What is a five-level tool used for triage that categorizes patients and rates the
level of acuity from level 1 (most urgent) to level 5 (least urgent & least
resource intensive)? - ANSWER Emergency Severity Index (ESI)
ESI: Requires less urgent attention. Only one type of resource is required to
evaluate or stabilize the patient. Examples include: Sprained ankle, Skin
abscess, Simple laceration, Sore throat - ANSWER ESI Level 4
ESI: Simple visit (non-urgent). The patient does not require any resources to be
stabilized or evaluated ("clinical diagnoses"). Examples include: • Toothache •
Skin rash • Medication refill • Suture removal • Wound check - ANSWER ESI
Level 5
Patient complains of cough, congestion, runny nose, sore throat, headaches, &
low-grade fevers. What is the dx? - ANSWER URI
What is the Centor criteria? - ANSWER 1. Fever >100.4
2. Tender cervical CAD
3. No cough
4. Tonsillar exudate
What is the most common cause of a red eye? - ANSWER Conjunctivitis
- Viral
- Bacterial
- Allergic
- Chemical
Patient presents with drainage, lid matting & preauricular adenopathy. What is
the dx? - ANSWER Conjunctivitis
- Always consider GC, Chlamydia, HSV, and corneal ulcers
, Patient presents with pruritus, stringy discharge, chemosis, & cobblestoning.
What is the dx? - ANSWER Allergic conjunctivitis
What are common causes of corneal abrasions? - ANSWER 1. Trauma
2. Contact lens use
3. UV light exposure
What is required to make a diagnosis of corneal abrasion? - ANSWER
Fluorescein staining
What is the NEXUS criteria? - ANSWER 1. No midline pain or tenderness
2. No focal neurologic symptoms or signs
3. No altered level of consciousness (e.g. no head injury, intoxication,
underlying dementia)
4. No distracting injuries
What injury is usually 2° to direct trauma to adducted upper arm? - ANSWER
AC Separation
Are shoulder dislocations mostly anterior or posterior? - ANSWER Anterior
Name the pediatric elbow growth plates - ANSWER 1. Capitellum
2. Radial head
3. Internal (medial) epicondyle
4. Trochlea
5. Olecranon (better seen on lateral)
6. External (lateral) epicondyle
level of acuity from level 1 (most urgent) to level 5 (least urgent & least
resource intensive)? - ANSWER Emergency Severity Index (ESI)
ESI: Requires less urgent attention. Only one type of resource is required to
evaluate or stabilize the patient. Examples include: Sprained ankle, Skin
abscess, Simple laceration, Sore throat - ANSWER ESI Level 4
ESI: Simple visit (non-urgent). The patient does not require any resources to be
stabilized or evaluated ("clinical diagnoses"). Examples include: • Toothache •
Skin rash • Medication refill • Suture removal • Wound check - ANSWER ESI
Level 5
Patient complains of cough, congestion, runny nose, sore throat, headaches, &
low-grade fevers. What is the dx? - ANSWER URI
What is the Centor criteria? - ANSWER 1. Fever >100.4
2. Tender cervical CAD
3. No cough
4. Tonsillar exudate
What is the most common cause of a red eye? - ANSWER Conjunctivitis
- Viral
- Bacterial
- Allergic
- Chemical
Patient presents with drainage, lid matting & preauricular adenopathy. What is
the dx? - ANSWER Conjunctivitis
- Always consider GC, Chlamydia, HSV, and corneal ulcers
, Patient presents with pruritus, stringy discharge, chemosis, & cobblestoning.
What is the dx? - ANSWER Allergic conjunctivitis
What are common causes of corneal abrasions? - ANSWER 1. Trauma
2. Contact lens use
3. UV light exposure
What is required to make a diagnosis of corneal abrasion? - ANSWER
Fluorescein staining
What is the NEXUS criteria? - ANSWER 1. No midline pain or tenderness
2. No focal neurologic symptoms or signs
3. No altered level of consciousness (e.g. no head injury, intoxication,
underlying dementia)
4. No distracting injuries
What injury is usually 2° to direct trauma to adducted upper arm? - ANSWER
AC Separation
Are shoulder dislocations mostly anterior or posterior? - ANSWER Anterior
Name the pediatric elbow growth plates - ANSWER 1. Capitellum
2. Radial head
3. Internal (medial) epicondyle
4. Trochlea
5. Olecranon (better seen on lateral)
6. External (lateral) epicondyle
