Practice Questions .....

Questions:

1.      Death from status epilepticus is due to:

a.       Cerebral hypermetabolism

b.      V-fib

c.       Metabolic alkalosis

d.      Cerebral hemorrhage

2.      The priority action for patient who is having a grandmal seizure is:

a.       Volume status

b.      Safety

c.       Antibiotics

d.      Restraints

3.      A VP shunt was recently placed, pt is admitted with positive Kernig’s sign and positive brudzinski’s sign. What is this indicative of?

a.       CNS infection

b.      Blockage in shunt

c.       Non-communicating hydrocephalus

d.      Peritonitis

4.      What type of Meningitis : CSF WBC is 400- 500, protein is 400 and glucose is 10

a.       Bacteria                

b.      viral

c.       Fungal                  

d.      none of the above

5.      A CXR is obtained and a ground glass like appearance is reported. On auscultation the lungs reveal bibasilar crackles. The patient is developing:

a.       A pulmonary embolus

b.      A bacterial pneumonia

c.       COPD

d.      ARDS

6.      Patient was admitted following an MVA. The patient is SOB and RR of 40/min. Breath sounds are greatly diminished on the right with hyperresonance. The patient has:

a.       Flail chest

b.      Pneumothorax

c.       Pulmonary embolus

d.      Hemothorax

7.      Hypoventilation is defined as:

a.       A RR of less than 10

b.      A pCO2 greater than 45

c.       A pO2 less than 75

d.      A pH of greater than 7.35

8.      Arterial hypoxemia from pulmonary embolism is due to:

a.       Diffusion defect

b.      Anatomic shunting

c.       Ventilation perfusion mismatch

d.      Narrowed A-a gradient

9.      Respiratory acidosis and fever will result in changes in the oxyhemoglobin dissociation curve:

a.       A shift to the left

b.      A shift to the right

c.       No change

d.      Both a and b

10.  Which of the following is a correct statement about a shift of the oxyhemoglobin curve to the right?

a.       Increase in blood pH

b.      Increase in body temp.

c.       Less oxygen is being unloaded for a given O2

d.      100% saturation of hemoglobin

11.  Which of the following ABG indicates Acute Respiratory Failure?

   ph                 pCO2              pO2        HCO3

a.       7.18           70                    43            26

b.      7.18           80                    63            42

c.       7.26           55                    54            24

d.      7.34           45                    65            23

12.  Clinical feature of DKA:

a.        Hyperphosphatamia

b.       Hypokalemia

c.        Decreased Anion gap

d.    None of the above

13.  Patient with history of Type I is admitted with flu. Has had flu for a week. Patient’s LOC is decreased, skin dry with poor skin turgor.

a.        Hyponatremia                 

b.       Ketosis

c.        Hyperthermia                  

d.       Hypovolemia

Answers:

1. a
2. b
3. a
4. d
5. d
6. b
7. b
8. c
9. b
10. b
11. c
12. b
13. d