Emergency Medicine Exam 1 New Update Questions and Verified Answers 100 Correct Grade A
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Course
NU1426
Institution
NU1426
Emergency Medicine Exam 1 (New 2024/ 2024 Update) | Questions and Verified Answers| 100% Correct| Grade A
What is the leading cause of death among children and adults < age 45?
AMPLE Histroy
Conditions requiring immediate treatment on primary survey
What should be done if a patient has a GC...
4). What should be done if a patient has a gcs score less than 8?
Ans: intubation
5). When can a nasopharyngeal airway not be used?
Ans: significant facial trauma or suspected basilar skull fracture
6). Nexus
Ans: criteria used to clinically rule out a c-spine fracture and need for imaging
must meet ALL low risk criteria
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, 7). Nexus criteria
Ans: 1. No posterior midline tenderness
2. No intoxication
3. Normal level of alertness
4. No focal neurologic deficit
5. No painful distracting injuries
9). Tracheal deviation away from diseased side may indicate
Ans: -tension pneumothorax
-massive unilateral PE
-large masses
10). Tracheal deviation toward diseased side
Ans: -atelectasis
-pneumonectomy or lobectomy
11). Paradoxical movement of the chest on physical examination is concerning for
Ans: flail chest
12). Absent breath sounds on pe may indicate
Ans: -pneumothorax
-hemothorax
-Right main stem intubation
13). A patient can lose up to _____% of their blood volume prior to symptoms
Ans: 30
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, 14). What medication may mask early symptoms of hemorrhagic shock?
Ans: Beta blockers
15). Cardiac output = ________ x ________
Ans: heart rate x stroke volume
16). Bp = ________ x ________
Ans: CO x SVR
17). What type of iv's should be placed in a patient with abnormal circulation?
Ans: two large bore IV's
(18G or larger)
18). What is the iv fluid of choice in the er?
Ans: lactate ringers
or
LR (balanced crystalloid)
19). What is the universal blood donor?
Ans: O
20). Why is lr preferred over 0.9% ns in massive hemorrhage resucitation?
Ans: normal saline may cause hyperchloremic acidosis
21). What blood type should be provided to females of childbearing age with unknown type and
screen?
Ans: O negative
22).
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, True or false
a gcs score of 15 in a trauma patient indicates they do not have a traumatic brain injury
Ans: False
GCS score of 15 does not exclude someone from a TBI, mild head injury still possible
23). What are the following gcs score ranges?
mild head injury ___________
moderate head injury ___________
severe head injury ___________
Ans: 13-15
9-12
<9
24). What are the three categories of the gcs?
Ans: eye (scored 1 to 4)
verbal (scored 1 to 5)
motor (scored 1 to 6)
25). Eye response scoring for gcs
Ans: Spontaneous response = 4
Opens to Command/Speech = 3
Opens to pain = 2
None = 1
26). Verbal response scoring for gcs
Ans: Oriented = 5
Confused, but answers questions = 4
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