MSN 623 FINAL EXAM | 100
QUESTIONS | WITH PASSED
SOLUTIONS!!
1 of 100
Term
An 18-year-old football player presents to the emergency
department (ED) complaining of nausea after a training session at
high heat. His coach was concerned because he was very warm to
the touch and was sweating profusely. A couple of minutes after
arrival at the ED, the patient has an episode of vomiting. His
uniform and padding are quickly removed as he is laid on a
stretcher. His vital signs demonstrate a core temperature 102.2 °F
(38.9 °C), heart rate 118 bpm, blood pressure 119/82 mmHg, and
respiration rate 22 breaths/min. His point-of-care glucose was 80
mg/dL, and his skin remains very sweaty. Which of the following is
the most appropriate treatment to initiate now?
,1. Acetaminophen
2. IV fluids with normal
saline 3.Mechanical cooling
with a fan 4.Intravenous 50%
dextrose
Give this one a try later!
2.IV fluids with normal saline 2.Start monotherapy with a DMARD
4.He should avoid taking it with
alcohol 3. Human papillomavirus vaccine
Don't know?
2 of 100
Term
A 39-year-old man is accompanied by his wife to the clinic. The wife
says her husband has episodes of passing out during the daytime,
even when doing important work. She states that the patient has
reduced attentiveness and has become more irritable over the past
few months. The patient and his wife have also stopped sharing a
bed because of his loud snoring. On further questioning the patient
after sending his wife out of the office, the patient confirms
everything. He further adds that he is embarrassed about his
behavior and wishes that there was something he could do to fix
everything. He admits to falling asleep even during office meetings
and describes these episodes as involuntary. His body mass index
is 35 kg/m2. His vitals are blood pressure 135/88 mmHg, pulse 95/min,
and respiratory rate 19/min. A nighttime arterial blood sample is sent
,for acid-base analysis. What abnormality is most likely to be seen
in a
Give this one a try later!
3.Respiratory acidosis 4.rheumatoid arthritis
2.pre-eclampsia 4.trichomoniasis
Don't know?
3 of 100
Term
A 76-year-old male comes into the emergency department with a
complaint of chest pain. The patient was placed on telemetry
monitoring that showed an abnormal rhythm at a rate of 160 beats
per minute. A 12 lead EKG was performed showing an irregularly
irregular rhythm. He has a history of atrial fibrillation and has been
taking rivaroxaban for the past four months. The patient soon
becomes diaphoretic, unresponsive, and hypotensive. What is the
next best step?
1. Give 10 mg IV push of diltiazem bolus for rate control
2. Give 150 mg IV push of amiodarone for rhythm
control 3.Immediate cardioversion
4.Begin transcutaneous pacing
Give this one a try later!
, 3. Immediate cardioversion 1.A moderate exercise
program
2.Nocturnal polysomnography 4.More than 350/minute
Don't know?
4 of 100
Term
A 50-year-old man complains of a lack of energy. He nods off
during the day, usually when reading or watching television. He
goes to bed at 11 pm and wakes up at 8 am. He has no medical
illnesses and takes no medication. He drinks a glass of wine daily,
usually with dinner, and denies smoking. He states that his wife
complains about his snoring. His vital signs show blood pressure of
130/85 mmHg, heart rate of 67 beats/minute, respiratory rate of 16
breaths/minute, and body mass index of 27 kg/m^2. Which of the
following is the gold standard test for diagnosing this patient's
condition?
1.Multiple sleep latency test
2.Nocturnal polysomnography
3.Nocturnal oximetry
4.Actigraphy
Give this one a try later!
2.Nocturnal polysomnography 3.Immediate cardioversion
2.IV fluids with normal saline 2.Start monotherapy with a DMARD
QUESTIONS | WITH PASSED
SOLUTIONS!!
1 of 100
Term
An 18-year-old football player presents to the emergency
department (ED) complaining of nausea after a training session at
high heat. His coach was concerned because he was very warm to
the touch and was sweating profusely. A couple of minutes after
arrival at the ED, the patient has an episode of vomiting. His
uniform and padding are quickly removed as he is laid on a
stretcher. His vital signs demonstrate a core temperature 102.2 °F
(38.9 °C), heart rate 118 bpm, blood pressure 119/82 mmHg, and
respiration rate 22 breaths/min. His point-of-care glucose was 80
mg/dL, and his skin remains very sweaty. Which of the following is
the most appropriate treatment to initiate now?
,1. Acetaminophen
2. IV fluids with normal
saline 3.Mechanical cooling
with a fan 4.Intravenous 50%
dextrose
Give this one a try later!
2.IV fluids with normal saline 2.Start monotherapy with a DMARD
4.He should avoid taking it with
alcohol 3. Human papillomavirus vaccine
Don't know?
2 of 100
Term
A 39-year-old man is accompanied by his wife to the clinic. The wife
says her husband has episodes of passing out during the daytime,
even when doing important work. She states that the patient has
reduced attentiveness and has become more irritable over the past
few months. The patient and his wife have also stopped sharing a
bed because of his loud snoring. On further questioning the patient
after sending his wife out of the office, the patient confirms
everything. He further adds that he is embarrassed about his
behavior and wishes that there was something he could do to fix
everything. He admits to falling asleep even during office meetings
and describes these episodes as involuntary. His body mass index
is 35 kg/m2. His vitals are blood pressure 135/88 mmHg, pulse 95/min,
and respiratory rate 19/min. A nighttime arterial blood sample is sent
,for acid-base analysis. What abnormality is most likely to be seen
in a
Give this one a try later!
3.Respiratory acidosis 4.rheumatoid arthritis
2.pre-eclampsia 4.trichomoniasis
Don't know?
3 of 100
Term
A 76-year-old male comes into the emergency department with a
complaint of chest pain. The patient was placed on telemetry
monitoring that showed an abnormal rhythm at a rate of 160 beats
per minute. A 12 lead EKG was performed showing an irregularly
irregular rhythm. He has a history of atrial fibrillation and has been
taking rivaroxaban for the past four months. The patient soon
becomes diaphoretic, unresponsive, and hypotensive. What is the
next best step?
1. Give 10 mg IV push of diltiazem bolus for rate control
2. Give 150 mg IV push of amiodarone for rhythm
control 3.Immediate cardioversion
4.Begin transcutaneous pacing
Give this one a try later!
, 3. Immediate cardioversion 1.A moderate exercise
program
2.Nocturnal polysomnography 4.More than 350/minute
Don't know?
4 of 100
Term
A 50-year-old man complains of a lack of energy. He nods off
during the day, usually when reading or watching television. He
goes to bed at 11 pm and wakes up at 8 am. He has no medical
illnesses and takes no medication. He drinks a glass of wine daily,
usually with dinner, and denies smoking. He states that his wife
complains about his snoring. His vital signs show blood pressure of
130/85 mmHg, heart rate of 67 beats/minute, respiratory rate of 16
breaths/minute, and body mass index of 27 kg/m^2. Which of the
following is the gold standard test for diagnosing this patient's
condition?
1.Multiple sleep latency test
2.Nocturnal polysomnography
3.Nocturnal oximetry
4.Actigraphy
Give this one a try later!
2.Nocturnal polysomnography 3.Immediate cardioversion
2.IV fluids with normal saline 2.Start monotherapy with a DMARD
