Clinical Case Analysis in Emergency Medicine, Exams of Public Health

Download Clinical Case Analysis in Emergency Medicine and more Exams Public Health in PDF only on Docsity! Which of the following is a hallmark sign of tricyclic antidepressant toxicity? - Dysrhythmias ANSWER>> An elderly patient has COPD. What clinical finding should concern you the most? - >>Respiratory rate of 36/min ANSWER Metabolic acidosis is best described by which arterial blood gas results? - pH decreased, Pco2 decreased, H2CO3 lowANSWER>> Obstructive What type of shock is caused by cardiac tamponade? - ANSWER>> A 41-year-old female has returned from a missionary work in South Africa. She reports night sweats, chest discomfort, and a persistent cough for the past several Tuberculosis weeks. What should you suspect? - ANSWER>> Decreased What respiratory changes are common in obese patients? - ANSWER>> tidal volume A 30-year-old female complains of acute chest tightness, shortness of breath, and a non productive cough. She states that this happens frequently and usually Asthma resolves after using her "inhaler." What should you suspect? - ANSWER>> A 44-year-old female complains of a sudden onset of sharp pain in her right flank that radiates to her groin area. Intermittently the pain becomes very severe. She also reports nausea. Vital signs are BP-152/94, P-104, R-16, SpO2-98%. What is >>Kidney Stones the most likely cause? - ANSWER A 13-year-old male has been skateboarding in temperatures of 100F (37.7 C) and has been drinking caffeinated soft drinks. He complains of palpitations. The cardiac monitor displays a narrow-QRS tachycardia at a rate of 150 beats/minute. Transport the Vital signs are BP-108/62, R-24. What should you do? - ANSWER>> patient by ambulance, monitor closely, and administer fluids en route An 82-year-old female complains of foul-smelling diarrhea, abdominal cramping, and a loss of appetite. She developed an infection following knee surgery 2 weeks ago. She is prescribed antibiotics. What should you suspect? - ANSWER>>Clostridium difficile A 62-year-old female presents with severe nausea and blurred vision that began whole watching TV. She describes the headache as the worst headache she has ever had in her life. Vital signs are BP-194/110, P-98, R-20. What should you suspect? - ANSWER>>Subarachnoid hemorrhage A 33-year-old female is threatening suicide because her partner left her. Which of What was your the following would be an appropriate response? - ANSWER>> plan to kill yourself A 71-year-old female complains of shortness of breath. She has a productive cough that has increased in severity over the last week. She speaks in 1 to 2 word COPD broken sentences with pursed lips. What should you suspect? - ANSWER>> A 20-year-old male college student complains of acute onset of fever, headache, vomiting, and malaise. He appears ill and has a petechial rash on his extremities. What should you suspect? - ANSWER>>Meningitis A 20-year-old male complains of severe pain after a jellyfish sting. He has a red, swollen ankle and foot. What should you do? - ANSWER>>Wash the area and administer an analgesic The renin-angiotensin-aldosterone system is activated during shock in order to cause which of the following? - ANSWER>>Increase in preload, after load, and reabsorption of sodium An elderly COPD patient complains of difficulty in breathing upon exertion. She has a 1-week history of productive cough. She has pursed lip breathing. She is prescribed a bronchodilator as needed. Vital signs are BP 132/70, P-88, R-20 with Rhonchi. What should you suspect? - ANSWER>>Epiglottitis An anxious 32-year-old female complains of chest pains with palpitations. She has a history of Grave's disease. She reports she was seen in the ED earlier that day and had a CT scan of her abdomen with IV contrast. She is diaphoretic and has a temperature of 101.5 F (38.6 C). Vital signs are BP-100/62, P-156, R-30, BGL 133mg/dL. What should you administer? - ANSWER>>Normal Saline What statement is correct regarding responding to a suspected nerve agent exposure? - ANSWER>>Patients should be treated in a well-ventilated area What reference is the MOST beneficial to obtain for a suspected stroke? - ANSWER>>Last Known Well Which of the following statements is correct regarding radioactive materials? - ANSWER>>Simple clothing can stop beta particles from entering the body What finding is unique to pericarditis? - ANSWER>>Diffuse ST segment elevation A 21-year-old male complains of sharp chest pain and shortness of breath. The symptoms started when he lifted a heavy object. Vital signs are BP-152/96, P-108, R-24 and diminished on the left. What should you suspect? - ANSWER>>Spontaneous Pneumothorax A 72-year-old female complains of a sudden onset of a burning sensation to the left side of her forehead and blurred vision. She wants to follow up with her primary care physician tomorrow. Vital signs are BP-150/70, P-80, R-16. What should you do? - ANSWER>>Encourage her to be transported by ambulance to the hospital An anxious 61-year-old male complains of severe shortness of breath and localized chest pain with blood-tinged sputum. His dyspnea started when he stood up from watching television all day and increased in severity as he moved around. Vital signs are BP-104/60, P-98 and irregular, R-26 and labored. What should you suspect? - ANSWER>>Pulmonary Embolism Anaphylaxis is most commonly associated with which physiological event? - ANSWER>>Vasodilation A confused 67-year-old male has vomited multiple times prior to EMS arrival. He was involved in a car crash 48 hours prior. Bystanders state he became increasingly confused and lost coordination since the crash. Vitals signs are BP- 150/88, P-72, R-18, BGL-92 mg/dL. What should you suspect? - ANSWER>>Subdural Hematoma What condition causes paroxysmal nocturnal dyspnea? - ANSWER>>Left-sided heart failure What is the initial treatment for a patient experiencing hyperosmolar hyperglycemic state (HHS)? - ANSWER>>Normal Saline An 18-year-old male nearly drowned at a local lake after treading water for 25 minutes. He is shivering uncontrollably and complains of nausea and weakness. Vital signs are BP-122/62, R-28, P-136, and his temperature is 93.2 F (34 C). What should you suspect? - ANSWER>>Mild hypothermia A 45-year-old male complains of shortness of breath. He has a history of alcohol abuse and presents with severe ascites. Vital signs are BP-142/78, P-104, R-24 with crackles. What should you suspect? - ANSWER>>Liver Failure A 22-year old male has recently undergone a surgical procedure to repair an injury to thoracic vertebrae T1-T2. Assessment indicates the patient is alert and