Dale's PEARLS Quiz (Hug)

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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?

Allergic reaction Signup and view all the answers

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

Peripheral edema Signup and view all the answers

What is the #1 cause of chronic bronchitis?

Smoking Signup and view all the answers

What is the classic sign of croup?

Loud cough (barking like a seal) Signup and view all the answers

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

Ingestion of apple seeds or fruit seeds Signup and view all the answers

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

Burning sensation in the mouth and throat Signup and view all the answers

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

Embolism Signup and view all the answers

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

Fruity or acetone-like smell in breath Signup and view all the answers

What causes the polyuria in diabetes mellitus?

Hyperosmolarity Signup and view all the answers

What is the key problem in diverticulitis?

Lower left side pain Signup and view all the answers

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

Cor pulmonale Signup and view all the answers

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

Jugular venous distention Signup and view all the answers

What is the primary cause of chronic bronchitis?

Smoking Signup and view all the answers

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

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

What is the definitive treatment for cardiac tamponade?

Pericardial centesis Signup and view all the answers

What is the primary drug used to treat cardiogenic shock?

Dopamine Signup and view all the answers

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

Herpes zoster Signup and view all the answers

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

Death of cardiac muscle Signup and view all the answers

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

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

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

IV muscle relaxants and Diazepam Signup and view all the answers

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

Beta 2 Signup and view all the answers

What is the most common sign of carbon monoxide poisoning?

Headache Signup and view all the answers

What is the treatment for a sucking chest wound?

Use an occlusive dressing sealed on 3 sides Signup and view all the answers

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

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

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

Respiratory acidosis Signup and view all the answers

What is the antibody responsible for anaphylaxis?

IgE Signup and view all the answers

What do black tarry stools indicate?

Lower GI bleed Signup and view all the answers

Which condition can cause JVD (jugular venous distention)?

PE (pulmonary embolism) Signup and view all the answers

What is the classic sign of a heart attack?

Crushing substernal chest pain Signup and view all the answers

What can sudden-onset shortness of breath indicate?

Pulmonary embolism Signup and view all the answers

What is the most common cause of pulmonary edema?

Left-sided heart failure Signup and view all the answers

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

Spontaneous pneumothorax Signup and view all the answers

What is the presentation of abruptio placentae?

Sudden sharp tearing pain and vaginal bleeding Signup and view all the answers

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

Above 6600 feet Signup and view all the answers

What is the treatment for crushing substernal chest pain?

Morphine, oxygen, nitro, and aspirin Signup and view all the answers

What can neurogenic shock occur due to?

Any disruption in blood flow Signup and view all the answers

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

Ectopic pregnancy Signup and view all the answers

What is the classic sign of hypothermia (severe)?

Dysrhythmias (asystole) and loss of voluntary muscle control Signup and view all the answers

What is a classic sign of hypothyroidism (Myxedemia)?

Intolerance of cold and fatigue Signup and view all the answers

What is a common cause of lung cancer?

Genetics and smoking Signup and view all the answers

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

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

What are the classic signs of measles?

Full body rash and hacking cough Signup and view all the answers

What is a classic sign of meningitis?

Stiff neck and discomfort looking into bright lights Signup and view all the answers

What is a classic sign of myocardial infarction?

Chest pain and nausea Signup and view all the answers

What are the classic signs of mumps?

Swelling and pain in the parotid glands Signup and view all the answers

What are the signs and symptoms of nitrogen narcosis?

Altered level of consciousness and impaired judgment Signup and view all the answers