Exam (elaborations)
SAEM MS4 curriculum questions with correct answers
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SAEM MS4 curriculum questions with correct answers
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SAEM MS4 curriculum questions with correctanswers
First steps for SOB Correct Answer-1. Vitals
2. O2 via NC or NRB, BVM if not breathing adequately on their own
3. IV access
4. Cardiac and pulse Ox monitoring
5. EKG
6. CXR
7. US
8. Ddimer
9. BNP
10. trops
When do you use Non-Invasive PPV? Correct Answer--moderate to
severe dyspnea
-accessory muscle use
-paradoxical abdominal movement
-fatigue
-RR > 25 bpm
-pH < 7.35
-pCO2 > 45
When do you not use NIPPV? Correct Answer--respiratory arrest
, -hemodynamic instability
-aspiration risk
-airway obstruction
-unable to tolerate mask
-AMS
DDx for SOB? Correct Answer-- CHF exacerbation
- ACS
- Anaphylaxis
- Asthma/COPD
- Tamponade
- PE
- PNA
- airway obstruction
Causes of systolic heart failure Correct Answer-Heart cannot "squeeze"
due to:
- ischemic heart disease
- CAD
- Hypertension
- fluid overload
- arrhythmia
- renal DZ
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