RRT Clin Sim important associations (NBRC) 72 Questions with Verified Answers
Neostygmine - CORRECT ANSWER Treatment for Myasthenia
... [Show More] Gravis
Mestanon - CORRECT ANSWER Treatment for Myasthenia Gravis
Tensilon - CORRECT ANSWER TEST for Myasthenia Gravis
Nitro (sodium nipride) - CORRECT ANSWER Vasodilator
Manitol (Osmitol) - CORRECT ANSWER ICP
Dilantin - CORRECT ANSWER Treats seizures
Phenobarbitaol (luminal) - CORRECT ANSWER For thrashing
Isuprel - CORRECT ANSWER Bradycardia
Survanta - CORRECT ANSWER 100 mL/kg, divide 4 doses, instill dose, vigorously ventilate for 30 sec, change position and repeat
Doxapram (Dopram) - CORRECT ANSWER Central sleep apnea
Cromolyn Sodium - CORRECT ANSWER Preventative ONLY. Contraindicated in the presence of wheezing.
Pentamadine - CORRECT ANSWER AIDS (600 mg monthly)
Verapamil - CORRECT ANSWER Controls HR
Digitalis (Crystodigin) - CORRECT ANSWER Increases cardiac contractility
Aminophyline /theophylline (xanthine) IV bronchodilator - CORRECT ANSWER 10-20 mcg in blood
Rifampin & Isoniazid INH - CORRECT ANSWER Tuberculosis
Tine test - CORRECT ANSWER For ALLERGIES
V/Q Scan - CORRECT ANSWER Suspicion of Pulmonary Emboli (aka deadspace disease) test only ONCE
Coombs test (preNATAL and neoNATAL) - CORRECT ANSWER Used to determine anemia and transfusablility
Tensilon - CORRECT ANSWER Myasthenia Gravis
ELISA - CORRECT ANSWER AIDS
HLTV-III - CORRECT ANSWER HIV
Mantoux - CORRECT ANSWER Tuberculosis
PPD - CORRECT ANSWER Tuberculosis
Acid Fast Stain - CORRECT ANSWER Tuberculosis
SGAW (specific airway conductance) - CORRECT ANSWER Complete PFT
Methacholine Challenge - CORRECT ANSWER Complete PFT
P50 - CORRECT ANSWER Hemoglobin affinity for O2, Oxygen Dissociation Curve
Moro reflex - CORRECT ANSWER fear of falling (evaluates CNS)
Babinski reflex - CORRECT ANSWER normal in child, indicated neuro problem in adult
Hering Breuer reflex - CORRECT ANSWER limits inflation of lungs - NO TEST
Rooting reflex - CORRECT ANSWER infant turns head toward anything that strokes its face
Reticulogranular - CORRECT ANSWER IRDS
Ground glass - CORRECT ANSWER ARDS
"Boot-shaped" heart - CORRECT ANSWER Tetralogy of Fallot
"Egg-shaped" heart - CORRECT ANSWER Transposition of Great Vessels
Tetralogy of Fallot - CORRECT ANSWER Boot-shaped heart, right ventricular hypertrophy (SURGERY - confirm by ECG)
Transposition of Great Vessels - CORRECT ANSWER Egg-shaped heart, aorta on right/pul. Artery on left (SURGERY)
Patent Ductus Arteriosis - CORRECT ANSWER > 15 mmHg difference of PO2 in pre-DA and post-DA arteries (SURGERY)
Transillumination of chest - CORRECT ANSWER "Halo" is normal. If chest "lights up", there is a PNEUMOTHORAX
Coarctation of the aorta - CORRECT ANSWER Hypertension in upper extremities, hypotension in lower, cyanotic despite FIO2
Meconium aspiration - CORRECT ANSWER Suction mouth, THEN nose ASAP. Repeated, vigorous suction. INTUBATE tube may need to be replaced at least once.
IRDS Type II (TTN) - CORRECT ANSWER Late onset (~2 days)
Diaphragmatic Hernia - CORRECT ANSWER Nasogastric tube is key intervention. Bowel or bowel sounds in chest, mediastinal shift, barrel chest and scaphoid abdomen are all indicators.
Smoke/fire/burn - CORRECT ANSWER Intubate immediately
Tube position - CORRECT ANSWER 2 cm (1 in) past vocal cords
Chest pain, cold and clammy skin, diaphoresis - CORRECT ANSWER Myocardial infarction
V-fib - CORRECT ANSWER Defibrillate!
Pulseless v-tach - CORRECT ANSWER CPR
Laryngeal mask intubation - CORRECT ANSWER Temporary, non-emergent, as in surgery
Pickwickian syndrome - CORRECT ANSWER Obesity Hypoventialtion Sydrome, often accompanies OSA
BARKING cough - CORRECT ANSWER CROUP!! (laryngotracheobronchitis)
AVOID weaning if PIP is too high! - CORRECT ANSWER > 39 mmHg
Normal rise/fall of pul. artery catheter - CORRECT ANSWER Between 25 and 10 mmHg WITH a dicrotic notch.
No dicrotic notch - CORRECT ANSWER Pressure dampening. Either flush, rotate or inflate balloon and "sail" back into position
Rales - CORRECT ANSWER Diurese!
Choanale atresia - CORRECT ANSWER Nasal tissue blockage, cyanotic, resp distress while feeding, fine the next
Silverman-Anderson score - CORRECT ANSWER Scores respiratory depression in infants 0-10. 10 is worst.
Exosurf dosing - CORRECT ANSWER 2.5 mL/kg divided into two doses
Place on one side, instill one dose, ventilate
Place on other side, instill other dose, ventilate
Pulmonary angiogram - CORRECT ANSWER Suspicion of Pulmonary Emboli, esp if V/Q scan is inconclusive
Potassium - CORRECT ANSWER For PVCs, Increased urine output, metabolic alkalosis
HBO - CORRECT ANSWER Slow for decompression, 2 ATM
Rapid for CO poisoning or infection, 3 ATM, 90 min TID/BID
CSF protein test (spinal tap) - CORRECT ANSWER Tests for Guillain-Barre
Ribavirin dosing (for RSV) - CORRECT ANSWER 20 mg/mL, diluted in sterile water, via SPAG
Steeple sign Xray - CORRECT ANSWER Croup
Thumb sign Xray - CORRECT ANSWER Epiglottitis
Dobutamine - CORRECT ANSWER For heart failure and cardiogenic shock
Butterfly pattern Xray or fluffy infiltrates - CORRECT ANSWER Pulmonary edema
Wedge-shaped Xray - CORRECT ANSWER Pulmonary embolus
Hochsinger's Sign, Doll's eyes - CORRECT ANSWER Test for tetanus (NOT DONE)
MRSA infection control - CORRECT ANSWER Strict isolation
Contact precautions
Decadron (Dexamethasone) - CORRECT ANSWER Corticosteroid, PO or IV
For croup! [Show Less]