Question 1
Question
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)
Answer
-
Oxygen
-
Saturation
-
FEV1
-
yanosis
-
achycardia
-
radycardia
-
ilent
-
Chest
-
xhaustion
-
yperventilation
-
Oxygen
-
Salbutamol
-
nebulized
-
Hydrocortisone
-
intravenous
-
pratropium
-
heophylline
-
Sulphate
-
agnesium
-
Intubation
Question 2
Question
Which of these treatments can help you stop smoking?
Answer
-
nicotine replacement therapy
-
Varenicline
-
Varenicline and nicotine replacement therapy
-
Bupropion
-
Bupropion and Varenicline
-
Clonidine
-
Nortriptyline
-
Digoxin
-
Prednisolone
-
Propanalol
Question 3
Question
Which of these have potential to help stop people from smoking?
Answer
-
Cytisine
-
Naltrexone
-
Anti-smoking vaccines
-
Lisinopril
-
Simvastatin
-
Metaformin
-
Plavix
Question 4
Question
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. )
Answer
-
pleasure
-
withdrawal
-
symptoms
-
12
Question 5
Question
Generally, anti-smoking drugs have side effects of mood change (irritability/agitation), difficulty sleeping, and blood pressure changes.
Question 6
Question
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.
Answer
-
antidepressant
-
craving
-
1
-
2
-
before
Question 7
Question
Nicotine is a central nervous stimulant
Question 8
Question
Nicotine stimulates the [blank_start]cardiovascular[blank_end] system.
Question 9
Question
On average, a smoker will inhale [blank_start]1[blank_end] to [blank_start]2[blank_end] milligrams of nicotine per breath per cigarrette.
Question 10
Question
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.
Question 11
Question
Nicotine leads to decreased monoamineoxidase (MAO) levels
Question 12
Question
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].
Question 13
Answer
-
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
Question 14
Question
Nicotine mimics acetylcholine and disrupts acetylcholine and acetylcholine receptor interactions.
Question 15
Question
Types of Asthma?
Question 16
Question
Anaphylaxis is a type of hypersensitivity reaction.
Question 17
Question
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]
Answer
-
Stings
-
Anesthetic
-
Drugs
-
Nuts
Question 18
Question
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.)
Answer
-
2
-
1
-
myocardial
-
infarction
Question 19
Question
What to check for during anaphylaxis?
Answer
-
Airways difficulties
-
Breathing complications
-
Circulation problems
-
Temperature
-
Skin Changes
-
Mucosal Changes
-
Dehydration
Question 20
Question
Which of these count as airway difficulties?
Question 21
Question
Which of these count as breathing problems during anaphylaxis?
Question 22
Question
Which of these are circulation complications during anaphylaxis?
Answer
-
tachycardia
-
bradycardia
-
hypertension
-
hypotension
-
Angina
-
Myocardial Ischemia
-
Myocardial Infarction
-
Cardiac Arrest
-
Shock like symptoms
Question 23
Question
You should stand the patient up if they're undergoing anaphylaxis
Question 24
Question
Anaphylaxis can affect the patient's conscious level.
Question 25
Question
Which of these are anaphylactic skin changes during anaphylaxis?
Answer
-
erythema
-
urticaria
-
angioedema
-
very white pallor
-
hyperhidrosis
Question 26
Question
Septic shock has a similar presentation to anaphylaxis
Question 27
Question
Which of these non-threatening conditions present similarly to anaphylaxis?
Answer
-
vasovagal episode
-
panic attack
-
non-allergic urticaria
-
non-allergic angioedema
-
child breath-holding
-
food poisoning
Question 28
Question
[blank_start]Intramuscular[blank_end] [blank_start]epinephrine[blank_end] is how to immediately treat anaphylaxis.
Answer
-
Intramuscular
-
epinephrine
Question 29
Question
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
Answer
-
Intravenous
-
Bolus
-
Bolus
-
Sodium
-
Chloride
-
Colloid
Question 30
Question
[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.
Answer
-
Steroids
-
phenamine
-
anti
-
histamines
Question 31
Question
Mast cell Tryptase is a way to investigate and confirm anaphyalaxis in a patient.