Midterm Exam with 100% Correct Answers 2023, Exams of Advanced Education

Download Midterm Exam with 100% Correct Answers 2023 and more Exams Advanced Education in PDF only on Docsity! RCP 160 Midterm Exam With 100% Correct Answers 2023 Which of the following structures will result in the most radiopaque shadow on a CXR a. aorta b. heart c. lungs d. ribs - Correct Answer-d. ribs Your patient just had an anteroposterior chest film taken. When you view the film, what may be a consideration? - Correct Answer-The heart may appear larger than it really is. What is indicated by blunting of the costophrenic angles seen on a PA or lateral CXR? - Correct Answer-Excess pleural fluid What chest x-ray view is best used to identify excess pleural fluid? - Correct Answer- Lateral decubitus What term is used to describe the shadows seen on a CXR when the alveoli is filled with pus, fluid or blood? - Correct Answer-Infiltrates X-Rays easily penetrate all of the following EXCEPT: - Correct Answer-Consolidative lung tissue The imaging technique of choice for an initial evaluation of the lungs is - Correct Answer-Conventional CXR Alveolar consolidation is a hallmark of - Correct Answer-Pneumonia A pneumothorax would appear on a CXR as a - Correct Answer-Dark area with out lung markings What two ACLS medications are used for asystole? - Correct Answer-Epinephrine and Atropine A patient is in SVT with a heart rate of 198. What medication could be used to cardiovert this patient - Correct Answer-Adenosine A 21 yo male is brought into the emergency room by ambulance after falling approximately 20 feet from a roof while at work. The patient is combative and unable to follow commands, He is noted to have a large hematoma on the right side of his forehead. HIs vitals are: HR 125 RR 32, BP 98/54. The ED physician decides to intubate for airway protection. What paralytic would be most appropriate for this patient? - Correct Answer-Vecuronium Diazepam - Correct Answer-Valium Lorazepam - Correct Answer-Ativan Benzodiazepine Midazolam - Correct Answer-Versed Benzodiazepine Sublimaze - Correct Answer-Fentanyl Dilaudid is not good for patients with renal failure - Correct Answer-False What is the maximum dose of Atropine? - Correct Answer-3 mg Choose all of the following benefits to sublimaze - Correct Answer-Rapid onset Minimal effect on the cardiovascular system What medication is used to reverse the effects of opioids? - Correct Answer-Narcan The goals of sedation in the ICU are - Correct Answer-1. patient comfort 2. control pain 3. facilitate mechanical ventilation 4. reduce oxygen consumption 1,2,3,4 Diazepam, Lorazepam, Midazolam - Correct Answer-Benzodiazepines Which of the following are side effects of propofol? - Correct Answer-1. Unpredictable respiratory depression 2. Increased ICP 3. Significant hemodynamic effects 4. Bronchospasm 1,3 The Ramsay Score is used to monitor.. - Correct Answer-Patients level of sedation Hypertension, tachycardia, sweating and pupillary dilation are all signs of pain - Correct Answer-True Which opioid medication is the preferred drug but has a hypotension effect and potential for histamine release? - Correct Answer-Morphine How long should the balloon be inflated to obtain a PCWP pressure? - Correct Answer- 15-30 sec A patient in the ICU has the following hemodynamic measurements: CVP 5 mmHg, PAP 18(mean), PCWP 4mmHg, BP 115/74. CO 4L/min. what is the disease process? - Correct Answer-Pulmonary hypertension A patient presents to the ED with a chief complaint of severe abdominal pain. Upon examination, the patient was found to be pale and lethargic with a distended belly. His vitals and hemodynamics were as follows HR of 111 weak and thready, RR 10, SpO2 85% on RA, BP 77/35, CVP 1mmHg. PAP 20/7, PCWP 3 mmHg. What is the disease process the patient could be experiencing? - Correct Answer-Possible GI bleed A patient with tricuspid valve stenosis would most likely have an increase in which hemodynamic pressure? - Correct Answer-CVP Indications of an arterial line - Correct Answer-1. To obtain frequent ABGs 2. To continuously measure systemic BP Which paralytic has no hemodynamic effects? - Correct Answer-Rocuronium Morphine is the drug of choice for patients with an unstable hemodynamic status - Correct Answer-False Which of the following is a potential cause of PAH - Correct Answer-Meth use Potential treatments for group 1 pulmonary hypertension include surgery as well as medications? - Correct Answer-True Which of the following differentiates group 2 PH from the other groups - Correct Answer-It is caused by left-sided heart disease which of the following is not a potential treatment of group 2 PH - Correct Answer- Administration of Vecuronium Pulmonary Artery obstructions - Correct Answer-Group 4 Unclear/ Multifactorial Mechanisms - Correct Answer-Group 5 Lung disease/ hypoxia - Correct Answer-group 3 arterial hypertension - Correct Answer-group 1 Left heart disease - Correct Answer-group 2 when caused by hypoxemia, oxygen therapy is the primary treatment for group 3 PH - Correct Answer-true thromboendarterectomy surgery is not a possible treatment for group 4 PH - Correct Answer-False What are the potential causes of group 5 PH - Correct Answer-Polycythemia sarcoidosis vasculitis Signs and symptoms associated with PH - Correct Answer-Dyspnea hemoptysis Ascites peripheral edema and venous distention iNO is a selective pulmonary vasodilator - Correct Answer-True