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A 37-year-old female walks into the ED holding her abdomen. She is
writhing in pain. Her history includes vaginal bleeding for the past 6
days. She soaked 5 sanitary pads in 2 hours. What is the most likely
cause of the heavy bleeding?
Uterine fibroids


Mittelschmerz
Pelvic inflammatory
disease
Bartholin cyst - ANSWER-Uterine
fibroids


Wernicke-Korsakoff syndrome is characterized by which clinical
manifestations?
Ataxia, mental confusion, and ophthalmoplegia
Delirium tremens, hyperthermia, and disorientation
Tachycardia, tremors, and tachypnea
Hypothermia, muscle rigidity, and bradycardia - ANSWER-Ataxia,
mental confusion, and ophthalmoplegia


A 35-year-old man presents with complaints of stomach pain that
comes and goes for the past two weeks. The nurse asks additional
questions about the nature of this pain and finds that it is relieved

,with antacids and he feels better after eating. The patient mentions
that he had some similar pain about two years ago, but it stopped
after about a month and he never sought care for it. This is most likely
which type of gastrointestinal disorder? Cholecystitis
Pancreatitis
Duodenal ulcer
Stress ulcer - ANSWER-Duodenal ulcer


Which immunoglobulin is responsible for Type 1
allergic responses?


IgA


IgE


IgG
IgM - ANSWER-
IgE


A middle-aged male patient presents to the ED with complaint of
fever. He is awake, alert, and in no acute distress. On arrival, vital
signs are BP 118/58 mm Hg, HR 112 beats/min, RR 20 breaths/min,
SpO2 95%, T 38.8 C (101.9 F). His medical history includes human
immunodeficiency virus (HIV) and he is taking antiviral medications.
Using a 5-level triage system, this patient would be triaged as which
acuity level?
Acuity Level 4 (non-urgent)
Acuity Level 2 (emergent)
Acuity Level 1 (life-threatening situation)

,Acuity Level 3 (urgent) - ANSWER-Acuity Level 2 (emergent)


An 84-year-old male with a decreased level of consciousness
presents to the emergency department from a nursing home. The
patient has a history of hypertension, gout, and chronic obstructive
pulmonary disease. He is allergic to penicillin. Current medications
include docusate, albuterol inhaler, colchicine, and metoprolol. Vital
signs on arrival are BP 78/48 mm Hg, HR 60 beats/min, RR 28
breaths/min, T 35.3 C (95.6 F), and SpO2 92% without supplemental
oxygen. Which type of shock do these clinical manifestations
represent?
Obstructive
Septic
Anaphylactic
Hypovolemic - ANSWER-Septic


A 56-year-old female presents to the emergency department with
complaints of abdominal pain for 5 days. The patient was involved in
a motor vehicle crash, but did not feel that she needed to come to the
emergency department. Upon examination, the patient has no active
bowel sounds and the abdomen is rigid. The patient has which
gastrointestinal emergency?
Peritonitis
Diverticulitis
Intestinal obstruction
Esophageal obstruction - ANSWER-Peritonitis


A patient, who was successfully defibrillated, now has an irregular
rhythm at 86 beats/min. The patient remains unresponsive, with

, absent central pulses. These findings are associated with which
condition?
Ruptured aortic aneurysm
Pulseless electrical activity
Pericardial tamponade
Coarse ventricular fibrillation - ANSWER-Pulseless electrical activity


An adolescent playing basketball felt a pop in her heel after a jump
shot, and a sharp pain in her heel as she landed. She is unable to
stand on the ball of her foot. Which injury do these clinical
manifestations most likely represent?
Calcaneous fracture
Achilles tendon rupture
Ankle strain
Metatarsal fracture - ANSWER-Achilles tendon rupture


A patient arrives after getting a hand caught in a machine, peeling
the skin away and
exposing underlying structures. What injury does
this represent?
Hematoma
Avulsion
Laceration
Abrasion - ANSWER-
Avulsion


The nurse is providing discharge instructions to a patient with
asthma. Which of the

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