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Emergency Medicine Exam Q&A: Critical Care and Disaster Response, Exams of Public Health

Chamberlain College of NursingPublic Health

A series of questions and answers related to emergency medical care, covering topics such as frostbite treatment, heat exhaustion, pneumothorax, ards, autonomic dysreflexia, meningitis, and various disaster response protocols. It includes key interventions for conditions like heat stroke, hypothermia, and anaphylaxis, along with triage procedures and primary survey assessments. The material is designed to test and reinforce knowledge of critical care procedures and emergency management strategies, making it a valuable resource for medical students and healthcare professionals preparing for exams or practical applications.

Typology: Exams

2024/2025

Available from 07/05/2025

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MDC IV - Final Exam – Questions And Answers
Moist heat Correct Answer - Which treatment for frostbite is appropriate?
Vigerously rubbing the skin
Moist heat
Dry heat
Tightly wrapping skin to retain warmth
Move pt to a shady area and wet his clothes with water Correct Answer - Which choice is
the best treatment for heat exhaustion
Have the pt lie down in the bleachers
Move pt to a shady area and wet his clothes with water
Offer an umbrella or a hat for shade
Give him a cold soda to drink
Breathing Correct Answer - When assessing a pt in the ER, what is the priority?
Hemorrhage
Mobility
Breathing
Ecchymosis
Remove clothing and linen Correct Answer - What is the quickest way to cool body
temperature?
Provide iced drinks
Apply wet washcloth to forehead
Sponge baths
Remove clothing and linen
Diminished breath sounds Correct Answer - Which of the following symptoms would be
expected in a pt with a pneumothorax?
Bradycardia
Normal O2 Saturation
Diminished breath sounds
Sucking sound at the injury site
Ventilate the pt manually Correct Answer - What is an appropriate action to take if a
ventilator malfunctions?
Ventilate the pt manually
Start CPR
Administer O2 per Trach cannula
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Download Emergency Medicine Exam Q&A: Critical Care and Disaster Response and more Exams Public Health in PDF only on Docsity!

MDC IV - Final Exam – Questions And Answers

Moist heat Correct Answer - Which treatment for frostbite is appropriate? Vigerously rubbing the skin Moist heat Dry heat Tightly wrapping skin to retain warmth Move pt to a shady area and wet his clothes with water Correct Answer - Which choice is the best treatment for heat exhaustion Have the pt lie down in the bleachers Move pt to a shady area and wet his clothes with water Offer an umbrella or a hat for shade Give him a cold soda to drink Breathing Correct Answer - When assessing a pt in the ER, what is the priority? Hemorrhage Mobility Breathing Ecchymosis Remove clothing and linen Correct Answer - What is the quickest way to cool body temperature? Provide iced drinks Apply wet washcloth to forehead Sponge baths Remove clothing and linen Diminished breath sounds Correct Answer - Which of the following symptoms would be expected in a pt with a pneumothorax? Bradycardia Normal O2 Saturation Diminished breath sounds Sucking sound at the injury site Ventilate the pt manually Correct Answer - What is an appropriate action to take if a ventilator malfunctions? Ventilate the pt manually Start CPR Administer O2 per Trach cannula

Check VS Increased resp rate Correct Answer - What is the early sign of ARDS? Wheezes Crackles Cyanosis Increased Resp rate Nail bed pressure Correct Answer - How do you assess motor function in an unconscious client? Nail bed pressure Iced saline to the inner ear Sternal rub Pinching the pt in the inner thigh Adhering to a strict bowel retraining program Correct Answer - Which intervention can minimize the risk of autonomic dysreflexia? Provide tight clothing for support Adhering to a strict bowel retraining program Limit straight cathing to bid Placing an adult depends on an incontinent pt approach the client from the impaired side Correct Answer - Interventions for a pt with homonymous hemianopsia include all of the following except Discourage pt from using eye glasses to correct the problem approach the client from the impaired side Move objects to the patients field of vision Remind client to turn their head to scan the room Recent respiratory infection Correct Answer - One risk of Guillain Barre syndrome that can cause an exacerbation is Recent respiratory infection high caffeine intake Traveling on an airplane Daily walks of greater then 20 minutes Positive Brudzinski sign Correct Answer - Which of the following is a sign of meningitis? GCS score of 15 Positive Brudzinski sign Negative Kernig sign

28 ml/ min Correct Answer - An order states Infuse NS 1000 ml over 6 hours with a gtt factor of 10 What is the rate? 32 ml / hr 32 ml /min 28 ml/ min 28 ml / hr False Correct Answer - The parkland formula is TBSA of burn x wt in KG / 4. True False false, the E stands for exposure Correct Answer - The E in the primary survey stands for Exhale. True False make sure it's open/patent! jaw-thrust maneuver intubation cervical spine stabilization artificial airway Correct Answer - Assessment findings/interventions that relate to A for Airway (primary survey) lung sounds chest tube tracheal deviation (tension pneumothorax) asymmetrical chest movement (pneumothorax) paradoxical chest movement (flail chest) Correct Answer - Assessment findings/interventions that relate to B for Breathing (primary survey) needle decompression followed by a chest tube Correct Answer - Interventions for a tension pneumothorax IV fluids vasoconstrictors (norepi, dopamine) blood products assess BP, cap refill, pulses Correct Answer - Assessment findings/interventions that relate to C for Circulation (primary survey) temperature - hypothermia/hyperthermia remove clothing Correct Answer - Assessment findings/interventions that relate to E for Exposure (primary survey)

neurological status are they awake? respond to voice? respond to pain? Glasgow coma scale (<8 indicates coma) Correct Answer - Assessment findings/interventions that relate to D for Disability (primary survey) warm with friction - that can cause more damage to the tissue Correct Answer - Treatment for frostbite include all except: warm bath administer tetanus vaccine IV Hydration Warm with friction 1 - redness 2 - fluid-filled, milky blisters 3 - bloody blisters 4 - tissue necrosis Correct Answer - 4 Stages of Frostbite hot skin, oliguria, ALOC Correct Answer - Clinical manifestations of Heat Stroke include: hot skin, oliguria, ALOC red skin with blisters paradoxical chest movement shivering no! aspiration risk Correct Answer - If a patient has heat stroke and ALOC do you want to feed them? bring to shady area put water on body call 911 cold packs on neck/abdomen/groin if they shiver - give benzos! IV saline in hospital electrolyte labs expect high H&H r/t hemoconcentration oxygen remember! they are at risk for hypovolemic shock Correct Answer - Interventions for heat stroke Flumazenil Correct Answer - antidote for benzodiazepines triage Correct Answer - Assessing clients to determine severity of illness/injury before administering care is:

non cardiac pulmonary edema crackles X-ray shows ground glass appearance Correct Answer - ARDS clinical manifestations PEEP prone mechanically ventilated Correct Answer - ARDS treatments Fire in a client's hospital room Correct Answer - Which of the following is an examples of an internal disaster: Fire in a client's hospital room Explosion at a nearby factory Flood Winter storm False - the best way is nailbed pressure with a pen Correct Answer - A sternal rub is the best way to test peripheral response to pain True False Facial injuries and difficulty breathing -> red closed fracture of the left tibia -> green (open fracture might be a yellow) asystole with a head injury -> black dislocated shoulder -> green Correct Answer - In a mass casualty event which client would get a red tag? Closed fracture of the left tibia Asystole with a head injury Facial injuries and difficulty breathing dislocated shoulder emergent (red) - ABCs, shock, MI, stroke urgent (yellow) nonurgent (green) Correct Answer - In traditional triage-which clients would be seen first? urgent emergent non urgent black tags epinephrine

steroids, albuterol & antihistamines ok too Correct Answer - The priority medication to give to a client with anaphylaxis is: steroids acetaminophen epinephrine aripiprazole Medical Reserve Corps HAZMAT - decontamination EMTALA - law that prevents hospitals for asking for pay/insurance before they see you DMAT - 72 hours worth of equipment Correct Answer - A Group that can help communities during a disaster by setting up first-aid stations HAZMAT EMTALA Disaster Medical Assistance Team Medical Reserve Corps you can work in all states, you are a federal employee Correct Answer - If you are part of DMAT, do you need a new license every time you assist with DMAT? Drink 2 glasses of wine each night Correct Answer - Actions to prevent PTSD include all except: Drink Plenty of water Get plenty of rest Do not work more than 12-hr shifts Drink 2 glasses of wine each night Rescue Correct Answer - The R in RACE stands for: Return Rescue Ring the alarm Rest PASS Correct Answer - Order for fire extinguishers True - those are the 2 rules of critical debriefing Correct Answer - Critical stress debriefing is confidential and non-judgmental True False