NSER 7210 Final Exam Guaranteed Success
Which of the following statements about norepinephrine is false?
a) It is a catecholamine with potent alpha adrenergic effects
b) It Is very helpful in distributive forms of shock because of it's potent vasoconstrictive characteristics
c) It does not ...
Which of the following statements about norepinephrine is false?
a) It is a catecholamine with potent alpha adrenergic effects
b) It Is very helpful in distributive forms of shock because of it's potent vasoconstrictive characteristics
c) It does not significantly increase heart rate as compared to epinephrine
d) It is a good choice for patients with low cardiac outputs states secondary to hypovolemia ✅D) It is a
good choice for patients with low cardiac outputs states secondary to hypovolemia
When resuscitating a severely hypovolemic patient, when should blood products be considered?
A) after 4-6 litres of crystalloids have been infused and the patient remains unstable
B) after 2-3 litres of crystalloids have been infused and the patient remains unstable
C) only when obvious deadly bleeding is observed
D) only when the serum blood test results reveal a severely low hemoglobin ✅B) after 2-3 liters of
crystalloids have been infused and the patient remains unstable
True or false: all ectopic pregnancies must be managed surgically? ✅false
Which blood component contains coagulation factors?
a) PRBC
b) platelets
c) plasma
d) RH positive blood ✅c) plasma
A geriatric patient presents to your ED with a sudden onset of confusion. What is the most common
cause of acute confusion in the elderly?
a)
Adverse effects from medications (i.e. drug-drug interaction or toxic levels of drug)
b)
,Untreated anemia
c)
Nutritional deficiency
d)
It is a normal result from the aging process ✅A) adverse effects from medications
Which of the following statements about crystalloids is false?
a)
They most closely mimic the body's extracellular fluid
b)
They draw fluid from the interstitial and intracellular space into the intravascular space
c)
Examples of crystalloids include normal saline and ringers lactate
d)
They expand circulating volume so it is important to monitor for fluid excess or overload ✅B) they draw
fluid from the interstitial and intracellular space into the intravascular space
Which of the following statements about medications used in RSI are true?
1. An induction agent should be given prior to a neuromuscular blocking agent
2. A non-depolarizing NMBA might be preferred over a depolarizing NMBA in a patient with a crush
injury, renal disease, or hyperkalemia
3. A dose of Atropine should be considered in infants < 12 months of age to prevent reflex bradycardia
4. Propofol is a good induction agent choice in the hemodynamically unstable patient due to it's
hemoprotective characteristics
a)
1 and 2
b)
2 and 3
c)
1, 2, and 3
,d)
1, 3, and 4 ✅C) 1, 2, 3
1. An induction agent should be given prior to a neuromuscular blocking agent
2. A non-depolarizing NMBA might be preferred over a depolarizing NMBA in a patient with a crush
injury, renal disease, or hyperkalemia
3. A dose of Atropine should be considered in infants < 12 months of age to prevent reflex bradycardia
Which of the following would be appropriate actions to take when a patient discloses they are
experiencing intimate partner violence?
1. Validate that the disclosure and ask open ended questions about the abuse they are experiencing2.
Determine if they feel safe leaving the ED, and if not, link them to a domestic violence agency to seek
alternative housing3. Offer the opportunity for assistance in contacting law enforcement should they
want to report the IPV4. Provide instructions on how to keep them (and their children) safe should they
need to leave the home quickly if violence escalates5. Provide a referral to local or national
IPV/domestic violence hot lines.
a)
1, 2, and 5
b)
1, 3, and 4
c)
2, 3, and 5
d)
1, 2, 3, and 4
e)
1, 2, 3, 4 and 5 ✅E) 1, 2, 3, 4, 5
Which of the following is not a potential cause of hypovolemic shock?
a)
Ruptured ectopic pregnancy
, b)
Prolonged vomiting and diarrhea
c)
A large surface burn
d)
A pulmonary embolism ✅D) pulmonary embolism
The most significant potential problem for a patient with a tubal rupture from an ectopic pregnancy is:
A)
serious abdominal pain
B)
hypovolemic shock
C)
fetal death
D)
surgical scarring ✅B) hypovolemic shock
A septic patient's MAP is still only 58 after receiving 2 fluid boluses. The physician does not want to give
further crystalloid boluses. What is the next best treatment option?
A)
Trendelenburg position to "fool the baroreceptors" and increase the MAP.
B)
giving colloids such as blood or Pentaspan.
C)
MAST pants, if available in the hospital.
D)
initiating vasopressors to "squeeze the pipes." ✅D) initiating vasopressors to squeeze the pipes
The concentration of epinephrine given SQ or IM in anaphylaxis is:
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