pshycology test
Directions: The following exam consists of various types of questions designed to test the critical reasoning skills of the examinee. Answers are found on the following page, with rationales. This is a Twenty question test, with an allotted time of 45 minutes to indulge one's academic and clinical prowess. Questions 1-4 are based on the following scenario: A 55 year old male, medium body build of 90 Kg presents complaining of acute shortness of breath. He has a history of CHF and acute respiratory failure, he is agitated and disoriented. He has been placed on a ventilator two times during the past year. His medications include HCTZ, captopril, digoxin, and lasix. Paramedics have placed him in 100% O2 via Non-rebreathing mask, established an IV and administered 40 mg of Lasix IV enroute. He is cold, pale, and diaphoretic, with a BP of 200/110, HR 120, RR 48, rales are audible througout. ABG's are drawn, and the results are: pH - 7.3, PCO2 55, HCO3 24, PaO2 60. 1. Why is this gentleman's PCO2 elevated? a. Not enough total ventilation (CNS/Respiratory muscle weakness) b. Too much total ventilation Dead Space (Rapid breathing)
Disciplines outside anesthesia may share the mutual goal of an optimal patient outcome, but the focal areas of concern for respective disciplines are by neceiisty different. O No Antigen A + B Antibodies (Universal Donor)d. These responses take place at the goblet cell, blood vessels, submucosal glands, smooth muscle, and epithelial cells. The ED staff wishes to be aggressive in treating her hypertension with IV Nitrates. Hypercapnea in this case is a combination of both. During preop examination, you patient is SOB at rest with an abnormal ABG. All of the following are considered essentials of preoperative cardiac evaluation EXCEPT:a. a - Grave's disease (hyperthyroidsims) is caused by overstimulation of the thyroid gland by circulating antibodies to the TSH receptor (which then increases production of thyroid hormone just as TSH would). Significance depends heavily on the stimulus or amount of activity required to partcipate it. - PFT abnormalities are categorized into one of two patterns. It is important to note that despite decades of work to elucidate the underlying mechanisms of dyspnea, no satisfactory explanation yet exisits.
Common topics in this essay:
Vasodilatory Vasoconstrictive,
Stat MAP,
Currently ECG,
CXR ECG,
Disease Disease,
ICP CVP,
FEV1/FVC MMFR,
Exam Directions,
GFR RBF,
II V5,
perfusion pressure,
cerebral perfusion,
cerebral perfusion pressure,
smooth muscle,
o2 consumption,
leads ii,
renal function,
maintain normal co2,
normal co2,
proposed sources,
possibilities airway,
airway hyperresponsiveness,
possibilities airway hyperresponsiveness,
proposed sources breathlessness,
amount maintain normal,
|
Acceptance Essays
