SAEM MS4 Curriculum Questions With Correct Answers

SAEM MS4 Curriculum Questions With Correct
Answers
First steps for SOB - -1. Vitals
2. O2 via NC or NRB, BVM if not breathing adequately on their own
3. IV access
4. Cardiac and pulse Ox monitoring
5. EKG
6. CXR
7. US
8. Ddimer
9. BNP
10. trops



When do you use Non-Invasive PPV? - --moderate to severe dyspnea

-accessory muscle use
-paradoxical abdominal movement
-fatigue
-RR > 25 bpm
-pH < 7.35
-pCO2 > 45



When do you not use NIPPV? - --respiratory arrest
-hemodynamic instability
-aspiration risk
-airway obstruction
-unable to tolerate mask
-AMS

, SAEM MS4 Curriculum Questions With Correct
Answers
DDx for SOB? - -- CHF exacerbation
- ACS
- Anaphylaxis
- Asthma/COPD
- Tamponade
- PE
- PNA
- airway obstruction



Causes of systolic heart failure - -Heart cannot "squeeze" due to:
- ischemic heart disease
- CAD
- Hypertension
- fluid overload
- arrhythmia
- renal DZ
- regurgitant valvular disease
Leads to eccentric hypertrophy



Causes of diastolic heart failure - -Heart cannot "relax" due to:
- hypertension
- cardiomyopathy
- CAD
- DM
- LVH
- stenotic valvular DZ