Questão 1
Questão
Emergency Treatment for Life-Threatening Asthma
In the case of
92-33 CHEST
<92% [blank_start]Oxygen[blank_end] [blank_start]Saturation[blank_end]
<33% Predicted [blank_start]FEV1[blank_end]
C[blank_start]yanosis[blank_end]
H[blank_start]yperventilation[blank_end] and Hypotension
E[blank_start]xhaustion[blank_end]
S[blank_start]ilent[blank_end] [blank_start]Chest[blank_end]
T[blank_start]achycardia[blank_end]/B[blank_start]radycardia[blank_end]
then do O SHITME:
[blank_start]Oxygen[blank_end] (nebulized)
[blank_start]Salbutamol[blank_end] ([blank_start]nebulized[blank_end])
[blank_start]Hydrocortisone[blank_end] ([blank_start]intravenous[blank_end])
I[blank_start]pratropium[blank_end]
T[blank_start]heophylline[blank_end]
M[blank_start]agnesium[blank_end] [blank_start]Sulphate[blank_end]
Escalate ([blank_start]Intubation[blank_end] and ventilation)
Responda
-
Oxygen
-
Saturation
-
FEV1
-
yanosis
-
achycardia
-
radycardia
-
ilent
-
Chest
-
xhaustion
-
yperventilation
-
Oxygen
-
Salbutamol
-
nebulized
-
Hydrocortisone
-
intravenous
-
pratropium
-
heophylline
-
Sulphate
-
agnesium
-
Intubation
Questão 2
Questão
Which of these treatments can help you stop smoking?
Responda
-
nicotine replacement therapy
-
Varenicline
-
Varenicline and nicotine replacement therapy
-
Bupropion
-
Bupropion and Varenicline
-
Clonidine
-
Nortriptyline
-
Digoxin
-
Prednisolone
-
Propanalol
Questão 3
Questão
Which of these have potential to help stop people from smoking?
Responda
-
Cytisine
-
Naltrexone
-
Anti-smoking vaccines
-
Lisinopril
-
Simvastatin
-
Metaformin
-
Plavix
Questão 4
Questão
Varenicline works by reducing the amount of [blank_start]pleasure[blank_end] a person receives from smoking and by reducing [blank_start]withdrawal[blank_end] [blank_start]symptoms[blank_end] as well. Starting from the day you quit, you take for about [blank_start]12[blank_end] weeks (and longer if needed. )
Responda
-
pleasure
-
withdrawal
-
symptoms
-
12
Questão 5
Questão
Generally, anti-smoking drugs have side effects of mood change (irritability/agitation), difficulty sleeping, and blood pressure changes.
Questão 6
Questão
Bupropion is an [blank_start]antidepressant[blank_end]. It reduces the brain's nicotine [blank_start]craving[blank_end]. Doses should be started [blank_start]1[blank_end]-[blank_start]2[blank_end] weeks [blank_start]before[blank_end] you quit smoking.
Responda
-
antidepressant
-
craving
-
1
-
2
-
before
Questão 7
Questão
Nicotine is a central nervous stimulant
Questão 8
Questão
Nicotine stimulates the [blank_start]cardiovascular[blank_end] system.
Questão 9
Questão
On average, a smoker will inhale [blank_start]1[blank_end] to [blank_start]2[blank_end] milligrams of nicotine per breath per cigarrette.
Questão 10
Questão
Within [blank_start]10[blank_end] seconds of taking a puff, nicotine will reach the brain. Nicotine is best absorbed by [blank_start]mucosal[blank_end] membranes, as seen in the [blank_start]mouth[blank_end] and nose.
Questão 11
Questão
Nicotine leads to decreased monoamineoxidase (MAO) levels
Questão 12
Questão
Monoamineoxidase (MAO) is the enzyme responsible for breaking down [blank_start]dopamine[blank_end]. Smoking leads to [blank_start]lower[blank_end] levels of MAO, hance more [blank_start]dopamine[blank_end].
Questão 13
Responda
-
is a relaxant
-
is a stimulant
-
activates the adrenal glands to release catecholamines
-
leads to increased blood sugar
-
suppresses pancreatic secretion of insulin
-
leads to dopamine release
-
decreases levels of arousal
-
slowly metabolized
-
quickly metabolized
Questão 14
Questão
Nicotine mimics acetylcholine and disrupts acetylcholine and acetylcholine receptor interactions.
Questão 15
Questão 16
Questão
Anaphylaxis is a type of hypersensitivity reaction.
Questão 17
Questão
Top 3 cause for anaphylaxis:
1. [blank_start]Stings[blank_end]
2. [blank_start]Anesthetic[blank_end] [blank_start]Drugs[blank_end]
3. [blank_start]Nuts[blank_end]
Responda
-
Stings
-
Anesthetic
-
Drugs
-
Nuts
Questão 18
Questão
Ingestion of the drug (regardless of the manner) will be the quickest to lead to a [blank_start]myocardial[blank_end] [blank_start]infarction[blank_end] (within [blank_start]1[blank_end]-[blank_start]2[blank_end] minutes.)
Responda
-
2
-
1
-
myocardial
-
infarction
Questão 19
Questão
What to check for during anaphylaxis?
Responda
-
Airways difficulties
-
Breathing complications
-
Circulation problems
-
Temperature
-
Skin Changes
-
Mucosal Changes
-
Dehydration
Questão 20
Questão
Which of these count as airway difficulties?
Questão 21
Questão
Which of these count as breathing problems during anaphylaxis?
Questão 22
Questão
Which of these are circulation complications during anaphylaxis?
Responda
-
tachycardia
-
bradycardia
-
hypertension
-
hypotension
-
Angina
-
Myocardial Ischemia
-
Myocardial Infarction
-
Cardiac Arrest
-
Shock like symptoms
Questão 23
Questão
You should stand the patient up if they're undergoing anaphylaxis
Questão 24
Questão
Anaphylaxis can affect the patient's conscious level.
Questão 25
Questão
Which of these are anaphylactic skin changes during anaphylaxis?
Responda
-
erythema
-
urticaria
-
angioedema
-
very white pallor
-
hyperhidrosis
Questão 26
Questão
Septic shock has a similar presentation to anaphylaxis
Questão 27
Questão
Which of these non-threatening conditions present similarly to anaphylaxis?
Responda
-
vasovagal episode
-
panic attack
-
non-allergic urticaria
-
non-allergic angioedema
-
child breath-holding
-
food poisoning
Questão 28
Questão
[blank_start]Intramuscular[blank_end] [blank_start]epinephrine[blank_end] is how to immediately treat anaphylaxis.
Responda
-
Intramuscular
-
epinephrine
Questão 29
Questão
1) IV established
2) [blank_start]Intravenous[blank_end] [blank_start]Bolus[blank_end]
3) Monitor
4) Give more [blank_start]Bolus[blank_end] if needed
5) Escalate if needed: [blank_start]Colloid[blank_end]/ crystalloid (but check
whether it caused the anaphylaxis in the first place)
Example treatments: [blank_start]Sodium[blank_end] [blank_start]Chloride[blank_end] or Hartmann's
Responda
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Intravenous
-
Bolus
-
Bolus
-
Sodium
-
Chloride
-
Colloid
Questão 30
Questão
[blank_start]Steroids[blank_end] (such as hydrocortisone) and [blank_start]anti[blank_end]-[blank_start]histamines[blank_end] (such as chlor[blank_start]phenamine[blank_end]) can be given for anaphylaxis--but only after patient stabalized.
Responda
-
Steroids
-
phenamine
-
anti
-
histamines
Questão 31
Questão
Mast cell Tryptase is a way to investigate and confirm anaphyalaxis in a patient.