Question 1

If you are treating a distressed infant or young child that falls into Bradycardia, it is a sign that what could happen next?&#10;A)Nothing. Distressed infants and children often have Bradycardia.&#10;B)The infant or child will suffer a seizure.&#10;C)The infant or child will lapse into anaphylactic shock.&#10;D)Bradycardia in distressed infants and children is a warning of impending cardiac arrest.

Accepted Answer

Bradycardia in a distressed infant or young child is an ominous sign of impending cardiac arrest. The parameters of Bradycardia differ with age so it is important to know the differences: <100 beats per minute in a premature infant, < 80 beats per minute in an infant born to term, <60 in an infant 3 months or older

Question 2

In a patient that has cardiac problems, you notice peripheral edema. What type of congestion would you expect to see?&#10;A)High blood pressure&#10;B)Congestion in the systemic venous circulation&#10;C)Low blood pressure&#10;D)Congestion outside the systemic venous circulation

Accepted Answer

In a patient that has peripheral edema, you would expect to see congestion in the systemic venous circulation. This can be a sign of acute or chronic pump failure. Assessment of the cardiac patient should be focused on those signs that provide information on the adequacy of cardiac function.

Question 3

Hypovolemia, Hypoxia, Hydrogen ion excess (acidosis), Hypokalemia/hyperkalemia, Hyperkalemia and...&#10;)..What's missing?&#10;A)Hydration&#10;B)Hemipelegia&#10;C)Hypothermia&#10;D)Hyrogen

Accepted Answer

The 5 H's are:
 Hypovolemia, Hypoxia, Hydrogen ion excess (acidosis), Hypokalemia/hyperkalemia, Hyperkalemia and Hypothermia
 Note that hypoglycemia was removed from the Hs and Ts by the American Heart Association in 2010.

Question 4

Toxins, Tension pneumothorax, thombosis (pulmonary), thrombosis (myocardia)... What's missing?&#10;A)Toxoplasmosis&#10;B)Tamponade&#10;C)TMJ&#10;D)Transchemic

Accepted Answer

Toxins, Tension pneumothorax, thombosis (pulmonary), thrombosis (myocardia) and cardiac tamponade are the 5 T's.

Question 5

Your patient is in shock. Their pulse pressure is narrow and there is a decrease in preload. What type of shock is your patient experiencing?&#10;A)Aggressive&#10;B)Decompensated&#10;C)Compensated&#10;D)Compensatory

Accepted Answer

Compensatory shock displays a narrow pulse pressure and a decrease in preload. The systolic blood pressure decreases due to the decrease in preload, however, the diastolic blood pressure will maintain itself due to the increase in peripheral vascular resistance narrowing the difference between the two readings.

Deck 4: Trauma, and Medical Knowledge