7 P's of Intubation - ans1. Preparation
2. Pre-oxygenate
3. Pre-treatment
4. Paralysis with induction
5. Positioning
6. Proof of placement
7. Post intubation management
AAA Rupture
The question gave a scenario of a patient c/o severe sharp abdominal pain radiating to
his back and asked what we would expect is wrong with the patient. - ansS/S: clammy
skin, pain in the abdomen or back - sudden, severe, persistent, or constant.
Abandonment
Scenario: Moving a patient over to ICU bed and receives another emergency call, nurse
is unable to take report so CCP gives report to nurses aide. Who could be held liable
and for what if the patient falls out of the bed and breaks a hip? - ansWhen a provider
ceases care or hands care over to a less qualified or competent provider.
ABG Values
This question was a scenario with a blood gas and you had to give the interpretation. -
ans
Adam Stokes Syndrome
The question asked what drug was contraindicated in a patient with Adam Stokes.
Lidocaine was a choice. - ansTransient syncope episode. Heart rhythm experiences a
temporary pause. This can be caused by a heart block.
Contraindication - Lidocaine
Afterload
The question asked the best choice describing afterload and one of the choices has
pressure listed. - ansResistance against which the ventricles must pump against.
Afterload = Pressure.
Aggrastat (Tirofiban)
The question specifically asked what was Aggrastat. It listed glycoprotein (GP) IIb/IIIa
inhibitor as a choice. - ansA non-peptide antagonist of the platelet glycoprotein (GP)
IIb/IIIa receptor, inhibits platelet aggregation.
,Anaphylactic Shock - ansA severe hypersensitivity/reaction that involves
bronchoconstriction and cardiovascular collapse.
Anticholinergic Overdose
The question gave a scenario of a patient taking antidepressants that preseented with
the above S/S and asked what we expected was wrong with the patient. - ansDry,
increased heart rate, agitation, delirium, mydriasis, hot. Can be caused by the four
"anti's" - antihistamine, antipsychotics, antidepressants, and antiparkinsonian.
ARDS
Question was a scenario with a description of a white out x-ray. It asked what would you
suspect this patient to have. - ansAcute Respiratory Distress Syndrome.
X-ray will be a total white out
Assist/Contorl
This question just described the mode and you selected which mode best fit. -
ansPatient can breathe over set limits but each breath is at present tidal volume.
Autonomic Dysreflexia
The question gave a scenario of a patient with a spinal cord injury that had a foley
catheter and presented with goosebumps, fever, and diaphoresis. It asked what we
considered the problem to be. - ansA potentially life threatening complication of a spinal
cord injury that results from the loss of the parasympathetic stimulation. This presents
with goosebumps, fever, diaphoresis, and hypertension.
BNP (B-type natriuretic peptide)
The question was a scenario stating the patient had a high BNP and what would that
indicate. I am pretty sure that it didn't give you a value but it just told you it was high. -
ansHigh lab value indicates CHF.
Bolt
The question asked what indicated proper placement of the bolt. - ansUsed to monitor
ICP. Proper placement = good waveform.
Boyle's Law
The question gave a scenario of a patient with a pneumothorax and asked which law
would affect it. - ansBoil Very Prudently
,Boil = Volume x Pressure
As altitude increases, the atmospheric pressure decreases.
Broca's Area
The question was very simple, just asking damage to what area caused by expressive
aphasia - ansDamage to this are of the brain results in expressive aphasia
Brown-Sequard Syndrome
The question states a patient had motor loss on the same side of damage but below the
injury. - ansPenetrating trauma and hemisection and complete damage to all spinal
tracts on injured side. Motor loss on the same side but below the injury.
Burns
The question asked why your burn patient has an increase HCT. - ansPatients with
burns will have increased HCT secondary to plasma loss.
Cardiogenic Shock - ansBased upon the inadequate circulation of blood due to the
primary failure of the ventricles of the heart to function effectively.
Causes for High Pressure Alarm on Ventilator
One question just asked a reason for a high pressure alarm and decreased lung
compliance was a choice. Unsure about the second question. - ans1. Decreased Lung
Compliance
2. Kinks in tube
3. Coughing/Gagging/Secretions blockage
4. Improper flow rates and/or I:E ratio
5. Bronchospasms
6. Breathing "asynchronously"
7. Alveolar over distention
8. Sensitivity too high
9. Vibrations
*Increase sedation on patient
Central Cord Syndrome
The question gave a scenario of a patient that fell and had greater loss of function in the
upper extremities than the lower. It asked what was wrong with the patient. -
ansHyperextension injuries to the cervial are present with hemorrhage or edema to the
cervical segments. Patient present with a greater loss of function in the upper
, extremities than in the lower extremities, with a variable loss of sensation to pain and
temperature.
Cerebellum
The question asked trauma to what area would cause loss of the ability to coordinate
fine movement. - ansRegion of the brain that plays an important role in the integration of
sensory perception, coordination and motor control. Cerebellum trauma will create loss
of ability to coordinate fine movements.
Chemoreceptors - ansLocated in the aortic arch and carotid arteries. During shock they
stimulate to increase RR and depth.
Chest Tube
The question was a scenario and stated you noticed excessive bubbles, what would
that indicate. - ansExcessive continual bubbles in the water seal chamber may indicate
a pleural or system leak.
Child Abuse
The question asked what signs would indicate child abuse. The choices were an infant
with full fontenelles, N/V, and no fever; asymmetrical burns to the chest; multi-staged
bruises to the knees and elbows of a toddler; and I cannot remember the last choice. -
ansSymmetrical burns on the body, bruises on the arms and legs, infants with N/V,
swollen fontenelles and no fever.
COBRA
Question asked which choice best explained COBRA - ansThe Consolidated Omnibus
Budget Reconciliation Act. Passed in 1986, EMTALA was part of this Act. Designed to
prevent financially motivated transfers of patients in unstable condition.
Cormack-Lehane Grading Systme
The question asked which choice was a grade 2. - ansGrade 1 - The entire glottis
opening is visible
Grade 2 - The arytenoid cartilages or the posterior portion of the glottis opening is
visible
Grad 3 - Epiglottis only is visible
Grade 4 - Tongue and/or soft palate only is visible
Corticosteriods
2. Pre-oxygenate
3. Pre-treatment
4. Paralysis with induction
5. Positioning
6. Proof of placement
7. Post intubation management
AAA Rupture
The question gave a scenario of a patient c/o severe sharp abdominal pain radiating to
his back and asked what we would expect is wrong with the patient. - ansS/S: clammy
skin, pain in the abdomen or back - sudden, severe, persistent, or constant.
Abandonment
Scenario: Moving a patient over to ICU bed and receives another emergency call, nurse
is unable to take report so CCP gives report to nurses aide. Who could be held liable
and for what if the patient falls out of the bed and breaks a hip? - ansWhen a provider
ceases care or hands care over to a less qualified or competent provider.
ABG Values
This question was a scenario with a blood gas and you had to give the interpretation. -
ans
Adam Stokes Syndrome
The question asked what drug was contraindicated in a patient with Adam Stokes.
Lidocaine was a choice. - ansTransient syncope episode. Heart rhythm experiences a
temporary pause. This can be caused by a heart block.
Contraindication - Lidocaine
Afterload
The question asked the best choice describing afterload and one of the choices has
pressure listed. - ansResistance against which the ventricles must pump against.
Afterload = Pressure.
Aggrastat (Tirofiban)
The question specifically asked what was Aggrastat. It listed glycoprotein (GP) IIb/IIIa
inhibitor as a choice. - ansA non-peptide antagonist of the platelet glycoprotein (GP)
IIb/IIIa receptor, inhibits platelet aggregation.
,Anaphylactic Shock - ansA severe hypersensitivity/reaction that involves
bronchoconstriction and cardiovascular collapse.
Anticholinergic Overdose
The question gave a scenario of a patient taking antidepressants that preseented with
the above S/S and asked what we expected was wrong with the patient. - ansDry,
increased heart rate, agitation, delirium, mydriasis, hot. Can be caused by the four
"anti's" - antihistamine, antipsychotics, antidepressants, and antiparkinsonian.
ARDS
Question was a scenario with a description of a white out x-ray. It asked what would you
suspect this patient to have. - ansAcute Respiratory Distress Syndrome.
X-ray will be a total white out
Assist/Contorl
This question just described the mode and you selected which mode best fit. -
ansPatient can breathe over set limits but each breath is at present tidal volume.
Autonomic Dysreflexia
The question gave a scenario of a patient with a spinal cord injury that had a foley
catheter and presented with goosebumps, fever, and diaphoresis. It asked what we
considered the problem to be. - ansA potentially life threatening complication of a spinal
cord injury that results from the loss of the parasympathetic stimulation. This presents
with goosebumps, fever, diaphoresis, and hypertension.
BNP (B-type natriuretic peptide)
The question was a scenario stating the patient had a high BNP and what would that
indicate. I am pretty sure that it didn't give you a value but it just told you it was high. -
ansHigh lab value indicates CHF.
Bolt
The question asked what indicated proper placement of the bolt. - ansUsed to monitor
ICP. Proper placement = good waveform.
Boyle's Law
The question gave a scenario of a patient with a pneumothorax and asked which law
would affect it. - ansBoil Very Prudently
,Boil = Volume x Pressure
As altitude increases, the atmospheric pressure decreases.
Broca's Area
The question was very simple, just asking damage to what area caused by expressive
aphasia - ansDamage to this are of the brain results in expressive aphasia
Brown-Sequard Syndrome
The question states a patient had motor loss on the same side of damage but below the
injury. - ansPenetrating trauma and hemisection and complete damage to all spinal
tracts on injured side. Motor loss on the same side but below the injury.
Burns
The question asked why your burn patient has an increase HCT. - ansPatients with
burns will have increased HCT secondary to plasma loss.
Cardiogenic Shock - ansBased upon the inadequate circulation of blood due to the
primary failure of the ventricles of the heart to function effectively.
Causes for High Pressure Alarm on Ventilator
One question just asked a reason for a high pressure alarm and decreased lung
compliance was a choice. Unsure about the second question. - ans1. Decreased Lung
Compliance
2. Kinks in tube
3. Coughing/Gagging/Secretions blockage
4. Improper flow rates and/or I:E ratio
5. Bronchospasms
6. Breathing "asynchronously"
7. Alveolar over distention
8. Sensitivity too high
9. Vibrations
*Increase sedation on patient
Central Cord Syndrome
The question gave a scenario of a patient that fell and had greater loss of function in the
upper extremities than the lower. It asked what was wrong with the patient. -
ansHyperextension injuries to the cervial are present with hemorrhage or edema to the
cervical segments. Patient present with a greater loss of function in the upper
, extremities than in the lower extremities, with a variable loss of sensation to pain and
temperature.
Cerebellum
The question asked trauma to what area would cause loss of the ability to coordinate
fine movement. - ansRegion of the brain that plays an important role in the integration of
sensory perception, coordination and motor control. Cerebellum trauma will create loss
of ability to coordinate fine movements.
Chemoreceptors - ansLocated in the aortic arch and carotid arteries. During shock they
stimulate to increase RR and depth.
Chest Tube
The question was a scenario and stated you noticed excessive bubbles, what would
that indicate. - ansExcessive continual bubbles in the water seal chamber may indicate
a pleural or system leak.
Child Abuse
The question asked what signs would indicate child abuse. The choices were an infant
with full fontenelles, N/V, and no fever; asymmetrical burns to the chest; multi-staged
bruises to the knees and elbows of a toddler; and I cannot remember the last choice. -
ansSymmetrical burns on the body, bruises on the arms and legs, infants with N/V,
swollen fontenelles and no fever.
COBRA
Question asked which choice best explained COBRA - ansThe Consolidated Omnibus
Budget Reconciliation Act. Passed in 1986, EMTALA was part of this Act. Designed to
prevent financially motivated transfers of patients in unstable condition.
Cormack-Lehane Grading Systme
The question asked which choice was a grade 2. - ansGrade 1 - The entire glottis
opening is visible
Grade 2 - The arytenoid cartilages or the posterior portion of the glottis opening is
visible
Grad 3 - Epiglottis only is visible
Grade 4 - Tongue and/or soft palate only is visible
Corticosteriods
