Dale's PEARLS Quiz (Hug)
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Questions and Answers

What is a common presentation of septic shock according to the National Registry study guide?

  • Low heart rate and high blood pressure
  • Hot skin in a shock patient (correct)
  • Elevated heart rate and elevated blood pressure
  • Cool, clammy skin in a shock patient

    • What is a predisposing factor for pulmonary embolism (PE) as per the National Registry study guide?

  • High altitude living
  • Excessive caffeine consumption
  • Regular exercise
  • Travel or some long period of inactivity (correct)

    • What is a common cause of PE mimicking right side heart failure according to the National Registry study guide?

  • Leads to decreased heart rate
  • Blocks blood flow down through the lungs
  • Causes excessive sweating
  • Blocks blood flow up through the lungs (correct)

    • What is a potential cause of hives and laryngeal edema according to the National Registry study guide?

    <p>Allergic reaction</p> Signup and view all the answers

    What is the classic sign of right-sided heart failure?

    <p>Peripheral edema</p> Signup and view all the answers

    What is the #1 cause of chronic bronchitis?

    <p>Smoking</p> Signup and view all the answers

    What is the classic sign of croup?

    <p>Loud cough (barking like a seal)</p> Signup and view all the answers

    What is the unusual way in which cyanide poisoning may present?

    <p>Ingestion of apple seeds or fruit seeds</p> Signup and view all the answers

    What is the key problem a person with cyanide poisoning will complain of?

    <p>Burning sensation in the mouth and throat</p> Signup and view all the answers

    What is the product of Henry's Law that can result in decompression illness?

    <p>Embolism</p> Signup and view all the answers

    What are the classic signs of diabetic ketoacidosis (DKA)?

    <p>Fruity or acetone-like smell in breath</p> Signup and view all the answers

    What causes the polyuria in diabetes mellitus?

    <p>Hyperosmolarity</p> Signup and view all the answers

    What is the key problem in diverticulitis?

    <p>Lower left side pain</p> Signup and view all the answers

    What is the term used to describe right-sided hypertrophy secondary to pulmonary hypertension?

    <p>Cor pulmonale</p> Signup and view all the answers

    What is the classic sign of right-sided failure in the context of heart failure?

    <p>Jugular venous distention</p> Signup and view all the answers

    What is the primary cause of chronic bronchitis?

    <p>Smoking</p> Signup and view all the answers

    What is the most severe sign/symptom that would indicate imminent death in an asthmatic patient?

    <p>Pulsus paradoxus (pulse becomes weaker as you inhale)</p> Signup and view all the answers

    What is the definitive treatment for cardiac tamponade?

    <p>Pericardial centesis</p> Signup and view all the answers

    What is the primary drug used to treat cardiogenic shock?

    <p>Dopamine</p> Signup and view all the answers

    What is the classification of the virus that causes chicken pox?

    <p>Herpes zoster</p> Signup and view all the answers

    What is the key factor to differentiate between a heart attack and angina?

    <p>Death of cardiac muscle</p> Signup and view all the answers

    What is the cause of pulsus paradoxus in an asthmatic patient?

    <p>Pressure due to air trapped in the lungs which compresses the heart and stops the pulse</p> Signup and view all the answers

    What is the treatment for a black widow spider bite if severe muscle spasms are present?

    <p>IV muscle relaxants and Diazepam</p> Signup and view all the answers

    What is the main drug classification for the treatment of asthma?

    <p>Beta 2</p> Signup and view all the answers

    What is the most common sign of carbon monoxide poisoning?

    <p>Headache</p> Signup and view all the answers

    What is the treatment for a sucking chest wound?

    <p>Use an occlusive dressing sealed on 3 sides</p> Signup and view all the answers

    What is the key factor to differentiate chronic bronchitis from other respiratory conditions?

    <p>Productive cough for at least 3 months per year for 2 or more years</p> Signup and view all the answers

    What will be the acid-base problem in a person with COPD?

    <p>Respiratory acidosis</p> Signup and view all the answers

    What is the antibody responsible for anaphylaxis?

    <p>IgE</p> Signup and view all the answers

    What do black tarry stools indicate?

    <p>Lower GI bleed</p> Signup and view all the answers

    Which condition can cause JVD (jugular venous distention)?

    <p>PE (pulmonary embolism)</p> Signup and view all the answers

    What is the classic sign of a heart attack?

    <p>Crushing substernal chest pain</p> Signup and view all the answers

    What can sudden-onset shortness of breath indicate?

    <p>Pulmonary embolism</p> Signup and view all the answers

    What is the most common cause of pulmonary edema?

    <p>Left-sided heart failure</p> Signup and view all the answers

    What can tall skinny males with sudden-onset shortness of breath be experiencing?

    <p>Spontaneous pneumothorax</p> Signup and view all the answers

    What is the presentation of abruptio placentae?

    <p>Sudden sharp tearing pain and vaginal bleeding</p> Signup and view all the answers

    What is the altitude at which acute mountain sickness can occur?

    <p>Above 6600 feet</p> Signup and view all the answers

    What is the treatment for crushing substernal chest pain?

    <p>Morphine, oxygen, nitro, and aspirin</p> Signup and view all the answers

    What can neurogenic shock occur due to?

    <p>Any disruption in blood flow</p> Signup and view all the answers

    What should be considered in any female of childbearing age with abdominal pain?

    <p>Ectopic pregnancy</p> Signup and view all the answers

    What is the classic sign of hypothermia (severe)?

    <p>Dysrhythmias (asystole) and loss of voluntary muscle control</p> Signup and view all the answers

    What is a classic sign of hypothyroidism (Myxedemia)?

    <p>Intolerance of cold and fatigue</p> Signup and view all the answers

    What is a common cause of lung cancer?

    <p>Genetics and smoking</p> Signup and view all the answers

    What is the recommended treatment for marine animal injection (Jelly Fish) with severe symptoms?

    <p>Establish/maintain airway and apply heat or hot water</p> Signup and view all the answers

    What are the classic signs of measles?

    <p>Full body rash and hacking cough</p> Signup and view all the answers

    What is a classic sign of meningitis?

    <p>Stiff neck and discomfort looking into bright lights</p> Signup and view all the answers

    What is a classic sign of myocardial infarction?

    <p>Chest pain and nausea</p> Signup and view all the answers

    What are the classic signs of mumps?

    <p>Swelling and pain in the parotid glands</p> Signup and view all the answers

    What are the signs and symptoms of nitrogen narcosis?

    <p>Altered level of consciousness and impaired judgment</p> Signup and view all the answers

    What are J Waves (Osborne waves) associated with on ECG?

    <p>Hypothyroidism</p> Signup and view all the answers

    What is the primary cause of death in individuals with lung cancer?

    <p>Cachexia and muscle wasting</p> Signup and view all the answers

    What is the primary cause of death in individuals with lung cancer?

    <p>Cachexia and muscle wasting</p> Signup and view all the answers

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