PA Family Medicine EOR Questions and Answers

PA Family Medicine EOR Deteriorating mental status/unconscious patient ABC's IOM's - Answer- *A*irway security *B*reathing *C*irculation *I*V access *O*2 saturation *M*onitor vitals Acute Respiratory Distress Syndrome - Answer- ↓ PaO2 and ↑ PaCO2 from fluid collapsing the *alveoli* MCC: 6-72 hrs s/p *Sepsis* Associated w/ Renal & Hepatic failure ↓ BP or shock w/ crackles, rales, wheezing Tx: Mechanical Vent w/ *PEEP* Anaphylaxis (Type 1 Hypersensitivity) - Answer- Upper airway obstruction Urticaria Bronchospasm Hypotension Cardiovascular Collapse Tx: Epinephrine + O2 + IVF Cardiac failure/arrest - Answer- CPR: 100-120bpm Bag-Valve: 10 respirations/min, Consider advanced airway Rx: EPI 1mg Q 3-5min, Amiodarone 300mg then 150mg Reversible causes of cardiac arrest *H's & T's* - Answer- *H*ypovolemia *H*ypoxia *H*ydrogen ion (acidosis) *H*ypo-hyperkalemia *H*ypothermia *T*ension pneumo *T*amponade (cardio) *T*oxins *T*hrombosis (pulm) *T*hrombosis (cardio) Hypertensive Crisis v. Urgency v. Emergency - Answer- Crisis: Systolic BP >180mmHg or Diastolic BP >130mmHg Urgency: Severely elevated BP w/o evidence of end-organ damage Emergency: HTN w/ acute end-organ damage