PMS III Practice Quiz 2

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PMS III Clinical Knowledge Quiz

Welcome to the PMS III Clinical Knowledge Quiz! This interactive quiz is designed for healthcare professionals to test their knowledge on critical concepts related to patient care, surgical procedures, and emergency responses.

It's time to put your skills to the test! Here are some topics covered:

Hypothermia and patient populations
Respiratory distress syndrome in neonates
Cytokines and inflammatory responses
Fluid management in various clinical scenarios

55 Questions14 MinutesCreated by DiagnosingDoctor23

Which of the following is not a patient population at risk for hypothermia?

Patients undergoing abdominal surgery

Patients undergoing short procedures

Really young patients

Really old patients

Which condition below could lead to cell lysis, if not properly monitored?

Isotonicity

Hypertonicity

Hypotonicity

None of the options are correct

A pt with respiratory distress syndrome would present with which of the following

CXR with ground glass appearance

Tripod position

Expiratory stridor

CXR with hyperinflation

A baby from the NICU presents with tachypnea, nasal flaring and grunting. You decide to order a CXR and it shows a ground glass appearance. What is your diagnosis?

Epiglottitis

Croup

RDS

PNA

For the above patient, about how soon will these sx present?

Within 1 week

12 hours after birth

Within 4 hours of birth

At any time while in the NICU

A 50 yo M with a PMH of angina presents to the ED. Vitals show hypotension and tachycardia. On physical exam, you note bounding pulses and warm, flushed, dry skin. The most likely cause of his condition is:

Acute MI

Cardiogenic shock

Anaphylactic shock

Septic shock

In surgery, there is a(n) ____ in ADH level and _____ activation of the RAAS.

Increase; decreased

Increase; increased

Decrease; increased

Decrease; decreased

_____ is an independent risk factor for surgical site infection and increases the risk by 5x.

Low glucose

Older age

Immobilization

Low protein

The presence of stridor during the expiratory phase indicates an obstruction in the _________ area:

Subglottic or glottin

Laryngeal

Cervical

Tracheo-bronchial

Which of the following is true about septic shock?

The patient is usually hypotensive and bradycardic

The patient's skin is cool and pale

There is decreased SVR

The pulse is weak and thready

Using the Holiday-Segard calculation method, how much fluid should a 50 kg patient receive daily?

3000 mL

2400 mL

2100 mL

1750 mL

Which of the following is NOT true regarding the primary survey in trauma assessment?

Shold take 2-5 minutes

Provider should perform complete head to toe PE in no specific order

Assess using ABCDE sequence

Assessment includes FAST US scan

_______ solutions cause cell dehydration and help increase fluid in the extracellular space.

Hypotonic

Osmosis

Isotonic

Hypertonic

3 m/o M presents with wheezing and fine crackles on auscultation. Per mother, pt had a recent URI that was treated 2 weeks ago. What should you suspect is going on?

Asthma

PNA

Epiglottitis

Bronchiolitis

Which of the following is true about RDS of the newborn?

Risk is directly proportional to gestational age

Stridor is a common finding

Infants born from pregnancy with gestational DM is a risk factor

Grunting is often heard during inspiration

A unique characteristic of ________ shock is the mobilization of blood from the liver as a compensation.

Anaphylactic

Hemorrhagic

Cardiogenic

Septic

A 57 y/o M presents to the ER with DKA. After patient has received NS and insulin, what else should be given to prevent further complication?

D5 1/2 NS

Metformin

Glimepiride

Dextrose 10%

A 45 y/o M is brought to the ED via EMS after a bar fight and sustained multiple abd stab wounds. On exam, pt smells of alcohol, bleeding from stab wounds, tachycardic, BP of 90/60mmHg, and is confused. The extent of the patient’s injuries are not yet life threatening. You suspect pt may have lost _____ amount of blood.

750 mL

1400 mL

1700 mL

2100 mL

A patient with cerebral edema would most likely be ordered what type of solution?

3% Saline

0.9% NS

Lactated ringer's

0.22% normal saline

5 y/o M presents with tachypnea, hypoxia, crackles and wheezing on exam. Pt also reports a non-productive cough. What medication would this patient most likely receive?

Amoxicillin

Vancomycin

Bactrim

Keflex

Which of the follow is NOT a complication of fluid administration?

You are the PA-S on call (lucky you) and a nurse calls to inform you that a 5 yo F pt s/p tonsillectomy has a high fever, tachycardia, and muscle rigidity with no sign of infection at the surgery or IV sites. You are a genius, so you know what's wrong and you tell the nurse to administer:

Halothane

Succinylcholine

Dantrolene

Naloxone

This immunologic complication of blood transfusion occurs most commonly with platelets or FFP.

Delayed extravascular hemolytic reaction

Acute intravascular hemolytic reaction

Transfusion associated acute lung injury

Allergic reaction

A patient is being admitted with dehydration due to nausea and vomiting. Which fluid would you expect the patient to be started on?

5% Dextrose in 0.9% Saline

0.33% saline

0.22% saline

0.9% NS

When administering a hypertonic solution the nurse should closely watch for?

Signs of dehydration

Pulmonary edema

Fluid volume deficiency

Increased lactate level

How should you evaluate a pt with suspected epiglottitis?

Visual eam with pt saying "Aaaaa"

Visual exam using tongue depressor

Clinical diagnosis without direct visualization of throat

Child disturbing on PE

When replacing fibrinogen and vWF, which of the following should you use?

Cryoprecipitate

Protrhombin complex concentrate

Fresh frozen plasma

Platelets

Which of the following is NOT true about crystalloid fluids?

It consists mostly of water and electrolytes

The amount given is about equal to the amount lost

Lactated Ringers is an example of a crystalloid fluid

It is generally the first fluid used when a patient is hypovolemic

Which of the following is true regarding hypothermia in surgery?

Usually only occurs in extremes of age

Occurs secondary to fluid shifts and anesthesia

More common in those undergoing cardiovascular surgery

Is not the result of inhibition of HPA axis

The doctor orders an isotonic fluid for a patient. Which of the following is not an isotonic fluid?

0.9% Normal Saline

Lactated Ringer's

0.45% Saline

D5 ¼ NaCl

A delayed extravascular hemolytic reaction s/p transfusion would present with which of the following?

Hemoglobinuria

Increased haptoglobin

Urticaria

Leukoagglutinin

2 y/o F presents with a barking cough and stridor on exam. Which neck xray finding would you expect to see?

A 62 yo M patient is s/p hip replacement surgery and he has spiked a post-op fever. You have ruled out any infection, he has been up and ambulating, so you begin to wonder what drugs you gave him that could have caused his fever. A common cause of post-op fever is...

Alpha blockers

Acetaminophen

Cephalosporins

BZD

Which patient below would NOT be a candidate for a hypotonic solution?

Patient with increased intracranial pressure

Patient with Diabetic Ketoacidosis

Patient experiencing Hyperosmolar Hyperglycemia

All of the above options are correct

Which of the following is NOT an indication for platelet transfusion?

Plt. Count 8000 in asymptomatic pt

Plt. Count 16000 w/ a coagulation disorder

Plt. Count 19000 w/ major bleeding

Plt. Count 45000 w/ general surgery

When the cell presents with the same concentration on the inside and outside with no shifting of fluids this is called?

Hypotonic

Hypertonic

Isotonic

Osmosis

D5W solutions are sometimes considered a hypotonic solution as well as an isotonic solution because after the body metabolizes the dextrose the solution acts as a hypotonic solution.

True

False

What is the suspected pathogen causing epiglottitis in a patient who was born in the US and is UTD on their vaccinations with no significant PMH?

Hib

Group A strep

Candida

RSV

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