By Kristi L. Koenig
The better half examine advisor to Tintinalli, Kelen & Stapczynski: EMERGENCY medication is helping concentration and get ready emergency medication physicians, citizens and scholars for board or recertification checks. re-creation simulates the examination event by means of supplying extra case-type and less k-type questions.
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Extra info for Emergency Medicine PreTest: Self Assessment and Review, 2nd Edition
In addition to emergent intubation and intravenous furosemide administration, what is the MOST important immediate action? 86. All of the following statements are TRUE concerning subacute infectious endocarditis EXCEPT (A) (B) (C) (D) Administer naloxone and nitrates Call for a cardiac surgeon Perform emergent echocardiography Draw blood cultures and give intravenous antibiotics (E) Administer naloxone and intravenous antibiotics and place an intraaortic counterpulsation balloon (A) The diagnosis is frequently missed (B) Ten percent of patients have evidence of peripheral vasculitic embolic lesions (C) Splenomegaly is present in 25 percent of patients (D) Subacute presentations are unusual in right-sided disease (E) Neurologic signs from septic emboli are seen in up to 40 percent of patients 87.
A Doppler duplex scan of the lower extremities is normal. All of the following statements are TRUE with regard to this presentation EXCEPT (A) PE is more common in men than in women before age 50 years . (B) If the patient has a low-probability V/Q scan, no further work-up is warranted (C) A normal chest x-ray in the setting of acute dyspnea and hypoxemia is suggestive of PE (D) Intravenous heparin administration should be . strongly considered if the V/Q scan is “intermediate probability” (E) Diffuse wheezing on examination would not reduce clinical suspicion for PE 95.
PE can induce the release of chemical mediators that cause bronchoconstriction. 93. The answer is D. (Chapter 52) PE presents with a syncopal episode up to 15 percent of the time.