Question 1

Common physiological findings with CHF include all of the following EXCEPT:

Options :

A : Decreased stroke volume

B : Decreased Cardiac output

C : Increased venous congestion

D : Decreased peripheral systemic pressure

Answer: D

Question 2

A 20yearold patient with sickle cell disease is brought to the emergency department with an acute sickle cell crisis. This episode includes chest pain, shortness of breath, fever and wheezing. Treatment for this patient should include all of the following EXCEPT:

Options :

A : Antibiotics

B : Demerol

C : Oxygen

D : FALSE

Answer: B

Question 3

If shock is left untreated, the body's natural compensatory mechanisms will begin to fail, causing decreased blood flow. Which of the following blood tests can one obtain to evaluate for organ injury?

Options :

A : Cardiac enzymes

B : Complete blood count

C : Lactic acid

D : Renal panel

Answer: C

Question 4

How does shock usually progress?

Options :

A : Compensated to hypotensive shock in hours and hypotensive shock to cardiac arrest in minutes

B : Compensated to hypotensive shock in minutes and hypotensive shock to cardiac arrest in hours

C : Hypotensive to compensated shock in hours and compensated shock to cardiac arrest in minutes

D : Hypotensive to compensated shock in minutes and compensated shock to cardiac arrest in hours

Answer: A

Question 5

EMS calls with a 23yearold male patient who was just in a three car MVC and had driver side impact. They report the patient's air bags did not deploy. The patient was not wearing his seatbelt. The patient arrives to the ER and during the exam you auscultate decreased breath sounds on the right side, bowel sounds in the middle of the chest and that the patient is dyspneic. The findings are consistent with:

Options :

A : Ruptured Diaphragm

B : Pulmonary Contusion

C : Flail Chest

D : Pneumothorax

Answer: A

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