CEN Sample correct answer
Right ventricular infarction (RVI) lead changes - CORRECT ANSWERII, III, AVF
R ventricular infarction s/s - CORRECT ANSWERclear breath sounds, hypotension,
JVD.
R ventricular dilation and dec contractility>> dec preload and CO
Reperfusion therapy standard - CORRECT ANSWERWithin 60 min of ED arrival
Common causes of PEA - CORRECT ANSWERHypoxia, tension pneumo, cardiac
tamponade
BNP as a marker - CORRECT ANSWERof L ventricular dysfunction bc ventricles make
BNP and an inc of over 100 pg/ml indicates symptomatic HF
Transcutaneous pacing (TCP) - CORRECT ANSWERA beat after every pacer spike is
electrical capture. Beats are wide complex bc ventricle is paced. Palpate central pulse,
pt may still be hypotensive w/ diminished or absent peripheral pulses.
Preferred tx with symptomatic brady esp in pts with acute MI
Wolff Parkinson-White (WPW) syndrome - CORRECT ANSWERshortened PR interval
and widened QRS complex with a delta wave. When there is an extra electrical
conduction path to heart causing electrical signal to arrive too soon at ventricle (pt
presents in tachy)
Brugada syndrome - CORRECT ANSWERR bundle branch block with ST segment
elevation in leads V1-V3 and inc risk of sudden cardiac death (SUDS), common in
young men
,Wellen syndrome - CORRECT ANSWERT wave changes plus history of anginal chest
pain w/o serum marker abnormalities, EKG lacks Q waves and significant ST segment
elevation. Assoc with critical proximal L anterior descending (LAD) artery stenosis
Hypothermia associations - CORRECT ANSWERWith bradycardia, Osborne (J) waves
and prolonged QT intervals
Sick sinus syndrome - CORRECT ANSWERSinoatrial node (SA) the primary heart
pacemaker is not functioning properly resulting in bradydysrythmias and/or
tachydysrhythmias with potential for hypotension and syncope
Morphine and nitrates for tx pulmonary edema - CORRECT ANSWERResults in dec
preload or dec venous return>> dec pulmonary congestion
How to diagnose endocarditis - CORRECT ANSWEREchocardiogram
Pericardiocentesis - CORRECT ANSWERFor suspected pericardial effusion or
tamponade
Primary complication of bowel obstruction - CORRECT ANSWERDehydration
Testicular referred pain is indicative of? - CORRECT ANSWERDuodenal injury
S/s pancreatitis - CORRECT ANSWERSharp, boring, epigastric pain, inc after eating
and having alcohol
Dx with abd CT scan
Paracentesis - CORRECT ANSWERProcedure to remove fluid that has accumulated in
the abd cavity
After doing paracentesis - CORRECT ANSWERCheck pt for s/s shock, EKG, dressing,
VS q 15 min
Auscultate bowel obstruction - CORRECT ANSWERFreq and high pitched
Dec or absent bowel sounds caused by - CORRECT ANSWERParalytic ileus, paralysis,
dec in peristalsis
One cause of HYPOkalemia - CORRECT ANSWERExcess fluid loss from GI (ex:
diarrhea)
One cause of Magnesium depletion - CORRECT ANSWERIntestinal malabsorption
Bland diet is for - CORRECT ANSWERPeptic and gastric ulcers
Chocolate enhances - CORRECT ANSWERS/s GERD
, Life threatening complications of acute pancreatitis - CORRECT ANSWERAtelectasis,
pleural effusion, ARDS
HELLP syndrome - CORRECT ANSWERHemolysis, Elevated liver enzymes, Low
platelets)
Liver panel dx it
S/s rhabdomyolysis - CORRECT ANSWERHYPERkalemia, brown urine, inc CPK,
HYPERcalcemia
Septal hematoma - CORRECT ANSWERCan occur with mid facial trauma; untreated
can lead to abscess formation or avascular necrosis
Ethmoid bone fx can cause - CORRECT ANSWERCSF leakage
Preferred eye irrigation fluid - CORRECT ANSWERLR
Pocket vision screener should be held ___ inches from nose? - CORRECT ANSWER14
inches
HHNC s/s - CORRECT ANSWERUA shows glycosuria without ketouria, polyuria,
tachycardia, hypotension
Acute renal failure (ARF) s/s - CORRECT ANSWERHYPERkalemia, HYPOnatremia,
HYPOcalcemia, HYPERphosphatemia. K level is priority
BUN / Cr ratio that would dx prerenal failure - CORRECT ANSWER> 20:1
S/s HYPOcalcemia - CORRECT ANSWERmuscle cramping
Latex allergy crossovers - CORRECT ANSWERTomatoes, bananas, kiwis, white
potatoes, avocados, bell peppers, peaches
Tx acute HYPERkalemia - CORRECT ANSWERCa and albuterol, sodium bicarb,
insulin and dextrose 50%, kayexalate
Kayexalate - CORRECT ANSWERSodium polystyrene sulfonate takes 1-2 hrs to kick in
Herpes zoster (shingles) transmission - CORRECT ANSWERDirect contact via
vesicular fluid
Fibromyalgia - CORRECT ANSWERChronic fatigue, multiple somatic s/s, widespread
pain and hypersensitivity
Right ventricular infarction (RVI) lead changes - CORRECT ANSWERII, III, AVF
R ventricular infarction s/s - CORRECT ANSWERclear breath sounds, hypotension,
JVD.
R ventricular dilation and dec contractility>> dec preload and CO
Reperfusion therapy standard - CORRECT ANSWERWithin 60 min of ED arrival
Common causes of PEA - CORRECT ANSWERHypoxia, tension pneumo, cardiac
tamponade
BNP as a marker - CORRECT ANSWERof L ventricular dysfunction bc ventricles make
BNP and an inc of over 100 pg/ml indicates symptomatic HF
Transcutaneous pacing (TCP) - CORRECT ANSWERA beat after every pacer spike is
electrical capture. Beats are wide complex bc ventricle is paced. Palpate central pulse,
pt may still be hypotensive w/ diminished or absent peripheral pulses.
Preferred tx with symptomatic brady esp in pts with acute MI
Wolff Parkinson-White (WPW) syndrome - CORRECT ANSWERshortened PR interval
and widened QRS complex with a delta wave. When there is an extra electrical
conduction path to heart causing electrical signal to arrive too soon at ventricle (pt
presents in tachy)
Brugada syndrome - CORRECT ANSWERR bundle branch block with ST segment
elevation in leads V1-V3 and inc risk of sudden cardiac death (SUDS), common in
young men
,Wellen syndrome - CORRECT ANSWERT wave changes plus history of anginal chest
pain w/o serum marker abnormalities, EKG lacks Q waves and significant ST segment
elevation. Assoc with critical proximal L anterior descending (LAD) artery stenosis
Hypothermia associations - CORRECT ANSWERWith bradycardia, Osborne (J) waves
and prolonged QT intervals
Sick sinus syndrome - CORRECT ANSWERSinoatrial node (SA) the primary heart
pacemaker is not functioning properly resulting in bradydysrythmias and/or
tachydysrhythmias with potential for hypotension and syncope
Morphine and nitrates for tx pulmonary edema - CORRECT ANSWERResults in dec
preload or dec venous return>> dec pulmonary congestion
How to diagnose endocarditis - CORRECT ANSWEREchocardiogram
Pericardiocentesis - CORRECT ANSWERFor suspected pericardial effusion or
tamponade
Primary complication of bowel obstruction - CORRECT ANSWERDehydration
Testicular referred pain is indicative of? - CORRECT ANSWERDuodenal injury
S/s pancreatitis - CORRECT ANSWERSharp, boring, epigastric pain, inc after eating
and having alcohol
Dx with abd CT scan
Paracentesis - CORRECT ANSWERProcedure to remove fluid that has accumulated in
the abd cavity
After doing paracentesis - CORRECT ANSWERCheck pt for s/s shock, EKG, dressing,
VS q 15 min
Auscultate bowel obstruction - CORRECT ANSWERFreq and high pitched
Dec or absent bowel sounds caused by - CORRECT ANSWERParalytic ileus, paralysis,
dec in peristalsis
One cause of HYPOkalemia - CORRECT ANSWERExcess fluid loss from GI (ex:
diarrhea)
One cause of Magnesium depletion - CORRECT ANSWERIntestinal malabsorption
Bland diet is for - CORRECT ANSWERPeptic and gastric ulcers
Chocolate enhances - CORRECT ANSWERS/s GERD
, Life threatening complications of acute pancreatitis - CORRECT ANSWERAtelectasis,
pleural effusion, ARDS
HELLP syndrome - CORRECT ANSWERHemolysis, Elevated liver enzymes, Low
platelets)
Liver panel dx it
S/s rhabdomyolysis - CORRECT ANSWERHYPERkalemia, brown urine, inc CPK,
HYPERcalcemia
Septal hematoma - CORRECT ANSWERCan occur with mid facial trauma; untreated
can lead to abscess formation or avascular necrosis
Ethmoid bone fx can cause - CORRECT ANSWERCSF leakage
Preferred eye irrigation fluid - CORRECT ANSWERLR
Pocket vision screener should be held ___ inches from nose? - CORRECT ANSWER14
inches
HHNC s/s - CORRECT ANSWERUA shows glycosuria without ketouria, polyuria,
tachycardia, hypotension
Acute renal failure (ARF) s/s - CORRECT ANSWERHYPERkalemia, HYPOnatremia,
HYPOcalcemia, HYPERphosphatemia. K level is priority
BUN / Cr ratio that would dx prerenal failure - CORRECT ANSWER> 20:1
S/s HYPOcalcemia - CORRECT ANSWERmuscle cramping
Latex allergy crossovers - CORRECT ANSWERTomatoes, bananas, kiwis, white
potatoes, avocados, bell peppers, peaches
Tx acute HYPERkalemia - CORRECT ANSWERCa and albuterol, sodium bicarb,
insulin and dextrose 50%, kayexalate
Kayexalate - CORRECT ANSWERSodium polystyrene sulfonate takes 1-2 hrs to kick in
Herpes zoster (shingles) transmission - CORRECT ANSWERDirect contact via
vesicular fluid
Fibromyalgia - CORRECT ANSWERChronic fatigue, multiple somatic s/s, widespread
pain and hypersensitivity
