Random from CPEN Practice Test 1 Solved 100%
Correct!!
plague (yersinia pestis)
- fever
- bloody sputum
- clinical pneumonia <-- early sign
- sepsis + DIC <-- late sign
anthrax (bacillius anthracis)
- fever
- headache
- dyspnea
- cough
- N/V
- chest/abd pain
botulism (clostridium botulinum)
-descending flaccid paralysis
- cranial nerve palsy
- normal mentation
smallpox (variola)
- fever
- vesiculopustular leisons in face + trunk
Dextrose 5%
not used to tx hypoglycemia in kids
Dextrose 10%
tx hypoglycemia in neonates
Dextrose 25%
tx hypoglycemia in 1month to 2years old
Dextrose 50%
tx hypoglycemia in 2 years old & older
in compartment syndrome, do you elevate extremity above the heart or at the
level of the heart
keep limb at leave of heart
b/c if you elevate, you're reducing blood flow and w/ compartment syndrome, you are
already worried about reduced blood flow
femur factures are (name 4 things)
1. can cause significant blood loss
2. cause hemorrhagic shock
3. painful
4. presents w/ external rotation
Oxygen supplement helps a sickle cell anemia pt by
ease WOB
oxygen baseline for sickle cell anemia pts are generally
lower d/t sickling of RBC so important to measure their O2
,Jaw thrust maneuver is used in
traumatic injury / spinal injury is suspected
protects the spine
head tilt maneuver is used in
non-trauma patients (when spine injury is NOT suspected)
normal liver palpable up to how many cms below costal margin
up to 2cm below costal margin
Sickle cell disease is most susceptible to what 2 things?
1. acute chest syndrome (ACS)
2.sequestration crisis (firm/enlarged spleen) - LUQ pain
sequestration crisis tx
1. PRBC
2. oxygen (tx inadequate tissue oxygenation)
What heart sounds are heard w/ cardiogenic shock?
muffled heart sounds
what can cause a blunt carotid artery injury?
cervical seat belt abrasion
s/s of blunt carotid artery injury
- unilateral weakness
- unremarkable CT of head
- carotid bruit
- normal mental status
s/s of intrabdominal hemorrhage
- hypovolemic shock (hypotensive)
- altered mental status
- tachycardia
- pallor
Henoch-Schonlein Purpura
- generalized vasculitis
- presents usually in lower extremities (including butt)
- bloody stools
- abd pain, D/V
when can henoch-schonlein purpura occur
after a recent URI
FLACC highest score is ____ w/ _____ categories
highest score 10
5 categories
face
0 = no particular expression
1 = occasional grimace, frown, withdrawn, disinterested
2= frequent to constant frown, clenched jaw, quivering chin
legs
0= normal/relaxed
1= uneasy, restless, tense
2= kicking or legs drawn up
, activity
0= lying quietly, normal position, moves easily
1= squirming, shifting back & forth, tense
2= arched, rigid, jerking
cry
0= no crying
1= moans or occasional whimper
2=crying steadily, screams or sobs, frequent complaining
consolibility
0=content, relaxed
1= reassured by occasional touch, hug, or being talked to, distractable
2=difficult to console/comfort
do not give what type of drugs to sickle cell disease patients
NSAIDS - they can impair kidney function and accelerate kidney damage
anticonvulsant meds have shown to increase the risk of what
violence or aggressive behaviors
s/s of epiglottitis
- drooling
- inability to swallow
- retractions
- stridor
epiglottitis can be caused by
HIB (take HIB vaccine)
s/s of croup
- inspiratory stridor (s in inspir for s=tridor)
- expiratory wheeze
- barking cough
- retractions
- fever
birth weight doubles
6 months
birth weight triples
12 months
birth weight quadruples
30 to 36 months
preferred IO site
proximal tibia
skeletal survey
will help reveal fractures and healing fractures
generally used when suspected child abuse/suspicious fall/fall
if babinski reflex is NOT observed in children under 2 year old, what do you
suspect? so what exam is required?
lesion on the spine
CT scan of lower spine
Les avantages d'acheter des résumés chez Stuvia:
Qualité garantie par les avis des clients
Les clients de Stuvia ont évalués plus de 700 000 résumés. C'est comme ça que vous savez que vous achetez les meilleurs documents.
L’achat facile et rapide
Vous pouvez payer rapidement avec iDeal, carte de crédit ou Stuvia-crédit pour les résumés. Il n'y a pas d'adhésion nécessaire.
Focus sur l’essentiel
Vos camarades écrivent eux-mêmes les notes d’étude, c’est pourquoi les documents sont toujours fiables et à jour. Cela garantit que vous arrivez rapidement au coeur du matériel.
Foire aux questions
Qu'est-ce que j'obtiens en achetant ce document ?
Vous obtenez un PDF, disponible immédiatement après votre achat. Le document acheté est accessible à tout moment, n'importe où et indéfiniment via votre profil.
Garantie de remboursement : comment ça marche ?
Notre garantie de satisfaction garantit que vous trouverez toujours un document d'étude qui vous convient. Vous remplissez un formulaire et notre équipe du service client s'occupe du reste.
Auprès de qui est-ce que j'achète ce résumé ?
Stuvia est une place de marché. Alors, vous n'achetez donc pas ce document chez nous, mais auprès du vendeur ACADEMICAIDSTORE. Stuvia facilite les paiements au vendeur.
Est-ce que j'aurai un abonnement?
Non, vous n'achetez ce résumé que pour €16,88. Vous n'êtes lié à rien après votre achat.
