Summary NR 360 WEEK 8 TEAM PRESENTATION 2023
SUMMER EXAM WELL ELABORATED WITH REFERENCE
100% PASS
Which of the following is NOT a symptom of septic shock? Pressors required to
maintain a MAP >65 despite adequate fluid management, Serum lactate >2 mmol/L,
Pitting edema, Absence of hypovolemia - ANSWER: Pitting edema
What is the dose of Norepinephrine for Septic shock? 0.5-1mcg/min up to
30mcg/min, 0.5-1mg/min up to 30mg/min, 5-1g/min up to 30g/min, 5-1mg/min up
to mg/min - ANSWER: 0.5-1mcg/min up to 30mcg/min
SIRS criteria is used to identify patients with: CHF, COPD, Sepsis, Seizures - ANSWER:
Sepsis
What is an important step in treating a patient with septic shock? Stay on scene to
do interventions, Have the patient sign a refusal, Ask the patient to do the waltz, Call
a sepsis alert to the receiving facility - ANSWER: Call a sepsis alert to the receiving
facility
What are causes of sepsis? Cardiac instability, Headache, Ectopic pregnancy,
Systemic infection - ANSWER: Systemic infection
List the SIRS Criteria - ANSWER: RR >20, ETCO <32, Temp >101.3 or <95, HR >90,
WBC >12,000 or <4,000
List the qSOFA criteria - ANSWER: RR >22, SBP <100, GCS <15, Hereditary
Angioedema
Which of the following is NOT a symptom of hereditary angioedema? Temp >101.3,
Absence of urticaria and itching, A family history, Not usually life threatening -
ANSWER: Temp >101.3
What is a common trigger for HAE? Trauma, Bee-He Sting, Alcohol consumption,
Emotional stress - ANSWER: Emotional stress
What are the treatments for HAE? Typically does not require emergent intervention,
Epinephrine, Diphenhydramine, Adenosine - ANSWER: Typically does not require
emergent intervention
Where does HAE typically present? Testicles, Mammary Tissue, Airway-Skin-GI tract,
Perineum - ANSWER: Airway-Skin-GI tract
What typical medications can EMS providers use in the field for treatment for life
threatening HAE? A. Cardizem, Atenolol, Aspirin, B. Viagra, Cialis, Levitra, C.
, Diphenhydramine, Epinephrine, Steroids, D. Omalizumab or Cyclosporine - ANSWER:
C. Diphenhydramine, Epinephrine, Steroids
What is hereditary angioedema? - ANSWER: Hereditary angioedema is an abnormal
complement system that triggers profound peripheral edema
Why does hereditary angioedema not typically require EMS or medical
interventions? - ANSWER: Hereditary angioedema does not typically cause airway
constriction or other life threatening issues. Typically it only causes swelling in the
face with no other issues.
Prinzmetal angina is a a. Vasospastic event, b. Life-threatening arrythmia, c. Normal
thing, d. Neurological problem - ANSWER: a. Vasospastic event
What is the LEAST likely for prinzmetal angina? Chest pain, ST changes, Rapid
response to nitrates, Cardiac arrest - ANSWER: Cardiac arrest
What are appropriate treatments for prinzmetal angina? a. 12-lead, O2,
nitroglycerin, b. Aspirin, nitroglycerin, epinephrine, c. O2, EKG, aspirin, d. Rapid
transport, stroke alert, M.E.N.D exam - ANSWER: a. 12-lead, O2, nitroglycerin
The most frequently affected artery in prinzmetal angina is: Left main coronary
artery, Right main coronary artery, Circumflex artery, Left anterior descending -
ANSWER: Right main coronary artery
Prinzmetal angina is caused by: Increased reactivity of the vessels to vasoconstrictive
stimuli, Increased reactivity of the bronchi to irritative stimuli, Increased reactivity of
the vessels to vasodilation stimuli, Decreased reactivity of the vessels to
vasoconstrictive stimuli - ANSWER: Increased reactivity of the vessels to
vasoconstrictive stimuli
Those at highest risk for prinzmetal angina are _______ and _______ - ANSWER:
Women over 50, Japanese
What percent of prinzmetal angina cases develop life-threatening arrythmias? -
ANSWER: 25%
Cerebral Abscess in the occipital lobe would MOST LIKELY cause which of the
following: Ataxia, Dysphagia, Diplopia, Vertigo - ANSWER: Diplopia
Cerebral Abscess can cause which of the following complications: Seizures, Anemia,
Hypoxemia, Uremia - ANSWER: Seizures
The most common cause of cerebral abscess is: Infection crossing the blood-brain
barrier, Secondary to encephalopathy, Hypoperfusion of the brain, Previous CVA or
TIA - ANSWER: Infection crossing the blood-brain barrier
SUMMER EXAM WELL ELABORATED WITH REFERENCE
100% PASS
Which of the following is NOT a symptom of septic shock? Pressors required to
maintain a MAP >65 despite adequate fluid management, Serum lactate >2 mmol/L,
Pitting edema, Absence of hypovolemia - ANSWER: Pitting edema
What is the dose of Norepinephrine for Septic shock? 0.5-1mcg/min up to
30mcg/min, 0.5-1mg/min up to 30mg/min, 5-1g/min up to 30g/min, 5-1mg/min up
to mg/min - ANSWER: 0.5-1mcg/min up to 30mcg/min
SIRS criteria is used to identify patients with: CHF, COPD, Sepsis, Seizures - ANSWER:
Sepsis
What is an important step in treating a patient with septic shock? Stay on scene to
do interventions, Have the patient sign a refusal, Ask the patient to do the waltz, Call
a sepsis alert to the receiving facility - ANSWER: Call a sepsis alert to the receiving
facility
What are causes of sepsis? Cardiac instability, Headache, Ectopic pregnancy,
Systemic infection - ANSWER: Systemic infection
List the SIRS Criteria - ANSWER: RR >20, ETCO <32, Temp >101.3 or <95, HR >90,
WBC >12,000 or <4,000
List the qSOFA criteria - ANSWER: RR >22, SBP <100, GCS <15, Hereditary
Angioedema
Which of the following is NOT a symptom of hereditary angioedema? Temp >101.3,
Absence of urticaria and itching, A family history, Not usually life threatening -
ANSWER: Temp >101.3
What is a common trigger for HAE? Trauma, Bee-He Sting, Alcohol consumption,
Emotional stress - ANSWER: Emotional stress
What are the treatments for HAE? Typically does not require emergent intervention,
Epinephrine, Diphenhydramine, Adenosine - ANSWER: Typically does not require
emergent intervention
Where does HAE typically present? Testicles, Mammary Tissue, Airway-Skin-GI tract,
Perineum - ANSWER: Airway-Skin-GI tract
What typical medications can EMS providers use in the field for treatment for life
threatening HAE? A. Cardizem, Atenolol, Aspirin, B. Viagra, Cialis, Levitra, C.
, Diphenhydramine, Epinephrine, Steroids, D. Omalizumab or Cyclosporine - ANSWER:
C. Diphenhydramine, Epinephrine, Steroids
What is hereditary angioedema? - ANSWER: Hereditary angioedema is an abnormal
complement system that triggers profound peripheral edema
Why does hereditary angioedema not typically require EMS or medical
interventions? - ANSWER: Hereditary angioedema does not typically cause airway
constriction or other life threatening issues. Typically it only causes swelling in the
face with no other issues.
Prinzmetal angina is a a. Vasospastic event, b. Life-threatening arrythmia, c. Normal
thing, d. Neurological problem - ANSWER: a. Vasospastic event
What is the LEAST likely for prinzmetal angina? Chest pain, ST changes, Rapid
response to nitrates, Cardiac arrest - ANSWER: Cardiac arrest
What are appropriate treatments for prinzmetal angina? a. 12-lead, O2,
nitroglycerin, b. Aspirin, nitroglycerin, epinephrine, c. O2, EKG, aspirin, d. Rapid
transport, stroke alert, M.E.N.D exam - ANSWER: a. 12-lead, O2, nitroglycerin
The most frequently affected artery in prinzmetal angina is: Left main coronary
artery, Right main coronary artery, Circumflex artery, Left anterior descending -
ANSWER: Right main coronary artery
Prinzmetal angina is caused by: Increased reactivity of the vessels to vasoconstrictive
stimuli, Increased reactivity of the bronchi to irritative stimuli, Increased reactivity of
the vessels to vasodilation stimuli, Decreased reactivity of the vessels to
vasoconstrictive stimuli - ANSWER: Increased reactivity of the vessels to
vasoconstrictive stimuli
Those at highest risk for prinzmetal angina are _______ and _______ - ANSWER:
Women over 50, Japanese
What percent of prinzmetal angina cases develop life-threatening arrythmias? -
ANSWER: 25%
Cerebral Abscess in the occipital lobe would MOST LIKELY cause which of the
following: Ataxia, Dysphagia, Diplopia, Vertigo - ANSWER: Diplopia
Cerebral Abscess can cause which of the following complications: Seizures, Anemia,
Hypoxemia, Uremia - ANSWER: Seizures
The most common cause of cerebral abscess is: Infection crossing the blood-brain
barrier, Secondary to encephalopathy, Hypoperfusion of the brain, Previous CVA or
TIA - ANSWER: Infection crossing the blood-brain barrier
