PA Family Medicine EOR Questions and Answers 100% correct
159 views 1 purchase
Module
EOR
Institution
EOR
PA Family Medicine EOR Questions and Answers 100% correct
Deteriorating mental status/unconscious patient
ABC's
IOM's
Airway security
Breathing
Circulation
IV access
O2 saturation
Monitor vitals
Acute Respiratory Distress Syndrome
↓ PaO2 and ↑ PaCO2 from fluid collapsing the ...
PA Family Medicine EOR Questions and Answers 100% correct
Deteriorating mental status/unconscious patient
ABC's
IOM's - answer *A*irway security
*B*reathing
*C*irculation
*I*V access
*O*2 saturation
*M*onitor vitals
Acute Respiratory Distress Syndrome - answer ↓ PaO2 and ↑ PaCO2 from fluid collapsing the *alveoli*
MCC: 6-72 hrs s/p *Sepsis*
Associated w/ Renal & Hepatic failure
↓ BP or shock w/ crackles, rales, wheezing
Tx: Mechanical Vent w/ *PEEP*
Anaphylaxis (Type 1 Hypersensitivity) - answer Upper airway obstruction
Urticaria
Bronchospasm
Hypotension
Cardiovascular Collapse
Tx: Epinephrine + O2 + IVF
Cardiac failure/arrest - answer CPR: 100-120bpm
Bag-Valve: 10 respirations/min, Consider advanced airway
Rx: EPI 1mg Q 3-5min, Amiodarone 300mg then 150mg
Reversible causes of cardiac arrest
*H's & T's* - answer *H*ypovolemia
*H*ypoxia
*H*ydrogen ion (acidosis)
*H*ypo-hyperkalemia
*H*ypothermia
*T*ension pneumo
*T*amponade (cardio)
*T*oxins
*T*hrombosis (pulm)
*T*hrombosis (cardio) Hypertensive Crisis v. Urgency v. Emergency - answer Crisis: Systolic BP >180mmHg or Diastolic BP >130mmHg
Urgency: Severely elevated BP w/o evidence of end-organ damage
Emergency: HTN w/ acute end-organ damage
Encephalopathy, Stroke, Aortic dissection, MI, Acute renal failure
Hypertensive Emergency - answer BP > 180/130 with evidence of organ damage
Tx: IV *Labetalol or Nicardipine* to ↓ MAP by 25% in 1st hour then normalize BP over next 8-24hrs
CAUTION: Organ Ischemia w/ ↓ in MAP
Placentae previa - answer *Painless vaginal bleeding*
<30 weeks = ↑ risk of transfusion need, ↑ risk of preterm/perinatal mortality
Tx: C-sec
>30 weeks = good prognosis
Foreign body aspiration - answer MC: Rt main bronchus
Dx: CXR - unilateral emphysema if in trachea
Tx: Rigid bronchoscopy
Myocardial infarction - answer Chest pressure & *dyspnea* at rest and worsening over >30min
Confusion, syncope, vertigo, diaphoresis
ST- segment Elevation on EKG
Elevated troponin
Tx of MI - answer Morphine
O2
Nitrates
Aspirin & Clopidigrel - ↓ morbidity/mortality
BBs > ACEI > CCBs > Statins > Heparin
Appendicitis - answer Periumbilical, colicky pain → RLQ *McBurney's point*
Rebound Tenderness, Psoas, Rovsing
Loss of appetite
Nauea/Vomiting/Fever
MCC: Fecolith
Dx: US or CT
Tx: Appendectomy + Abx Jefferson (C1) Fracture - answer Burst fracture of C1 via axial load (football player/diver)
Unstable: immobilize c spine
C-spine Xrays: AP, Lateral, Oblique, Odontoid
Pulmonary embolus - answer Sudden onset of SOB, CP, *Tachycardia*
EKG: Nonspecific ST changes, Right heart strain, S1Q3T3
CKR: Westermark's sign
Dx: CT Pulmonary Angiogram
Tx: Anticoags > thrombolytics > embolectomy
Pneumothorax - answer Decreased breath sounds- unilateral
Sharp chest pain, worse w/ deep breaths or coughs
Xray shows air outside lung
Tx: *1st line*: 14ga. Needle decompression 2nd ICS MCL
2nd line: Chest tube ICS MCL
Types of Pneumothoraces A. Tall thin men 20-40
B. Complication of underlying lung disease
C. Stab wound, Gun Shot, or MVA w/ direct blow to chest
D. Pleural Edema or Anascara and ↑ thoracic pressure - answer A. Spontaneous Pneumo
B. Secondary Spontaneous Pneumo
C. Traumatic Pneumo
D. Tension Pneumo
Black Widow Spider bite - answer Pinprick spider-bite
Acetylcholine-Induced Myalgias
Severe cramping of chest & abdomen
Tx: Opioids + *Benzo's* > Latrodectus Antivenom
Brown Recluse Spider Bite - answer Cytotoxin
Local tissue destruction & necrosis
Tx: wound care
Hydrocarbon Pneumonitis - answer Ingestion of furniture polish
Mild CNS depression
Aspiration = coughing Dx: *CXR* & pulmonology consult = diffuse b/l inflitrates
May lead to ARDS
Ethylene glycol ingestion (antifreeze) - answer Osmolal gap
Anion-Gap Metabolic Acidosis
Acute renal failure (ATN) *Calcium Oxalate* in urine
Hypocalcemia
Tx: Fomepizole or Ethanol
Salicylate toxicity - answer ASA, Wintergreen, Pepto-Bismol
Respiratory Alkalosis (early)
GAP metabolic acidosis (late)
Hypoglycemia
*Tinnitus*
Tx: Activated Charcoal (if <1hr from ingestion)
Urinary alkalinization w/ *Sodium Bicarb*
IV K+
Hemodialysis
Carbon Monoxide Poisoning - answer HA, Nausea, Dizziness
Cherry-red skin
↑ Carboxyhemoglobin levels
Tx: 100% O2, Hyperbaric
Mild Intermittent Asthma - answer Symptoms: < 2x/wk
Night Sxs: < 2x/mo
FEV: > 80% prediciton
Tx: No daily meds
Mild Persistent Asthma - answer Symptoms: >2x/wk but <1x/d
Night Sxs: >2x/mo
FEV: >80% prediction
Tx: *Low-dose ICS* > Cromolyn, leukotriene (S/E: ↑ mucous production)
Moderate Persisitent Asthma - answer Symptoms: Daily Sxs + Daily use of B2-
agonist
Night Sxs: >1x/wk
FEV: 60-80% prediction
Tx: *Low-Med dose ICS + Long-acting B2-agonist*
Severe Persistent Asthma - answer Symptoms: Continuous w/ impaired physical activity
Night Sxs: Frequent
FEV: <60%
Tx: High-dose ICS + Long-acting B2-agonist + oral steroid (<60mg/d)
Community Acquired Pneumoniae - answer >40 y/o
Sudden onset of rigors, rusty colored sputum
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller jw638729. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for £24.12. You're not tied to anything after your purchase.
