NSER 7210 - Mod 2 Exam Questions With
Correct Answers
Describe |the |stages |of |alcohol |withdrawal |syndrome, |and |the |timing |since |last |drink |- |
CORRECT |ANSWER✔✔-Minor: |6-12 |hours |(Tremors, |sweating, |nausea, |tachy)
Alcohol |hallucinosis: |12-24 |hours |(Dysperception)
Alcohol |withdrawal |seizures: |24-48 |(Seizures)
Delirium |tremens: |48-72 |(psychosis, |hallucinations, |seizure, |coma)
What |is |the |"gold |standard |treatment" |of |alcohol |withdrawal |- |CORRECT |ANSWER✔✔-
Benzodiazepines
What |are |the |symptoms |of |alcohol |withdrawal |- |CORRECT |ANSWER✔✔-Autonomic |
hyperactivity |- |Agitation, |tremors, |irritability, |anxiety, |hyperreflexia, |confusion, |hypertension, |
tachycardia, |fever, |diaphoresis,
Severe: |Hallucinations, |Seizures, |psychosis, |coma
Briefly |describe |the |mechanism |of |EOTH |withdrawal |- |CORRECT |ANSWER✔✔-ETOH |causes |
CNS |depression |through |enhanced |GABA |activity. |Chronic |ETOH |causes |reduced |function |and |
number |of |GABA |receptors |and |upregulation |of |NMDA |receptors |to |achieve |homeostasis. |
Abrupt |cessation |causes |hyperexcitability |due |to |impaired |GABA |(inhibition) |and |increased |
NMDA |(excitatory) |functioning
What |is |the |"Kindling" |theory |of |alcohol |withdrawal |- |CORRECT |ANSWER✔✔-Those |with |
repeated |episodes |of |alcohol |withdrawal |syndrome |have |an |increased |neuronal |excitability |
and |sensitivity, |meaning |they |are |at |risk |of |progression |to |severe |withdrawal
, Who |is |at |risk |of |severe |alcohol |withdrawal |syndrome? |- |CORRECT |ANSWER✔✔-Those |with |
repeated |episodes |of |AWS
Medications |that |mask |early |symptoms |(beta |blockers)
Severe |illness |increases |risk |of |severe |AWS |(pneumonia, |coronary |heart |disease, |liver |disease, |
anemia)
Describe |the |general |treatment |plan |of |alcohol |withdrawal |syndrome |- |CORRECT |ANSWER✔✔-
Reduce |stressors: |Gentle |reorientation, |quiet |room, |gentle |lighting
Correct |fluid |depletion, |hypoglycemia |and |lyte |and |vitamin |disturbances |
Benzo's |are |only |med |with |proven |efficacy, |several |others |being |studied |(Sodium |oxybate, |
propofol)
Potential |adjuncts |(Beta |blockers, |barbituates, |clonidine, |gabapentin, |neuroepileptics)
Define |SIRS |- |CORRECT |ANSWER✔✔-An |overwhelming, |unregulated |inflammatory |response
Results |in |uncontrolled |coagulation, |widespread |vessel |leakage, |poor |distribution |of |circulating
|volume
Explain |qSOFA |for |assessment |of |Sepsis |- |CORRECT |ANSWER✔✔-Quick |Sequential |Organ |
Failure |Assessment
RR |>22
Change |in |mental |status
Systolic |BP |< |100 |mmHg
State |the |5 |risk |factors |for |severe |sepsis |- |CORRECT |ANSWER✔✔-Looks |unwell
Age |>65
Recent |surgery
Immunocompromised
Chronic |illness |(Diabetes, |renal |failure, |cancer, |ETOH)
Correct Answers
Describe |the |stages |of |alcohol |withdrawal |syndrome, |and |the |timing |since |last |drink |- |
CORRECT |ANSWER✔✔-Minor: |6-12 |hours |(Tremors, |sweating, |nausea, |tachy)
Alcohol |hallucinosis: |12-24 |hours |(Dysperception)
Alcohol |withdrawal |seizures: |24-48 |(Seizures)
Delirium |tremens: |48-72 |(psychosis, |hallucinations, |seizure, |coma)
What |is |the |"gold |standard |treatment" |of |alcohol |withdrawal |- |CORRECT |ANSWER✔✔-
Benzodiazepines
What |are |the |symptoms |of |alcohol |withdrawal |- |CORRECT |ANSWER✔✔-Autonomic |
hyperactivity |- |Agitation, |tremors, |irritability, |anxiety, |hyperreflexia, |confusion, |hypertension, |
tachycardia, |fever, |diaphoresis,
Severe: |Hallucinations, |Seizures, |psychosis, |coma
Briefly |describe |the |mechanism |of |EOTH |withdrawal |- |CORRECT |ANSWER✔✔-ETOH |causes |
CNS |depression |through |enhanced |GABA |activity. |Chronic |ETOH |causes |reduced |function |and |
number |of |GABA |receptors |and |upregulation |of |NMDA |receptors |to |achieve |homeostasis. |
Abrupt |cessation |causes |hyperexcitability |due |to |impaired |GABA |(inhibition) |and |increased |
NMDA |(excitatory) |functioning
What |is |the |"Kindling" |theory |of |alcohol |withdrawal |- |CORRECT |ANSWER✔✔-Those |with |
repeated |episodes |of |alcohol |withdrawal |syndrome |have |an |increased |neuronal |excitability |
and |sensitivity, |meaning |they |are |at |risk |of |progression |to |severe |withdrawal
, Who |is |at |risk |of |severe |alcohol |withdrawal |syndrome? |- |CORRECT |ANSWER✔✔-Those |with |
repeated |episodes |of |AWS
Medications |that |mask |early |symptoms |(beta |blockers)
Severe |illness |increases |risk |of |severe |AWS |(pneumonia, |coronary |heart |disease, |liver |disease, |
anemia)
Describe |the |general |treatment |plan |of |alcohol |withdrawal |syndrome |- |CORRECT |ANSWER✔✔-
Reduce |stressors: |Gentle |reorientation, |quiet |room, |gentle |lighting
Correct |fluid |depletion, |hypoglycemia |and |lyte |and |vitamin |disturbances |
Benzo's |are |only |med |with |proven |efficacy, |several |others |being |studied |(Sodium |oxybate, |
propofol)
Potential |adjuncts |(Beta |blockers, |barbituates, |clonidine, |gabapentin, |neuroepileptics)
Define |SIRS |- |CORRECT |ANSWER✔✔-An |overwhelming, |unregulated |inflammatory |response
Results |in |uncontrolled |coagulation, |widespread |vessel |leakage, |poor |distribution |of |circulating
|volume
Explain |qSOFA |for |assessment |of |Sepsis |- |CORRECT |ANSWER✔✔-Quick |Sequential |Organ |
Failure |Assessment
RR |>22
Change |in |mental |status
Systolic |BP |< |100 |mmHg
State |the |5 |risk |factors |for |severe |sepsis |- |CORRECT |ANSWER✔✔-Looks |unwell
Age |>65
Recent |surgery
Immunocompromised
Chronic |illness |(Diabetes, |renal |failure, |cancer, |ETOH)
