Emergency medicine exam Study guides, Class notes & Summaries

What may anemia be - correct answer - May be chronic and unrelated to the chief complaint - May result from acute blood loss as seen in trauma, gastrointestinal bleeding, or other acute hemorrhage Suspect underlying bleeding disorders in patients presenting with - correct answer - Spontaneous bleeding from multiple sites - Bleeding from non-traumatized sites - Delayed bleeding several hours after injury - Bleeding into deep tissues or joints Factors that determine the severity of t...

Dilated Cardiomyopathy: most common cause is ____. Others? - correct answer alcohol; may also be idiopathic, myocarditis, or drugs (doxorubicin) -- 1 in 3 cases of heart failure are caused by dilated cardiomyopathy What PE and EKG changes are seen with dilated cardiomyopathy? - correct answer PE: S3, JVD, crackles - possible mitral regurg EKG: nonspecific ST and T wave changes, LBBB Hypertrophic cardiomyopathy: is due to hypertrophy of the _____. PE reveals mitral regurgitation, a ____hea...

Initial steps in stabilizing a patient - correct answer CDAB * Circulation (rapid CPR to reestablish circulation) * Defibrillaiton - Airway - Breathing - the main goal is to restore effective oxygenation,ventilation and circulation until return of spontaneous circulation or ACLS Where do you check pulses - correct answer Bilateral carotid and femoral pulses = most reliable - No pulse, start CPR immediately (2 minutes fast and hard and then switch out) - Never stop doing CPR until pul...

Tdap vs Tetanus immune globulin!! when do you give latter? - correct answer so Tdap if you've had primary series in life and wound is not quite clean/minor, give Tdap if last booster >5 y/o; immune globulin if unknown, incomplete or lack of primary tetanus immunization series what toxin can mimic tetanus!! - correct answer Strychnine (pesticide chemical, ACh antagonist) tx for Tb, - sx - abx - correct answer sx: benzos abx: metronidazole +TIG, immunization Which coagulation ...

what is the most common cause of heart failure? specifically left sided? right sided? Answer - -MC is CAD (coronary artery disease) -L sided: *CAD* & HTN -R sided: *L sided HF* & pulmonary dz decreased ejection fraction, thin ventricular walls, dilated LV chamber, and an S3 gallop (filling of dilated ventricle) is associated with systolic or diastolic heart failure? Answer - systolic (MC form of CHF) *(the sound is actually heard in the diastole though) -memory trick: "sys-to-lic" ...

A 68-year-old female presents to the emergency department with signs and symptoms of an acute ischemic stroke. The initial CT scan is normal. Her blood pressure is 164/105. What is the most appropriate treatment for the blood pressure of this patient? A Atenolol PO B Clonidine PO C Close monitoring D Labetolol IV E Nicardipine IV - correct answer *The Correct Answer is: C Aggressively lowering blood pressure may decrease blood flow to the ischemic tissue, thus decreasing the chances o...

Emergency Medicine SAEM exam test bank_2023/2024. Q&A with rationales

Emergency Medicine EOR Exam (2023/ 2024 Update) Questions and Verified Answers| 100% Correct Q: When a patient has a laceration through the eyebrow, should you debride or shave the area? Answer: No. Conserve as much viable tissue as possible. Q: What are signs and symptoms of salicylate toxicity (ASA)? Answer: Early (1-2 hours): tinnitus, vertigo, nausea, vomiting, and diarrhea and hyperpnea (hyperventilation and tachypnea) resulting in respiratory alkalosis Later: altered...

Dilated Cardiomyopathy: most common cause is ____. Others? - Answer- alcohol; may also be idiopathic, myocarditis, or drugs (doxorubicin) -- 1 in 3 cases of heart failure are caused by dilated cardiomyopathy What PE and EKG changes are seen with dilated cardiomyopathy? - Answer- PE: S3, JVD, crackles - possible mitral regurg EKG: nonspecific ST and T wave changes, LBBB Hypertrophic cardiomyopathy: is due to hypertrophy of the _____. PE reveals mitral regurgitation, a ____heart sound, and ...

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