Overview
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Question 1
A 37 year-old otherwise healthy woman comes in to your ED complaining of an itchy red rash that started soon after eating some seafood at a restaurant. She complains of a scratchy feeling in her throat, but denies any difficulty breathing, speaking or swallowing. She denies lip or tongue swelling, SOB, abdominal pain, vomiting or fever. On exam, her vitals are normal. She appears uncomfortable, scratching at her neck with an obvious raised patchy red urticarial rash all over her neck and torso. Her voice is normal, lips and tongue do not appear swollen, theres no stridor and her chest is clear.
Select one:
a.
Foreign body inhalation
b.
Food poisoning
c.
Anaphylactic shock
d.
Anaphylactic reaction
Question 2
66 years old male patient presented to ER by severe compressing chest pain, he is cold and hypotensive, ECG revealed acute extensive anterior myocardial infarction, what is next important step in management:
Select one:
a.
Streptokinase infusion
b.
Vasopressor infusion.
c.
Refer to Cath lab for primary PCI
d.
Troponin I level
Question 3
An 81 years old female resident of a nursing home presents to the ED with altered mental status. She is febrile to 39.4, hypotensive with a widened pulse pressure, tachycardic, with warm extremities.
Select one:
a.
Septic shock
b.
Cardiogenic shock
c.
Obstructive shock
d.
Anaphylactic shock
Question 4
65 years old female patient was admitted to hospital for an orthopedic surgery, reduction and internal fixation of fracture neck femur , at the day of discharge when her relatives try to assist her to get off the bed, she became collapsed, cold, tachycardic.
Select one:
a.
Cardiogenic shock
b.
Obstructive shock
c.
Anaphylactic shock
d.
Hypovolemic shock
Question 5
A 55 years old male with history of HTN, DM presents with "crushing" substernal Chest Pain, diaphoresis, hypotension, tachycardia and cool, clammy extremities.
Select one:
a.
Anaphylactic shock
b.
Obstructive shock
c.
Hypovolemic shock
d.
Cardiogenic shock
Question 6
A 41 years old male presents to the ER after an Motor Vehicle Crush (MVC) complaining of decreased sensation below his waist and is now hypotensive, bradycardic, with warm extremities.
Select one:
a.
Hypovolemic shock
b.
Anaphylactic shock
c.
Cardiogenic shock
d.
Neurogenic shock