Bethel University

Question: Get Ready!

Multiple Choice

Differential Diagnosis

• A. Pneumonia

• B. Myocardial Infarction (heart attack)

• C. Heart Burn (Gastroesophageal Reflux Disease=GERD)

• D. Pulmonary Embolism (PE)

• E. Esophageal Spasm

Question: Get Ready!

Multiple Choice

Diagnosis?

• A. Pregnant

• B. Cushing's disease

• C. Lupus

• D. Hypothyroid

• E. Deconditioning

Question: Get Ready!

Multiple Choice

First Steps:

Upon approaching the patient, you go to check for his pulse first, which is absent. You also notice that he is not breathing. What do you do?

• A. leave and hope someone else knows what to do

• B. Start screaming, that always seems to work

• C. Start chest compressions

• D. Get a defibrillator and shock the patient

Question: Get Ready!

Multiple Choice

What Happened?

• A. Acute MI

• B. Cardiac arrythmia

• C. Severe Concussion

• D. He was faking it

• E. Traumatic Aortic Rupture

Question: Get Ready!

Multiple Choice

Differential Diagnosis

• A. Pneumonia

• B. Asthma

• C. Lung Cancer

• D. Tuberculosis

• E. He’s faking it because he wanted to see you

Question: Get Ready!

Multiple Choice

What do you do?

• A. Wait for emergency services

• B. Throw the patient in your car as maybe you can get to the hospital faster

• C. Put a torniquet on the patient's leg

• D. Give CPR

• E. Stick a needle in the patient's chest

Question: Get Ready!

Multiple Choice

What is going on

• A. The patient is simply more comfortable, decreasing her blood pressure

• B. The patient has a second pneumothorax

• C. The patient is hypovolemic

• D. The patient has an acute MI

• E. You did not pay attention on how to listen for Korsakoff sounds and you are measuring incorrectly

Question: Get Ready!

Multiple Choice

Diagnosis?

• A. Acute delirium

• B. Fat Emboli Syndrome

• C. PE

• D. Medication adverse effect

• E. This is her baseline normal

Multiple Choice

A nurse is assessing a client who sustained a severe head injury. Which of the following findings suggests damage to the brainstem?

• A. Loss of sensation in the upper extremities

• B. Decerebrate posturing

• C. Inability to recognize familiar objects

• D. Expressive aphasia

Multiple Choice

A 30-year-old man is brought to the emergency department after a high-speed motor vehicle collision. He was the unrestrained driver and struck the steering wheel with his abdomen. On arrival, he is diaphoretic, tachycardic (HR 122 bpm), and hypotensive (BP 88/56 mmHg). He is confused and reports severe abdominal pain. Examination reveals significant abdominal distension and diffuse tenderness with guarding. FAST (Focused Assessment with Sonography for Trauma) exam is positive for free intraperitoneal fluid.

Which of the following is the most appropriate next step in management?

• A. Abdominal CT scan

• B. Diagnostic peritoneal lavage

• C. Emergent laparotomy

• D. Serial abdominal exams and observation

• E. IV fluids and repeat FAST exam in 1 hour