DAANCE: all modules EXAM 2024-2025 QUESTIONS AND ANSWERS
100 % PASS SOLUTION A+ GRADE
What type of intubation is preferred with emesis with aspiration? - answer>>ETT. LMA or combitube
acceptable.
Antibiotic prophylaxis for total joint replacement patients - answer>>Previous joint infection, 2 yrs
following joint replacement, malnourishment, hemophilia, diabetes type I, immunosuppressed or
immunocompromised patients.
Pulmonary artery - answer>>One of two arteries that carry venous (oxygen poor) blood from heart to
lungs
AV blocks - answer>>PR length is prolonged or varies in length due to impulse being partially or
completely blocked as it attempts to travel from atria to ventricles via AV node.
Patients who need antibiotic prophylaxis - answer>>Previous infective endocarditis, prosthetic valves,
cardiac transplant patients who develop valvulopathy, congenital heart disease.
Congestive heart failure - answer>>Condition caused by the heart is unable to handle blood volume
coming back to it from either the lungs or peripheral circulation.
3 characteristics of normal heart rhythms - answer>>Rate, regularity, and rhythm.
MVP (mitral valve prolapse) - answer>>One or more of valve flaps don't close completely allowing
redundancy of valve leaflets into left atrium.
Rheumatic heart diseases - answer>>Condition caused secondary to rheumatic fever (beta hemolytic
streptococci) which damages the heart valves, primarily the mitral valve, and causes heart murmur.
MI (myocardial infarction) - answer>>Heart attack. Six should be performed on patient until 6 months
after.
,Right sided heart failure - answer>>Increased pressure of fluid in blood vessels causes fluid to leak into
body's tissues causing peripheral edema and ascites
Left sided heart failure - answer>>Increased pressure of fluid in blood vessels causes fluid to leak into
lungs. Patients often present with shortness of breath.
Review of systems musculoskeletal - answer>>Weakness of extremities, atrophy of muscles, frequent
cramping of muscles.
Review of systems neurologic - answer>>Weakness of extremities, hx of projectile vomiting, headaches,
visual disturbances, any unexplained pain or numbness in body.
Review of systems pulmonary - answer>>Shortness of breath, dizziness, chronic cough, wheezing,
productive cough.
Review of systems genitourinary - answer>>Painful urination, blood in urine, frequent urination,
incontinence, discharge in urine.
Review of systems gastrointestinal - answer>>Loss of appetite, swallowing, change in taste, nausea,
vomiting, diarrhea, constipation.
Review of systems skin - answer>>Bruising, bleeding, discoloration.
Review of systems cardiovascular - answer>>Headaches, dizziness, nosebleeds, shortness of breath,
chest or arm pain, edema.
Review of systems general - answer>>Weight loss, loss of appetite, weakness, fatigue.
4 key questions to ask patient in evaluation - answer>>Are they currently under physicians care, do they
take any meds, do they have any allergies and reactions they have, review of systems.
, Asthma - answer>>Usually associated with allergies. Increased secretions in the muscles membranes
lining bronchioles. Mucus plugs block smaller bronchi making movement of air in and out if lungs
difficult. More difficulty with expiration.
Focus (foci) - answer>>Site in atria or ventricles which is center for generation of impulse.
Cushing's disease - answer>>Non life threatening. Hyper secretion of glucocorticoids.
Glucocorticoids - answer>>Allow the body to respond to stress.
Addison's disease - answer>>Life threatening. Hypo secretion of glucocorticoids.
Cirrhosis - answer>>Fibrosis or scar tissue in liver. Patients with cirrhosis may have difficulty
metabolizing medications and may have prolonged effects of medications.
Risks of liver cirrhosis - answer>>Prolonged effects of medications, prolonged mental depression can
cause hepatic coma, trouble clotting, peripheral edema, ascites.
Dyspnea - answer>>Difficulty breathing or breathlessness.
Bronchitis - answer>>Inflammation of the mucous membranes lining the bronchial tubes. Sx should be
delayed.
Smoking - answer>>Predisposes patients to laryngospasm and bronchospasm.
Upper respiratory infection (URI) - answer>>Common cold or cough which produces increased
secretions in airway. Best to delay surgery. Involves sinuses, nasal passages, pharynx, and larynx.
Diabetes mellitus - answer>>Metabolic impairment where the body is unable to metabolize glucose
properly causing increased blood glucose levels. This prevents the body from metabolizing carbs
properly.