Triage

Question 1

Resuscitation

Answer 1

Level 1

Question 2

Emergent

Answer 2

Level 2

Question 3

Urgent

Answer 3

Level 3

Question 4

Less Urgent

Answer 4

Level 4

Question 5

Non-urgent

Answer 5

Level 5

Question 6

Level 1

Answer 6

Resuscitation

Immediate, life-saving intervention required without delay

Cardiac arrest
Massive bleeding

Question 7

Level 2

Answer 7

Emergent

High risk of deterioration, or signs of a time-critical problem

Cardiac-related chest pain
Asthma attack

Question 8

Level 3

Answer 8

Urgent

Stable, with multiple types of resources needed to investigate or treat (such as lab tests plus X-ray imaging)

Abdominal pain
High fever with cough

Question 9

Level 4

Answer 9

Less Urgent

Stable, with only one type of resource anticipated (such as only an X-ray, or only sutures)

Simple laceration
Pain on urination

Question 10

Level 5

Answer 10

Non-urgent

Stable, with no resources anticipated except oral or topical medications, or prescriptions

Rash
Prescription refill

Question 11

Stable, with no resources anticipated except oral or topical medications, or prescriptions

Answer 11

Level 5

Question 12

High risk of deterioration, or signs of a time-critical problem

Answer 12

Level 2

Question 13

Stable, with only one type of resource anticipated (such as only an X-ray, or only sutures)

Answer 13

Level 4

Question 14

Stable, with multiple types of resources needed to investigate or treat (such as lab tests plus X-ray imaging)

Answer 14

Level 3

Question 15

Immediate, life-saving intervention required without delay

Answer 15

Level 1

Question 16

Abdominal pain

High fever with cough

Answer 16

Level 3 - Urgent

Question 17

Cardiac-related chest pain

Asthma attack

Answer 17

Level 2 - Emergent

Question 18

Rash

Prescription refill

Answer 18

Level 5 - Non Urgent

Question 19

Simple laceration

Pain on urination

Answer 19

Level 4 - Less Urgent

Question 20

Cardiac arrest

Massive bleeding

Answer 20

Level 1 - Resuscitation

Question 21

Primary Survey

Answer 21

TRAUMA - Identifying life-threatening conditions

1. Airway patency / signs of obstruction
2. Breathing
3. Circulation
4. Disability
5. Exposure (able to visualize entire body)

Question 22

When assessing airway, be sure to

Answer 22

1. Provide O2 / ventilation

2. Expose neck and chest for proper PE

Question 23

Secondary Survey

Answer 23

1. Full History and PE (head to toe)
2. Labs / radiology
3. Management

Question 24

Abdominal pain DDX

Answer 24

Intraabdominal

• Gastrointestinal GI
• Genitourinary GU
• Gynecological GYN
• Vascular emergencies

Extraabdominal less common

• Cardiopulmonary
• Abdominal wall
• Toxic metabolic
• Neurogenic

Nonspecific abdominal pain

Question 25

Life-threatening abdominal pain ddx

Answer 25

``` Abdominal aortic aneurysm Bowel obstruction Ruptured ectopic pregnancy or ectopic pregnancy Splenic rupture Myocardial infarction Mesenteric ischemia GI perforation Testicular torsion Ovarian torsion ```

Question 26

Abdominal pain diagnostics

Answer 26

``` CBC CMP/BMP/LFTs Lipase PT/PTT/INR Pregnancy test Urinalysis Pelvic cultures CXR Ultrasound (gallbladder, appendix, pelvic, trans abdominal) CT abdomen and pelvis ```

Question 27

RUQ DDX

Answer 27

``` Gallbladder and biliary tract Hepatitis Hepatomegaly Peptic ulcer Pancreatitis Retrocecal appendicitis Renal pain Herpes zoster MI PNA Empyema ```

Question 28

LUQ DDX

Answer 28

``` Gastritis Pancreatitis Splenic (enlargement, rupture, aneurysm, infraction) MI Renal pain Herpes zoster PNA empyema ```

Question 29

RLQ DDX

Answer 29

``` Appendicitis Intestinal obstruction Regional enteritis Diverticulitis Perforated ulcer Ectopic pregnancy Ovarian cyst or torsion Endometriosis ```

Question 30

LLQ DDX

Answer 30

``` Diverticulitis Intestinal obstruction Appendicitis Leaking aneurysm Abdominal wall hematoma Ectopic pregnancy Ureteral calculi Renal pain Psoas abscess Seminal vasculitis ```