COPR ACP PREP EXAM QUESTIONS &
ANSWERS
Type of facial paralysis causing an inability to control facial muscles on the affected side (7th
cranial nerve) - ANSWERSBell's palsy
Mallory-Weiss tear - ANSWERSa tear of the tissue of your lower esophagus, can be induced by
vomiting
What is Grey Turner's sign? - ANSWERSBruising on the flanks caused by retroperitoneal
hemorrhage, or bleeding behind the peritoneum
Adaptive VS. Innate Immunity - ANSWERSInnate: born with it, non-specific, fast-acting, long-
term
Adaptive: acquired, specific, lengthy process, can be short or long term
Inotropic - ANSWERSforce of contraction
Chronotropic - ANSWERSrate of contraction
Dromotropic - ANSWERSrate of electrical conduction
Neonatal Resuscitation: HR >100 or Apnea - ANSWERSPosition airway, provide PPV (room air),
monitor Sp02 on right hand
Neonatal Resuscitation: HR >100 after PPV - ANSWERSCorrective airway measures, check for
chest movement, ETT or LMA
,Neonatal Resuscitation: HR >60 after PPV & Advanced Airway - ANSWERSCPR + PPV with 100%
02 + IV Epinephrine
Placenta previa - ANSWERSwhen a baby's placenta partially or totally covers the mother's
cervix. causes painless, bright red vaginal bleeding
Rovsing's sign - ANSWERSPalpation of LLQ causing RLQ pain - indicative of acute appendicitis
Anticholinergic overdose S&S - ANSWERSdilated pupils, tachycardia, hot/flushed skin, confusion,
irritability, shaking
Pediatric Assessment Triangle (PAT) - ANSWERSAppearance, work of breathing, circulation (skin)
START triage stands for? - ANSWERSSimple Triage and Rapid Treatment
START triage color codes - ANSWERSblack - no resps
red - resps >30, cap <2, no rad pulse, can't follow commands
yellow - not black, red or green
green - can walk
Cholinergic receptors & side effects - ANSWERSnicotinic and muscarinic
binds to acetylcholine
"SLUDGE" symptoms
Anticholinergic overdose symptoms - ANSWERSRed as a beet - flushed skin
Dry as bone - dry skin/mucous membranes
,Blind as a bat - mydriasis with double or blurry vision
Mad as a hatter - altered mental status/psychosis
Hot as a hare - fever
How do ACE inhibitors work? - ANSWERSAngiotensin-converting enzyme (ACE) inhibitors are
medications that help relax the veins and arteries to lower B/P by preventing an enzyme in the
body from producing angiotensin II
(meds that end in -pril)
Class II antiarrhythmic drugs - ANSWERSbeta blockers
3 main causes of seizures - ANSWERSstructural, metabolic, febrile
Cerebral Perfusion Pressure formula - ANSWERSCPP = MAP - ICP
Cardiac Glycosides - ANSWERSdrugs used to improve heart output by increasing the muscular
contraction (Eg. Digoxin)
CBRNE agents - ANSWERSChemical, Biological, Radiological, Nuclear, Explosive
HELLP syndrome - ANSWERScondition during pregnancy - hemolysis, elevated liver enzymes,
low platelets
Confounding bias definition - ANSWERSfactor related to both exposure and outcome, not on
causal pathway
mitral regurgitation - ANSWERSReflux of blood from left ventricle into left atrium during systole
, S3 heart sound - ANSWERSS3 — in early diastole during rapid ventricular
filling phase, increased filling pressures (e.g., mitral regurgitation, HF), more common in dilated
ventricles (but normal in children and pregnant women)
Valve that allows blood to flow from the right atrium to the right ventricle in your heart and
preventing blood from flowing backward. - ANSWERStricuspid valve
Normal Bicarbonate - ANSWERS22-26 mEq/L
Parkland Formula - ANSWERS4ml x body weight (kg) x BSA = volume to be infused in 24 hours
(50% over 1st 8hrs, 50% over next 16hrs)
What is choanal atresia? - ANSWERScongenital obstruction of posterior nasal passages
How does pericarditis present on ECG? - ANSWERSwidespread ST elevation
What is Levodopa used for? - ANSWERSParkinson's disease
What is hyphema? - ANSWERSblood in the anterior chamber of the eye (usually caused by blunt
force)
Signs & symptoms of retinal detachment - ANSWERS"floaters" and/or dark spots in field of
vision
Murphy's sign - ANSWERSPain with palpation of RUQ/gallbladder (seen with cholecystitis),
especially during inspiration
ANSWERS
Type of facial paralysis causing an inability to control facial muscles on the affected side (7th
cranial nerve) - ANSWERSBell's palsy
Mallory-Weiss tear - ANSWERSa tear of the tissue of your lower esophagus, can be induced by
vomiting
What is Grey Turner's sign? - ANSWERSBruising on the flanks caused by retroperitoneal
hemorrhage, or bleeding behind the peritoneum
Adaptive VS. Innate Immunity - ANSWERSInnate: born with it, non-specific, fast-acting, long-
term
Adaptive: acquired, specific, lengthy process, can be short or long term
Inotropic - ANSWERSforce of contraction
Chronotropic - ANSWERSrate of contraction
Dromotropic - ANSWERSrate of electrical conduction
Neonatal Resuscitation: HR >100 or Apnea - ANSWERSPosition airway, provide PPV (room air),
monitor Sp02 on right hand
Neonatal Resuscitation: HR >100 after PPV - ANSWERSCorrective airway measures, check for
chest movement, ETT or LMA
,Neonatal Resuscitation: HR >60 after PPV & Advanced Airway - ANSWERSCPR + PPV with 100%
02 + IV Epinephrine
Placenta previa - ANSWERSwhen a baby's placenta partially or totally covers the mother's
cervix. causes painless, bright red vaginal bleeding
Rovsing's sign - ANSWERSPalpation of LLQ causing RLQ pain - indicative of acute appendicitis
Anticholinergic overdose S&S - ANSWERSdilated pupils, tachycardia, hot/flushed skin, confusion,
irritability, shaking
Pediatric Assessment Triangle (PAT) - ANSWERSAppearance, work of breathing, circulation (skin)
START triage stands for? - ANSWERSSimple Triage and Rapid Treatment
START triage color codes - ANSWERSblack - no resps
red - resps >30, cap <2, no rad pulse, can't follow commands
yellow - not black, red or green
green - can walk
Cholinergic receptors & side effects - ANSWERSnicotinic and muscarinic
binds to acetylcholine
"SLUDGE" symptoms
Anticholinergic overdose symptoms - ANSWERSRed as a beet - flushed skin
Dry as bone - dry skin/mucous membranes
,Blind as a bat - mydriasis with double or blurry vision
Mad as a hatter - altered mental status/psychosis
Hot as a hare - fever
How do ACE inhibitors work? - ANSWERSAngiotensin-converting enzyme (ACE) inhibitors are
medications that help relax the veins and arteries to lower B/P by preventing an enzyme in the
body from producing angiotensin II
(meds that end in -pril)
Class II antiarrhythmic drugs - ANSWERSbeta blockers
3 main causes of seizures - ANSWERSstructural, metabolic, febrile
Cerebral Perfusion Pressure formula - ANSWERSCPP = MAP - ICP
Cardiac Glycosides - ANSWERSdrugs used to improve heart output by increasing the muscular
contraction (Eg. Digoxin)
CBRNE agents - ANSWERSChemical, Biological, Radiological, Nuclear, Explosive
HELLP syndrome - ANSWERScondition during pregnancy - hemolysis, elevated liver enzymes,
low platelets
Confounding bias definition - ANSWERSfactor related to both exposure and outcome, not on
causal pathway
mitral regurgitation - ANSWERSReflux of blood from left ventricle into left atrium during systole
, S3 heart sound - ANSWERSS3 — in early diastole during rapid ventricular
filling phase, increased filling pressures (e.g., mitral regurgitation, HF), more common in dilated
ventricles (but normal in children and pregnant women)
Valve that allows blood to flow from the right atrium to the right ventricle in your heart and
preventing blood from flowing backward. - ANSWERStricuspid valve
Normal Bicarbonate - ANSWERS22-26 mEq/L
Parkland Formula - ANSWERS4ml x body weight (kg) x BSA = volume to be infused in 24 hours
(50% over 1st 8hrs, 50% over next 16hrs)
What is choanal atresia? - ANSWERScongenital obstruction of posterior nasal passages
How does pericarditis present on ECG? - ANSWERSwidespread ST elevation
What is Levodopa used for? - ANSWERSParkinson's disease
What is hyphema? - ANSWERSblood in the anterior chamber of the eye (usually caused by blunt
force)
Signs & symptoms of retinal detachment - ANSWERS"floaters" and/or dark spots in field of
vision
Murphy's sign - ANSWERSPain with palpation of RUQ/gallbladder (seen with cholecystitis),
especially during inspiration
