CEN Review Practice Exam.
1. Pit vipers, such as water moccasin and Hemotoxin, causes coagulopathies,
hypoten-
cotton mouth, rattlesnake, and copper- sion, DIC, and rhabdo
head have elliptical eyes and
triangular heads. Their venom is
what type of tox- in?
2. Elapidae snakes such as coral Neuro toxin that can c abuse respiratory
snake have what type of toxin
failure and muscle weakness
3. 4 elements of medical negligence 1. Duty to act
2. Breach of duty/contract, meaning
care was sub-standard
3. Proximate cause, meaning the breech
was the actual cause of injury
4. Result in damage, meaning the
injury was caused by the negligence
4. Which of the following drugs should be C. Etomidate due to concern for
adrenal sup-
avoided with RSI with a septic pression
patient
A. lidocaine
B. succinylcholine
C. Etomidate
D. Ketamine
5. A trauma patient with a massive hemo- D. Hypotension
thorax will exhibit
A. Tracheal deviation 6. For shock, what must be
B. Distended neck veins present for REBOA
C. Hyper resonance on affected
area
D. Hypotension
1/
37
, CEN Review Practice Exam.
Remember to ditterentiate between massive he-
mothorax Vs tension pneumothorax assess neck veins
and percussion
Patient must have a pulse
2/
37
, CEN Review Practice Exam.
7. Typical vital sign changes that D. Narrowed pulse pressure
occur with uncompensated, or
progressive shock include
A. Widening pulse pressure
B. Bradycardia
C. Decreased capillary refill
D. Narrowed pulse pressure
8. Skin changes with early vs late shock Early shock skin is flushed and warm,
late shock
skin is pale, cool, clammy, and mottled
9. Epinephrine dose for For anaphylactic shock give epi
anaphylactic shock vs ACLS
1:1000 With 1mg/1mL, inject 0.1-
0.5mL IM or SQ
REMEMBER IN SEVERE CASES YOU CAN
10. Neurogenic shock is associate GIVE EPI 1:10,000 BUT THROUGH IV
with spinal injury at what ONLY
location
At or above T6
11. Neurogenic vs spinal shock
location if injury and symptoms
Neurogenic shock is at or above T6.
Symptoms include hypotension and
bradycardia, warm, dry, flushed skin, and
poikilothermia
Spinal shock involves loss of all neurogenic
12. How much crystalloid should be func- tion below the level of injury
giv- en per bolts for a pediatric including no DTR's and paralysis
patient in shock, versus how much
should be giv- en for blood 20mL/kg for IVF and
products 10mL/kg for blood
3/
37
, CEN Review Practice Exam.
products
13. Lyme disease characteristics Bulls eye rash, fever, malaise, onset 3 days
4/
37
1. Pit vipers, such as water moccasin and Hemotoxin, causes coagulopathies,
hypoten-
cotton mouth, rattlesnake, and copper- sion, DIC, and rhabdo
head have elliptical eyes and
triangular heads. Their venom is
what type of tox- in?
2. Elapidae snakes such as coral Neuro toxin that can c abuse respiratory
snake have what type of toxin
failure and muscle weakness
3. 4 elements of medical negligence 1. Duty to act
2. Breach of duty/contract, meaning
care was sub-standard
3. Proximate cause, meaning the breech
was the actual cause of injury
4. Result in damage, meaning the
injury was caused by the negligence
4. Which of the following drugs should be C. Etomidate due to concern for
adrenal sup-
avoided with RSI with a septic pression
patient
A. lidocaine
B. succinylcholine
C. Etomidate
D. Ketamine
5. A trauma patient with a massive hemo- D. Hypotension
thorax will exhibit
A. Tracheal deviation 6. For shock, what must be
B. Distended neck veins present for REBOA
C. Hyper resonance on affected
area
D. Hypotension
1/
37
, CEN Review Practice Exam.
Remember to ditterentiate between massive he-
mothorax Vs tension pneumothorax assess neck veins
and percussion
Patient must have a pulse
2/
37
, CEN Review Practice Exam.
7. Typical vital sign changes that D. Narrowed pulse pressure
occur with uncompensated, or
progressive shock include
A. Widening pulse pressure
B. Bradycardia
C. Decreased capillary refill
D. Narrowed pulse pressure
8. Skin changes with early vs late shock Early shock skin is flushed and warm,
late shock
skin is pale, cool, clammy, and mottled
9. Epinephrine dose for For anaphylactic shock give epi
anaphylactic shock vs ACLS
1:1000 With 1mg/1mL, inject 0.1-
0.5mL IM or SQ
REMEMBER IN SEVERE CASES YOU CAN
10. Neurogenic shock is associate GIVE EPI 1:10,000 BUT THROUGH IV
with spinal injury at what ONLY
location
At or above T6
11. Neurogenic vs spinal shock
location if injury and symptoms
Neurogenic shock is at or above T6.
Symptoms include hypotension and
bradycardia, warm, dry, flushed skin, and
poikilothermia
Spinal shock involves loss of all neurogenic
12. How much crystalloid should be func- tion below the level of injury
giv- en per bolts for a pediatric including no DTR's and paralysis
patient in shock, versus how much
should be giv- en for blood 20mL/kg for IVF and
products 10mL/kg for blood
3/
37
, CEN Review Practice Exam.
products
13. Lyme disease characteristics Bulls eye rash, fever, malaise, onset 3 days
4/
37
