Book
Contents:
Cover
Title
Copyright
Contents
Preface
Introduction: Certification Examination and Tips for Preparation
Pass Guarantee
Part I: Practice Questions and Answers with Rationales
Chapter 1: Cardiovascular Emergencies
1. C) Furosemide 40 mg intravenous push
2. B) Severe headache
3. C) Prepare for synchronized cardioversion starting at 50 J
4. D) Initiate fibrinolytic therapy
5. B) History of cerebral vascular disease/stroke
6. A) Epinephrine 1 mg every 4 minutes
7. D) 190/120 mmHg with elevated creatinine
8. B) Take manual blood pressures in both arms 9. D) Resynchronize in preparation for the next attempt
10. B) Check for mechanical capture by observing that each pacing spike-QRS complex grouping produces a palpable femoral pulse
11. D) Administer furosemide via slow IV push
12. C) Initiate a crystalloid fluid bolus
13. C) Peripheral edema decreases
14. C) Reestablish blood flow through an occluded coronary artery
15. C) Thrill
16. D) Minimizing the time to revascularization of the occluded coronary vessels
17. A) Commotio cordis
18. B) Needle pericardiocentesis 19. C) The patient reports sharp pain in the chest on inspiration
20. A) Bring down the blood pressure cautiously
21. D) Anterolateral myocardial infarction
22. D) A 59-year-old male with supraventricular tachycardia
23. A) Pericarditis
24. C) Quantitative end-tidal carbon dioxide
25. C) Initiate continuous cardiac monitoring with defibrillation capability
Chapter 2: Respiratory Emergencies
1. B) Administer racemic epinephrine
2. D) Hypoxemia
3. B) Spontaneous pneumothorax 4. D) Aspiration of water can interfere with surfactant function and cause collapse of the alveoli
5. B) Assist with advanced airway management
6. A) Streptococcus pneumoniae
7. A) Provide supplemental oxygen
8. C) May have a pulmonary embolus due to hypercoagulability in the postpartum period
9. C) Provide supplemental oxygen
10. B) Pulsus paradoxus
11. B) Decrease FiO
12. A) Pediatric Glasgow Coma Scale
13. D) Hyperventilation syndrome
14. C) Moderate-persistent
15. A) Transudate
16. A) Chest radiograph
17. A) Uncompensated respiratory acidosis 18. A) Wheezing upon auscultation
19. A) Elevated D-dimer
20. D) Obtain supplies for provider to perform needle decompression
Chapter 3: Neurological Emergencies
1. C) Open the airway and apply oxygen
2. A) Respiratory
3. B) Brown-Séquard syndrome
4. A) Complete a full neurological assessment
5. D) "I will change the drainage bag with clean gloves."
6. C) Gag
7. A) Hyperextension
8. D) Meningeal irritation
9. D) Methylprednisolone
10. A) Hydromorphone
11. A) Dysphagia protocol
12. A) Guillain-Barré syndrome
13. B) Pseudo seizures
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