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 (C)</p> Signup and view all the answers

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

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

What is the #1 cause of chronic bronchitis?

<p>Smoking (C)</p> Signup and view all the answers

What is the classic sign of croup?

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

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

<p>Embolism (D)</p> Signup and view all the answers

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

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

What causes the polyuria in diabetes mellitus?

<p>Hyperosmolarity (C)</p> Signup and view all the answers

What is the key problem in diverticulitis?

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

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

<p>Cor pulmonale (B)</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 (A)</p> Signup and view all the answers

What is the primary cause of chronic bronchitis?

<p>Smoking (A)</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) (D)</p> Signup and view all the answers

What is the definitive treatment for cardiac tamponade?

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

What is the primary drug used to treat cardiogenic shock?

<p>Dopamine (A)</p> Signup and view all the answers

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

<p>Herpes zoster (C)</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 (C)</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 (B)</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 (B)</p> Signup and view all the answers

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

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

What is the most common sign of carbon monoxide poisoning?

<p>Headache (C)</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 (D)</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 (D)</p> Signup and view all the answers

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

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

What is the antibody responsible for anaphylaxis?

<p>IgE (A)</p> Signup and view all the answers

What do black tarry stools indicate?

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

Which condition can cause JVD (jugular venous distention)?

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

What is the classic sign of a heart attack?

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

What can sudden-onset shortness of breath indicate?

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

What is the most common cause of pulmonary edema?

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

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

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

What is the presentation of abruptio placentae?

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

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

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

What is the treatment for crushing substernal chest pain?

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

What can neurogenic shock occur due to?

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

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

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

What is the classic sign of hypothermia (severe)?

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

What is a classic sign of hypothyroidism (Myxedemia)?

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

What is a common cause of lung cancer?

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

What are the classic signs of measles?

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

What is a classic sign of meningitis?

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

What is a classic sign of myocardial infarction?

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

What are the classic signs of mumps?

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

What are the signs and symptoms of nitrogen narcosis?

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

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

<p>Hypothyroidism (C)</p> Signup and view all the answers

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

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

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

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

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