What lab order contains the "H&H" (hemoglobin and hematocrit)? - ✔✔ CBC (complete blood count)
What is the difference between a BMP and a CMP? -
... [Show More] ✔✔ A CMP is a BMP+liver function tests (LFT's)
What part of the CBC does a "Differential" further characterize, RBC or WBC? - ✔✔ WBC (white blood cells)
What does Creatine measure? - ✔✔ Kidney function (insufficiency or failure) and whether a CT can be done
Is a high potassium level called "hyperkalemia" or "hypernatremia"? - ✔✔ Hyperkalemia
What body organ do "LFT's" investigate? - ✔✔ Liver
Would "Aspartate Transaminase" be documented as "AST" or "ALT"? - ✔✔ AST
Which cardiac enzyme is more specific to heart damage, Troponin or CK-MB? - ✔✔ Troponin
What does a negative D-Dimer mean? - ✔✔ No PE
What does a positive D-Dimer mean? - ✔✔ Pt must be ruled out for PE; there is a blood clot somewhere. Pt must receive a CTA Chest or VQ scan
What does an elevated BNP diagnose? - ✔✔ CHF
Does the blood sample for an ABG come from a vein or an artery? - ✔✔ Artery
Name two parts of the "cardiac order set". - ✔✔ CBC, BMP, CK/CK-MB, Troponin, EKG, CXR
What procedure must first be performed before CSF can be obtained? - ✔✔ LP (lumbar puncture)
What do "Coag" lab tests examine? - ✔✔ Ability to form blood clots
Name one of the three "Coag" lab tests. - ✔✔ Prothrombin Time (PT), International Normalized Ratio (INR), Partial Thromboplastin Tine (PTT)
What does Lipase diagnose? - ✔✔ Pancreatitis
What do both "CRP" and "ESR" test for? - ✔✔ Active inflammation in the body
What is the difference between a Urine Dip and a Urine Micro? - ✔✔ Urine dip is quick and simple test performed at bedside and urine micro is more complex and sent to lab
Name one of the three labs that are particularly important to track for efficiency. - ✔✔ D-Dimer, Troponin, and Creatine (from BMP)
What type of body structures are XR's best suited to examine? - ✔✔ Bones (dense tissue)
Do emergency physicians interpret XR's or CT's? - ✔✔ Only XR's. CT's must be interpreted by a radiologist.
What is the difference between CT and CTA? - ✔✔ CT is without IV contrast a CTA is with IV contrast
What does an US of the RUQ rule out or diagnose? - ✔✔ Gallbladder problems (cholelithiasis or cholecystitis)
Name one type of Orthopedic Procedure that may be performed by the EP. - ✔✔ Splint application, joint reduction, arthrocentesis
What does I&D stand for? - ✔✔ Incision and drainage
Name two procedures that qualify the patient for critical care. - ✔✔ Central line placement, endotracheal intubation, CPR, CPAP/BiPAP, cardioversion, chest tube placement
What does LAD stand for as an EKG abbreviation? - ✔✔ Left Axis Deviation
Name two diagnoses that would qualify a patient for critical care time. - ✔✔ Acute MI, Unstable Angina, Acute Coronary Syndrome (ACS), A-Fib with RVR, Aortic Dissection, Bowel Perforation, Ectopic Pregnancy, Severe GI Bleeding, Severe AMS, Acute CVA, Overdoses, Acute CHF, Acute COPD Exacerbation, Severe Hypoxia, Allergic Reaction, Pnuemothorax, Pulmonary Embolism, Sepsis, Severe Trauma, Critically abnormal vital signs, Critically abnormal lab test results, Renal failure, Rhabdomyolysis, Severe dehydration, DKA
When might an ER doctor obtain a Physician Consult? - ✔✔ When needing a consult on a specialty or when deciding whether to admit or not.
Do any pt complaints belong in the physical exam? - ✔✔ No
If a pt says their abdomen feels very painful, can you automatically document "abdominal tenderness" in the physical exam? Why or why not? - ✔✔ No. Patient complaints are subjective and belong in the HPI. Only information coming from a physician belongs in the PE.
Which of these two physical exam findings could a physician appreciate without auscultating the pt's lungs:
a. No respiratory distress
b. No rales - ✔✔ No respiratory distress
What does PERRL stand for? - ✔✔ Pupils are Equal Round Reactive to Light
What does AT/NC mean? - ✔✔ Atraumatic Normocephalic
What does NAD stand for? - ✔✔ No Acute Distress
If a pt has pale conjunctiva, what does that indicate? - ✔✔ Anemia
What is scleral icterus, and what does it indicate? - ✔✔ Scleral icterus is yellowish pigmentation of the conjunctival membranes over the sclerae. This indicates liver failure.
Name an instrument a physician may use to closely investigate the eyes? - ✔✔ Otoscope
In which body system would you document "TM erythema and bulging"? - ✔✔ Ears
What is the medical term for nostril? - ✔✔ Nares/Naris
To describe a "runny nose" would the doctor use the word "epistaxis" or "rhinorrhea"? - ✔✔ Rhinorrhea
What would dry mucous membranes indicate? - ✔✔ Dehydration
Why is midline bony tenderness "worse" than paraspinal tenderness? - ✔✔ Midline bony tenderness indicates spinal injury whereas paraspinal tenderness involves the muscles beside the spine.
If you saw "RRR" written in the cardiac exam, what do you think it might mean? (Hint: It is a normal cardiac finding) - ✔✔ Regular Rate and Rhythm
Name the rhythm that the physician would hear if the pt was in A-fib. - ✔✔ Irregularly Irregular Rhythm
If the phy checks the pulse on the right wrist and says " the pulses are fine", what would you document in the physical exam: a) Wrist pulse 5/5, right
b) Radial pulse OK
c) Right wrist pulse is fine
d) Right radial pulse is 2+ - ✔✔ right radial pule is 2+
Name two "Peritoneal signs" in the abdominal exam? - ✔✔ Rigidity, Voluntary/Involuntary Guarding, Rebound Tenderness
What abdominal sign is indicated of Cholecystitis? - ✔✔ Murphy's sign: when there is tenderness while touching gallbladder
If the doctor takes 1 finger and presses in a specific spot in the RLQ, what is the name of the finding they are investigating? - ✔✔ Appendicitis; McBurney's point
Which of the findings is NOT a peritoneal sign:
Guarding, Rebound, Tenderness, Rigidity - ✔✔ Tenderness
What would a "Guaiac positive" stool sample diagnose? - ✔✔ Heme in stool
What phrase do you have to document in the GU exam for every female pelvic exam performed by a male physician? - ✔✔ Female Chaperone Present [Show Less]