l mneumonic
Answer:
D-l discoidl rash
O-l orall ulcers
P-l photosensitivity
A-l arthritis
M-l malarl rashl (butterfly)
I-l immunel componentl
N-l neurologicall symptoms
E-l l ESR
R-l renall issues
A-l ANAl +
S-l serosotis
H-l hematologicall conditionsl (cytopenias)
, QUESTION
Differentialsl forl SLE
Answer:
-glomerulonephritis
-Pleurall effusion
-cytopenia
-pericarditis
-pleurisy
-rheumatoidl arthritis
-Mixedl connectivel tissuel disease
-Sjogren'sl syndrome
-multiplel sclerosis
-malignancies
QUESTION
Diagnosticl criterial forl SLE
Answer:
Mustl includel atl leastl 4️⃣l ofl thel criterial listed:l
SOAPl BRAINl MD
S-l serositisl (pleuritis,l pericarditis,l peritonitis)
O-l orall ulcersl (painless)
A-l arthralgia/arthritis
P-photosensitivity
B-bloodl disorderl (anemia,l thrombocytopenia,l hemolyticl anemia)l
R-l renall involvementl (nephroticl orl nephriticl disorders)
A-l ANAl +
I-immunologicl phenomenonl (anti-SM,l anti-l dsDNA,l Ro,l La,l anti-histone)
N-l neurologicl phenomenonl (AMSl seizure,l CVA,l HA)
M-l Malarl rash
D-l Discoidl rash
QUESTION
Diagnosticl testingl forl SLE
Answer:
ANAl +l (consideredl highlyl sensitive,l butl notl diagnosticl asl mayl presentl andl otherl
autoimmunel diseases)
CBCl (anemia,l thrombocytopenia,l leukocytosis,l orl leukopenia)
CRP/ESRl
2026l Update)l Acutel Carel Practicuml I
l Guide|l Questionsl &l Answers|l Gradel A|l
100%l Correctl (Verifiedl Solutions)-l
Chamberlain
QUESTION
Insertionl sitel forl al chestl tubel -l pneumothorax
Answer:
5thl intercostall space
QUESTION
Specificl treatmentl forl tensionl pneumothorax
Answer:
•Needlel decompressionl intol thel 2ndl intercostall spacel inl thel midclavicularl linel ofl thel
affectedl side.
•Chestl tubel placementl intol thel 5thl intercostall spacel isl requiredl afterl decompression.
QUESTION
Criticall findingsl ofl cardiacl tamponade
Answer:
-Beck'sl Triad
-distendedl neckl veinsl (mayl occurl withl activel hemorrhage)
-elevatedl CVP
-PEAl arrest
QUESTION
Beck'sl triad
Answer:
-JVD
-Hypotensionl withl narrowl pulsel pressurel
-muffledl heartl tones
,QUESTION
Clinicall findingsl ofl al flaill chest
Answer:
-Paradoxicall chestl movements
-Pain
-hypoxia
-Crepitusl onl palpationl ofl ribl cage
QUESTION
Treatmentl ofl flaill chest
Answer:
-humidifiedl oxygen
-Ventilationl management
-Painl managementl (intercostall nervel block,l preventionl ofl respiratoryl failure,l splintingl ofl
chestl walll withl pillowl withl movementl orl coughing)
-pulmonaryl hygienel (deepl breathingl andl coughing,l incentivel spirometry)
QUESTION
Managementl ofl ribl fractures
Answer:
•l aggressivel multimodalityl painl control
•l Systemicl narcotics
•NSAIDSl (avoidl inl patientsl withl renall insufficiencyl orl renall failure)
•l locall anesthesial (intercostall block)
•l regionall anesthesial (epidurall block)
Elderlyl patientsl withl multiplel roof,l fracturesl andl poorl painl controll requirel ICUl
admissionl duel tol highl riskl ofl respiratoryl compromisel evenl ifl nol otherl traumal isl
present.l Include:l
-pulmonaryl hygienel (deepl breathingl andl coughing,l incentivel spirometry).
QUESTION
Kehr'sl sign
Answer:
,QUESTION
systemicl lupusl erythematosusl (SLE)
Answer:
Chronicl autol immunel disorderl thatl affectsl alll ofl thel majorl organsl ofl thel body.
QUESTION
Classicl triadl ofl symptomsl withl SLE
Answer:
-fever
-arthralgia
-Rash
QUESTION
Clinicall presentationl ofl SLEl (general)
Answer:
-fever
-arthralgia
-Rashl (malarl rash/butterflyl rash)
-Fatigue,l weakness,l malaise,l jointl pain
QUESTION
SLEl clinicall featuresl
*DOPAMINEl RASH*l mneumonic
Answer:
D-l discoidl rash
O-l orall ulcers
P-l photosensitivity
A-l arthritis
M-l malarl rashl (butterfly)
I-l immunel componentl
N-l neurologicall symptoms
E-l l ESR
R-l renall issues
A-l ANAl +
S-l serosotis
H-l hematologicall conditionsl (cytopenias)
, QUESTION
Differentialsl forl SLE
Answer:
-glomerulonephritis
-Pleurall effusion
-cytopenia
-pericarditis
-pleurisy
-rheumatoidl arthritis
-Mixedl connectivel tissuel disease
-Sjogren'sl syndrome
-multiplel sclerosis
-malignancies
QUESTION
Diagnosticl criterial forl SLE
Answer:
Mustl includel atl leastl 4️⃣l ofl thel criterial listed:l
SOAPl BRAINl MD
S-l serositisl (pleuritis,l pericarditis,l peritonitis)
O-l orall ulcersl (painless)
A-l arthralgia/arthritis
P-photosensitivity
B-bloodl disorderl (anemia,l thrombocytopenia,l hemolyticl anemia)l
R-l renall involvementl (nephroticl orl nephriticl disorders)
A-l ANAl +
I-immunologicl phenomenonl (anti-SM,l anti-l dsDNA,l Ro,l La,l anti-histone)
N-l neurologicl phenomenonl (AMSl seizure,l CVA,l HA)
M-l Malarl rash
D-l Discoidl rash
QUESTION
Diagnosticl testingl forl SLE
Answer:
ANAl +l (consideredl highlyl sensitive,l butl notl diagnosticl asl mayl presentl andl otherl
autoimmunel diseases)
CBCl (anemia,l thrombocytopenia,l leukocytosis,l orl leukopenia)
CRP/ESRl
