Actual Exam Questions with Detailed Correct
Answers | A+ Graded Version
URGENT CARE: Respiratory arrest has a multitude of causes including pulmonary, cardiac,
neurologic, toxic/metabolic, etc. Name some. - CORRECT ANSWER >>>COPD, asthma, foreign
objects, angioedema, DKA, cancer etc.
Abnormal breath sounds:
is an airway obstruction. suggests obstruction above the vocal cords and suggests
obstruction below the vocal cords.
suggests obstruction below the level of the trachea.
suggests presence of interalveolar fluid (PNA), pulmonary fibrosis. - CORRECT ANSWER
>>>Stridor, inspiratory stridor, expiratory stridor; Wheezing; crackles & rales
of respiratory arrest includes ACS, acute heart failure, arrhythmia, pericardial tamponade,
PE, PNA, COPD, asthma, angioedema, anaphylaxis, CO poisoning, trauma. - CORRECT ANSWER
>>>Differential Diagnosis
D/D for includes DKA, hypoglycemia, UTI, sepsis, drug overdose, stroke, and seizure. -
CORRECT ANSWER >>>deteriorating mental status or unconscious patient
D/D for includes appendicitis, pancreatitis, PID, obstruction, AAA, perforated viscous,
diverticulitis, mesenteric ischemia, or infarction. - CORRECT ANSWER >>>acute abdomen What
is the treatment for allergic reaction? immediate & subsequent? - CORRECT ANSWER
1|Page
,>>>epi 1:1000 IM q 10 min 0.5mg; antihistamine (H1 & H2), steroids, bronchodilators
What is the rule of 9's in burn management? - CORRECT ANSWER >>>9 head, 9 left arm, 9 right
arm, 18 anterior torso, 18 posterior torso, 1 genitals
What is the Parkland formula in burn management? - CORRECT ANSWER >>>4 cc LR per % body
burned per kg body weight --- insert 2 large bore IV's into unburned skin
Placenta previa presents with . - CORRECT ANSWER >>>painless vaginal bleeding.
Placenta abruption presents with . RF: maternal HTN, smoking, cocaine, multiples, PROM,
inherited thrombophilia. Labs: decreased fibrinogen, decreased platelets - CORRECT ANSWER
>>>painful vaginal bleeding.
is a surgical emergency. RF: previous c/s, prior uterine surgery, hyperstimulation w
oxytocin, trauma, parity >4. - CORRECT ANSWER >>>Uterine rupture
is bleeding from umbilical cord resulting in loss of fetal blood. - CORRECT ANSWER
>>>Vasa previa
With a black widow bite, what can be used for muscle spasms & rigidity? What about
antivenom? - CORRECT ANSWER >>>diazepam, calcium gluconate, robaxin; use antivenom
judiciously
Which pit viper snake has the most potent vemom: rattlesnake, cottonmouth, or copperhead? -
CORRECT ANSWER >>>rattlesnake
What do you apply to a jellyfish sting? - CORRECT ANSWER >>>acetic acid or vinegar
2|Page
,What's the classic triad of foreign body aspiration? - CORRECT ANSWER >>>generalized
wheezing, cough, diminished breath sounds
Explain the Salter-Harris classification of growth plate injuries? - CORRECT ANSWER >>>I -
Straight
II - Above
III - Lower
IV - Through
V - Ram
is injury to a ligament. Graded I-III (complete). - CORRECT ANSWER >>>Sprain
=
a. pain at medial malleolus/distal fibula/inability to walk
b. pain at midfoot/5th metatarsal
c. pain at navicular bone/inability to bear weight for 4 steps - CORRECT ANSWER >>>Ottawa
ankle rules
= tearing of muscle or tendon fibers caused by excessive stretch during vigorous activity.
Graded I-IV (complete). - CORRECT ANSWER >>>Strain
ST Elevations in II, III, aVF - CORRECT ANSWER >>>Inferior MI; right coronary artery
ST Elevations in I, aVL, V4, V5, V6 - CORRECT ANSWER >>>lateral wall MI, left circumflex artery
3|Page
, ST Elevations in V1, V2, V3, V4, V5 - CORRECT ANSWER >>>Anterioseptal MI, left anterior
descending artery
ST Elevations in V1, V2 - CORRECT ANSWER >>>posterior wall MI, posterior descending artery
No nitroglycerin in which type of MI? - CORRECT ANSWER >>>inferior wall MI bc of possible
hypotension
What are the pre hospital treatments for ACS? - CORRECT ANSWER >>>MONA; morphine,
oxygen, nitroglycerin (0.4mg SL x3 prn), aspirin (325mg)
What two meds should be given to all ACS patients that do not have contraindications? -
CORRECT ANSWER >>>BB - unless brady or severe COPD - then do NDCCB (verapamil/diltiazem)
ACEi - if cough, use ARB
How long should Plavix/Clopidogrel be used for bare metal or drug eluting stents? - CORRECT
ANSWER >>>bare metal - 30d-12m drug eluting - >/=12mon
What meds should a patient go home with after ACS? - CORRECT ANSWER >>>Nitroglycerin
BB
ACEi
ASA/Clopidogrel anticoagulant (up to
8days for LMWH) aldosterone agonist
statin
LIFESTYLE CHANGES
4|Page