DETAILED CORRECT ANSWERS; A+
GRADE STUDY RESOURCE 2026-2027
15 month child choked; CXR shows hyperinflated right
lung, what is the diagnosis? - correct answer-
Right mainstream bronchus obstruction d/t foreign body
aspiration
22 yo m after MVA; incomprehensible sounds, no eye
opening to painful stimuli, CT scan shows increased ICP
and subdural bleed; what is the first thing we do? -
correct answer- Elevate head of bed to 30-45
degrees
43 yo m with hx of CAD comes with left hemiparesis x 1
hour. CT shows no bleed. What do we do? - correct
answer- Administer TPA/TNK
45 year old male with AMS, redness on upper thigh and
scrotal area x 4 days (gangrenous); hx of poor controlled
DM
,What is it?
How to treat? - correct answer- Fournier's
cellulitis
Tx: Surgery immediately, then beta lactam, clindamycin
(blocks toxin release), vanco
45 yo male, vent for ARDs d/t aspiration pneumonia; his
vent settings are AC mode, tidal volume 5 mL/kg, RR 20,
PEEP 22, peak airway pressure 40, plateau 35, FiO2 100%
PH 7.34
PaO2 88
What do we do? - correct answer- Lower
PEEP to 18 to Lower pressure inside lung
55 yo with COPD exacerbation; pH 7.2, CO2 92, PO2 108;
pt on vent at tidal volume 375, AC mode, FiO2 of 35%,
, PEEP 5, rate 20, peak airway pressure 55, plateau 18,
autopeep 15
BP is now 70/40, why is it low? Treatment? - correct
answer- Why low: High auto PEEP, should not
have pressure in the lung at the end of exhalation
Tx: Increase expiration time so they can empty lung
completely with exhalation
60 yo with JVD, missed dialysis 2 days ago; in respiratory
distress; BP 80/40, rr 35, pulsus paradoxes 20mm, lungs
clear, muffled hear sounds; what is the likely cause/dx? -
correct answer- Cardiac tamponade
72 year old male with CHF with accessory muscle use is
awake and alert
RR 34
BP 120/80
HR 120