What's your priority? Flashcards

1
Q

You are working at a clinic in a disaster zone. List in order of priority:

A-An irritable infant with a fever, petechiae, and nuchal rigidity.
B-A 50 yo female with moderate abdominal pain and occasional vomiting.
C- An ambulatory 25 yo with a bandaged head wound.
D-A 35 yo who twisted an ankle with pedal pulses and no deformity.

A

A-An irritable infant with a fever, petechiae, and nuchal rigidity.
C- An ambulatory 25 yo with a bandaged head wound.
B-A 50 yo female with moderate abdominal pain and occasional vomiting.
D-A 35 yo who twisted an ankle with pedal pulses and no deformity.

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2
Q

A 65-year-old patient with complaints of diaphoresis, dizziness, and chest pain. This patient should be prioritized into which category?

-Non-urgent
-Urgent
-Emergent

A

Emergent

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3
Q

A patient walking barefoot on Mauna Kea experienced frostbite. Prioritize your care:
A-Remove from cold environment
B-Administer pain medication
C-Monitor for signs of compartment syndrome
D- Immerse feet in warm water
E- Apply a loose, sterile, bulky dressing

A

A-Remove from cold environment
B-Administer pain medication
D- Immerse feet in warm water
E- Apply a loose, sterile, bulky dressing
C-Monitor for signs of compartment syndrome

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4
Q

Following an emergency endotracheal intubation, you must verify tube placement and secure the tube. List in order the steps that are required to perform this function?
A-confirm breath sounds are equal and bilateral
B-secure the tube with a commercial tube holder
C-auscultate the chest during assisted ventilation
D- verify EtCO2 waveform and range
E-confirm there are no epigastric sounds

A

D- verify EtCO2 waveform and range
E-confirm there are no epigastric sounds
C-auscultate the chest during assisted ventilation
A-confirm breath sounds are equal and bilateral
B-secure the tube with a commercial tube holder

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5
Q

A 15-year-old male is conscious, coherent, and ambulatory. His shirt and pants are covered with blood. He and his hysterical friends are yelling and trying to explain that they were goofing around and he got poked in the abdomen with a stick. Which of the following comments should be given first consideration?
A. “The stick was really dirty and covered with mud.”
B. “He pulled the stick out, just now, because it was hurting him.”
C. “He’s a diabetic, so he needs attention right away.”
D. “There was a lot of blood and we used three bandages.”

A

B. “He pulled the stick out, just now, because it was hurting him.”

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6
Q

A prisoner, with a known history of alcohol abuse, has been in police custody for 48 hours. Initially, anxiety, sweating, and tremors were noted. Now, disorientation, hallucination, and hyper-reactivity are observed. The medical diagnosis is delirium tremens. You are most concerned about:
- Hypoglycemia
- Suicide ideation
- Seizures
- Violent behavior

A

Seizures

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7
Q

A group of golfers stood under a tree during a storm that was struck by lightening. Triage the following in order of priority:

A- An 18 yo with a gross deformity to the R LE yelling for help
B- An unresponsive 40 yo patient with burn marks on the right shoulder and opposite foot
C- A 50 yo who is pulseless and apneic
D-A confused 30 yo walking around

A

C- A 50 yo who is pulseless and apneic
B- An unresponsive 40 yo patient with burn marks on the right shoulder and opposite foot
D-A confused 30 yo walking around
A- An 18 yo with a gross deformity to the R LE yelling for help

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8
Q

Several patients were involved in an MVC. Prioritize from highest to lowest priority:
A. Unequal pupils, and hypertensive
B. Irregular, weak pulse
C. Ecchymosis in the flank area
D. Hypotensive patient with diminished unilateral LS

A

D. Hypotensive patient with diminished unilateral LS
B. Irregular, weak pulse
A. Unequal pupils, and hypertensive
C. Ecchymosis in the flank area

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9
Q

A patient reports mid-sternal crushing chest pain, dizziness, and diaphoresis. List your first (3) priorities, in order:

A. Move to the ambulance
B. Identify SAMPLE
C. Initiate ECG monitoring
D. Administer ASA
E. Administer NTG
F. Obtain VS
G. Apply oxygen

A

C. Initiate ECG monitoring
B. Identify SAMPLE
D. Administer ASA

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10
Q

A group of people are complaining of periorbital swelling, cough, and tightness in the throat. There is a strong odor emanating from their clothes. They report exposure to a “gas bomb” that was set off in the house. What is your priority?

A

PPE and Decontamination of patients

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11
Q

A patient reports that a concentrated household cleaner was splashed in both eyes. Which is a priority?

A. Examine the client’s visual acuity
B. Patch the eye
C. Call Poison Control
D. Flush the eye repeatedly using sterile normal saline

A

D. Flush the eye repeatedly using sterile normal saline

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12
Q

Prioritize the following patients for care in order of the severity of the conditions.

A. 27 yo woman reporting lightheadedness and severe sharp LLQ abdominal pain who is possibly pregnant.

B. 43 yo woman with moderate RUQ abdominal pain who has vomited yellow bile and whose symptoms of increased over several days.

C. 59 yo man with a pulsating abdominal mass and sudden onset of persistent abdominal pain described as tearing which radiates to his back.

D. 15 yo boy with a low-grade fever, RLQ abdominal pain, vomiting, nausea, and loss of appetite for several days.

E. 57 year old woman reporting a sore throat and gnawing mid epigastric pain which is worse between meals and at night.

A

C. 59 yo man with a pulsating abdominal mass and sudden onset of persistent abdominal pain described as tearing which radiates to his back.
A. 27 yo woman reporting lightheadedness and severe sharp LLQ abdominal pain who is possibly pregnant.
D. 15 yo boy with a low-grade fever, RLQ abdominal pain, vomiting, nausea, and loss of appetite for several days.
B. 43 yo woman with moderate RUQ abdominal pain who has vomited yellow bile and whose symptoms of increased over several days.
E. 57 year old woman reporting a sore throat and gnawing mid epigastric pain which is worse between meals and at night.

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13
Q

During a recent heat wave, you are assisting at an NGO (non-government organization) non-profit tent. Rank patients in order of priority for treatment:

A. A relatively healthy homemaker who reports that the air conditioner has been broken for days and who manifest fatigue, hypotension, tachypnea, and profuse sweating.

B. An elderly person who complains of dizziness and syncope after standing in the sun for several hours to view a parade.

C. A homeless person who is a poor historian; has altered mental status, poor muscle coordination, and hot, dry ashen skin; and whose duration of heat exposure is unknown.

D. A marathon runner who complains of severe leg cramps and nausea, and manifests weakness, pallor, diaphoresis, and tachycardia.

A

C. A homeless person who is a poor historian; has altered mental status, poor muscle coordination, and hot, dry ashen skin; and whose duration of heat exposure is unknown.
A. A relatively healthy homemaker who reports that the air conditioner has been broken for days and who manifest fatigue, hypotension, tachypnea, and profuse sweating.
B. An elderly person who complains of dizziness and syncope after standing in the sun for several hours to view a parade.
D. A marathon runner who complains of severe leg cramps and nausea, and manifests weakness, pallor, diaphoresis, and tachycardia.

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