Exam (elaborations)
CEN Sample Test: Questions & Answers
- Course
- Institution
CEN Sample Test: Questions & Answers
[Show more]
Seller
Follow
LeCrae
Reviews received
Content preview
CEN Sample Test: Questions & AnswersRight ventricular infarction (RVI) lead changes Correct Ans - II, III,
AVF
R ventricular infarction s/s Correct Ans - clear breath sounds,
hypotension, JVD.
R ventricular dilation and dec contractility>> dec preload and CO
Reperfusion therapy standard Correct Ans - Within 60 min of ED
arrival
Common causes of PEA Correct Ans - Hypoxia, tension pneumo,
cardiac tamponade
BNP as a marker Correct Ans - of L ventricular dysfunction bc
ventricles make BNP and an inc of over 100 pg/ml indicates symptomatic HF
Transcutaneous pacing (TCP) Correct Ans - A beat after every pacer
spike is electrical capture. Beats are wide complex bc ventricle is paced.
Palpate central pulse, pt may still be hypotensive w/ diminished or absent
peripheral pulses.
Preferred tx with symptomatic brady esp in pts with acute MI
Wolff Parkinson-White (WPW) syndrome Correct Ans - shortened PR
interval and widened QRS complex with a delta wave. When there is an extra
electrical conduction path to heart causing electrical signal to arrive too soon
at ventricle (pt presents in tachy)
Brugada syndrome Correct Ans - R bundle branch block with ST
segment elevation in leads V1-V3 and inc risk of sudden cardiac death (SUDS),
common in young men
Wellen syndrome Correct Ans - T wave changes plus history of anginal
chest pain w/o serum marker abnormalities, EKG lacks Q waves and
significant ST segment elevation. Assoc with critical proximal L anterior
descending (LAD) artery stenosis
,Hypothermia associations Correct Ans - With bradycardia, Osborne (J)
waves and prolonged QT intervals
Sick sinus syndrome Correct Ans - Sinoatrial node (SA) the primary
heart pacemaker is not functioning properly resulting in bradydysrythmias
and/or tachydysrhythmias with potential for hypotension and syncope
Morphine and nitrates for tx pulmonary edema Correct Ans - Results
in dec preload or dec venous return>> dec pulmonary congestion
How to diagnose endocarditis Correct Ans - Echocardiogram
Pericardiocentesis Correct Ans - For suspected pericardial effusion or
tamponade
Primary complication of bowel obstruction Correct Ans - Dehydration
Testicular referred pain is indicative of? Correct Ans - Duodenal injury
S/s pancreatitis Correct Ans - Sharp, boring, epigastric pain, inc after
eating and having alcohol
Dx with abd CT scan
Paracentesis Correct Ans - Procedure to remove fluid that has
accumulated in the abd cavity
After doing paracentesis Correct Ans - Check pt for s/s shock, EKG,
dressing, VS q 15 min
Auscultate bowel obstruction Correct Ans - Freq and high pitched
Dec or absent bowel sounds caused by Correct Ans - Paralytic ileus,
paralysis, dec in peristalsis
One cause of HYPOkalemia Correct Ans - Excess fluid loss from GI (ex:
diarrhea)
, One cause of Magnesium depletion Correct Ans - Intestinal
malabsorption
Bland diet is for Correct Ans - Peptic and gastric ulcers
Chocolate enhances Correct Ans - S/s GERD
Life threatening complications of acute pancreatitis Correct Ans -
Atelectasis, pleural effusion, ARDS
HELLP syndrome Correct Ans - Hemolysis, Elevated liver enzymes,
Low platelets)
Liver panel dx it
S/s rhabdomyolysis Correct Ans - HYPERkalemia, brown urine, inc
CPK, HYPERcalcemia
Septal hematoma Correct Ans - Can occur with mid facial trauma;
untreated can lead to abscess formation or avascular necrosis
Ethmoid bone fx can cause Correct Ans - CSF leakage
Preferred eye irrigation fluid Correct Ans - LR
Pocket vision screener should be held ___ inches from nose? Correct Ans -
14 inches
HHNC s/s Correct Ans - UA shows glycosuria without ketouria,
polyuria, tachycardia, hypotension
Acute renal failure (ARF) s/s Correct Ans - HYPERkalemia,
HYPOnatremia, HYPOcalcemia, HYPERphosphatemia. K level is priority
BUN / Cr ratio that would dx prerenal failure Correct Ans - > 20:1
S/s HYPOcalcemia Correct Ans - muscle cramping
Latex allergy crossovers Correct Ans - Tomatoes, bananas, kiwis, white
potatoes, avocados, bell peppers, peaches
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 or Stuvia-credit 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 LeCrae. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $17.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
72349 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now