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The ACNP is admitting a 70 year old male with new onset atrial fibrillation to the telemetry floor. What is the most common thyroid abnormality that should be screened for in this type of patient? A. Hyperthyroidism B. Hypopituitarism C. Sick Euthyroid Syndrome D. Hashimoto's Thyroiditis correct answers A. Hyperthyroidism A 50 year old Type II DM is admitted to the ED after being found unconscious at home. Vital signs: RR 38 BP 90/50 HR 125 SPO2 96% on room air. Initial labs: Blood sugar...

Diabetes Mellitus correct answers Diabetes mellitus is a syndrome of impaired carbohydrate, fat, and protein metabolism caused by either lack of insulin secretion or decreased sensitivity of the tissues to insulin. insulin correct answers causes rapid uptake, storage, and use of glucose by almost all tissues of the body (with exception to the brain). Insulin plays an important role in storing the excess energy. In the case of excess carbohydrates, insulin causes them to be stored as __...

Which of the following require prophylactic antibiotic therapy to prevent endocarditis? correct answers Invasive procedures Which of the following best describes ipratropium? correct answers Anticholingeric- given for acute bronchospasm (when paired with albuterol under the name Combivient of Duoneb) To properly diagnose non-urgent/emergent hypertension (an absence CV risk factors and a BP of <180/110) a patient needs to have elevated blood pressure readings after how many visits? corre...

Which best describes the neuron that transmits the reflex arc to the muscle? correct answers Motor Efferent Nueron Which area of the body do patients often experience discomfort with tension headaches? correct answers occipital and neck region During your assessment of an infant with meningitis which of the following is most likely to be seen? correct answers Opisthotonus position Which of the following is most likely indicated in hydrocephalus? correct answers Elevate head of the bed ...

Romberg test correct answers used to evaluate cerebellar function and balance mitral valve prolapse correct answers systolic click heard at apical area, pt asymptomatic, need echo w/ doppler to confirm dx Treatment for patient w/ HF correct answers ACE & ARBS in combination w/ beta blocker & diuretic paroxysmal atrial tachycardia correct answers rapid, regular contractions of the atria that begins and ends quickly Side effect of Calcium Channel Blockers correct answers headache, hear...

Which of the following is most likely associated with adenocarcinoma of the lung? correct answers adenocarcinoma is the most common lung cancer Which of the following cell types most closely relates to large cell carcinoma? correct answers Anaplastic cells Which of the following is most likely a sign or symptom of prostate cancer? correct answers fatigue is a symptom of prostate cancer Which of the following is a consideration after a mastectomy? correct answers hand exercises Which ...

respiratory zone correct answers respiratory bronchioles, alveolar ducts, alveoli What does the Respiratory Zone do? correct answers Allow inhaled oxygen to diffuse into the lung capillaries in exchange for CO2 Conducting Zone correct answers nose, pharynx, larynx, trachea, bronchi, bronchioles What does conducting zone do? correct answers conducts air to respiratory zone, humidifies, warms, and filters air Most common cancer mutation? correct answers Acquired What does anticholin...

MI correct answers Death of myocardium from sudden blockage of coronary artery blood flow What causes cell death in MI? correct answers unstable plaque breaks off, triggering platelet aggregation, coagulation cascade and thrombus formation. continued no blood flow in 10 seconds ischemia, 20 minutes cell die What consequence of cell death leads to CP? correct answers hypoxia as cannot meet cell demand for oxygen How is MI diagnosed correct answers EKG (STEMI) or elevated Troponin (non-ST...

MI correct answers Death of myocardium from sudden blockage of coronary artery blood flow What causes cell death in MI? correct answers unstable plaque breaks off, triggering platelet aggregation, coagulation cascade and thrombus formation. continued no blood flow in 10 seconds ischemia, 20 minutes cell die What consequence of cell death leads to CP? correct answers hypoxia as cannot meet cell demand for oxygen How is MI diagnosed correct answers EKG (STEMI) or elevated Troponin (non-ST...

Nephrotic syndrome correct answers characterized by massive proteinuria caused by glomerular damage. corticosteroids are the mainstay; Associated with glomerulonephritis and with an immune response that is noninflammatory. Glomerular Injury: Diffuse and Focal correct answers Lesions that involve all or most (> 50%) of the glomeruli (plural) are termed diffuse, and lesions that involve some (< 50%) of the glomeruli are termed focal (e.g., focal segmental glomerulonephritis). Glomerula...

Heartcode ACLS Online Class (Already Passed!) PALS part 8 and 9 (100% solved) PALS 2023 Shock (Complete solution) PALS- Pediatric Advanced Life Support (100% correct solutions) PALS 2023 ARRHYTHMIAS (Graded A )

What is acryocyanosis? correct answers blue discoloration of the hands and feet What does EWL stand for? correct answers Estimated weight loss. Correlates with volume depletion (5% volume depletion = 5% EWL) Apnea is cessation of breathing for ___ seconds. correct answers 20 Can be less than 20s if accompanied by bradycarida, cyanosis, or pallor What is the most common cause of bradycardia in kids? correct answers apnea/hypoxia What is croup? correct answers Inflammation of the la...

Initial assessment of a Peds patient includes? correct answers Appearance, work of breathing, and circulation Peds patient with no normal breathing, but a pulse? correct answers Maintain airway through rescue breathing, Oxygen, and apply monitors. If a pulse is <60/min with poor perfusion despite oxygenation and ventilation, what is the next step? correct answers CPR What are the signs of septic shock of a Peds patient? correct answers -Altered mental status -Tachycardia or bradyca...

Integrated response known as the system of care correct answers structure processes system patient outcome Structure correct answers People Education Equipment Process correct answers Protocols Policies Procedures System correct answers Programs Organization Culture Patient Outcome correct answers Satisfaction Quality Safety Properly functioning resuscitation equipment represents that element of a system of care? correct answers Structure Among others which of the fo...

Shock correct answers Shock is defined as a physiologic state characterized by inadequate tissue perfusion to meet metabolic demand and tissue oxygenation. metabolic demand correct answers what cardiac output is normally equal to How can shock be characterized? correct answers By inadequate peripheral and end organ perfusion. Also it can be characterized by low cardiac output and decreased level of consciousness. What types of shock can cause a high cardiac output? correct answers Shock...

A low flow delivery system does what? correct answers Delivers air through a nasal cannula or a simple mask that does not fit tightly against the childs face. Low flow systems provide how much inspired O2 concentration? Who uses them? correct answers 22- 60% Used for stable children who require a low inspired O2 concentration, such a when a child is not in severe respiratory distress or shock Examples of low flow systems? correct answers Nasal cannula and simple mask O2 flow rate ...

Is interosseous access a first choice, second, or third? correct answers Any of the above; may be the initial attempt in situations such as cardiac arrest or severe shock with vasoconstriction What are three common places to try for interosseous access? correct answers You can try for .... in an emergency in the proximal tibia, distal tibia over medial malleoulus, or the anterior-superior iliac spine If you don't get IO access the first time, where do you go next? correct answers For .......

The first rescuer who arrives at the side of an unresponsive infant or child should quickly perform what steps? correct answers 1. Verify scene safety 2. Check for responsiveness (Tap childs shoulder or infants heel while shouting are you ok) 3. If unresponsive shout for nearby help and activate the emergency response system via mobile device 4. 5. Assess infant or child for normal breathing and pulse What happens if there are two rescuer's? correct answers The first rescuer remains at ...

The PALS systemic approach algorithm begins with the initial impression. This is an assessment of which 3 characteristics? correct answers 1. Consciousness 2. Breathing 3. Color The right branch of the systemic approach algorithm focuses on what sequence to prevent cardiopulmonary arrest? correct answers Evaluate, Identify, Intervene The evaluate portion of the sequence consists of three assessment tools: correct answers 1. Primary 2. Secondary 3. Diagnostic What is included in the...

CPR Depth and Rate correct answers 1/3 chest for infants and children, 2-2.4 inches after puberty CPR Rate for all ages correct answers 100-120 BPM How often to shock? correct answers Every 2 minutes Caution in what patients to give fluids? correct answers Febrile illness if not near critical care Targeted Temperature Management Length correct answers 5 fays nomothermia (36-37.5) or 2 hypothemia at (32-34) and 3 days normothermia For ROSC, keep blood pressure above what percentile...