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6404 Exam 2

Katherine McCusker

Created on November 16, 2024

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Exam 2!

start

Review Games

ARDz

Mixed Bag

ABGeeze

'Roids

100 points

200 points

300 points

400 points

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Category is...

ABGeeze

Question 1/4

Points in play

Science

+100 points

Hint

What blood gas threshold constitutes hypercarbic respiratory failure?

solution

What is...

pCO2 > 45?

If your answer is correct,you win 100pts

Question 2/4

Points in play

Science

+200 points

Hint

ABG showed: pH of 7.01, PO2 of 55, PCO2 of 90, and HCO3 of 30 How would you describe this blood gas?

solution

Who is...

Acute respiratory acidosis?

If your answer is correct,you win 200pts

Question 3/4

Points in play

Science

+300 points

Hint

ABG showed: pH of 7.01, PO2 of 55, PCO2 of 90, and HCO3 of 30. How would you intervene on this patient?

solution

Where is...

Emergent Intubation?

If your answer is correct,you win 300pts

Question 4/4

Points in play

Science

+400 points

Hint

7.14 / 122 / 59 /41 How would you describe this patient's acid base status?

solution

How is...

Acute on chronic respiratory failure?

If your answer is correct,you win 400pts

ABGeeze

Completed!

FINAL SCORE

NEXT CATEGORY

Category is...

ARDzzz

Question 1/4

Points in play

Geography

+100 points

Hint

A 65-year-old male patient with ARDS secondary to pneumonia is being managed in the ICU. The team is discussing non ventilatory management options to improve oxygenation and reduce the progression of lung injury. What is an non ventilatory method to optimize this patient, other than pronation?

solution

What is...

Conservative Fluid Balance

If your answer is correct,you win 100pts

Question 2/4

Points in play

Geography

+200 points

Hint

A patient with acute respiratory distress syndrome (ARDS) develops progressive hypoxemia and decreased lung compliance. What is the best explanation of the pathophysiologic mechanism behind these changes in ARDS?

solution

Who is...

Increased capillary permeability leading to alveolar flooding and impaired gas exchange?

If your answer is correct,you win 200pts

Question 3/4

Points in play

Geography

+300 points

Hint

In the management of Acute Respiratory Distress Syndrome (ARDS), pronation therapy has been shown to improve oxygenation and reduce mortality. What is the most accurate statement regarding the use of pronation therapy in ARDS management?

solution

How is...

Prone positioning improves oxygenation by redistributing the alveolar ventilation and reducing the compression of dorsal lung tissue?

If your answer is correct,you win 300pts

Question 4/4

Points in play

Geography

+400 points

Hint

What is the non-ventilatory oxygen management strategies that is most effective in improving oxygenation in patients with Acute Respiratory Distress Syndrome (ARDS)?

solution

Where is...

prone positioning?

If your answer is correct,you win 400pts

ARDzz

Completed!

FINAL SCORE

NEXT CATEGORY

Category is...

'Roids

Question 1/4

Arts

Points in play

+100 points

Hint

A 45-year-old patient presents with fatigue, weight loss, and hypotension. The AG-ACNP is concerned about adrenal insufficiency. Which finding is most consistent with secondary adrenal insufficiency?

solution

What is...

normal aldosterone levels?

If your answer is correct,you win 100pts

Question 2/4

Arts

Points in play

+200 points

Hint

A patient with history of adrenal insufficiency presents to the emergency department with severe hypotension, confusion, and vomiting. Laboratory results reveal hyponatremia, hyperkalemia, and hypoglycemia. What is an appropriate initial intervention?

solution

Who is...

Administer 100mg IV hydrocortisone and IV isotonic saline with dextrose solution bolus ?

If your answer is correct,you win 200pts

Question 3/4

Arts

Points in play

+300 points

Hint

A patient with long-standing rheumatoid arthritis on high-dose prednisone therapy is evaluated for symptoms of fatigue, weakness, and nausea. Laboratory results show low cortisol and low ACTH levels. What is the pathophysiology for these findings?

solution

Where is...

Negative feedback inhibition on the hypothalamic-pituitary-adrenal axis, resulting in pituitary suppression ?

If your answer is correct,you win 300pts

Question 4/4

Arts

Points in play

+400 points

Hint

A 55-year-old male patient is diagnosed with ACTH-dependent Cushing's syndrome due to a pituitary adenoma (Cushing disease). He presents with uncontrolled hypertension, hyperglycemia, and osteoporosis. What is definitive treatment to manage his condition?

solution

How is...

Schedule a transsphenoidal surgery to remove the pituitary adenoma ?

If your answer is correct,you win 400pts

'Roids

Completed!

FINAL SCORE

NEXT CATEGORY

Category is...

Mixed Bag

Question 1/4

Points in play

History

+100 points

Hint

The AG ACNP is preparing to intubate a 33-year-old male. Before the intubation, the GCMP examines the patient’s airway for a Mallampati score to help predict a difficult intubation. The AG ACNP knows that which of the classifications predicts a difficult intubation:

solution

What is...

Class III?

If your answer is correct,you win 100pts

Question 2/4

Points in play

History

+200 points

Hint

A 48 year old male presents with complaints of chest pain, shortness of breath, and coughing up frothy sputum for the past two days. The patient was discharged one week ago with STEMI and a cardiac catheterization with stenting in the left anterior descending artery. The patient's chest X-ray shows blunting of the costophrenic angles. The decubitus chest X-ray shows free flowing fluid collection greater than 1 centimeter. What is the AG a CNP's priority action to manage the pleural effusion?

solution

Who is...

Treat the underlying condition?

If your answer is correct,you win 200pts

Question 3/4

Points in play

History

+300 points

Hint

A patient with a history of small cell lung cancer is admitted with progressive shortness of breath and dry cough. The patient was discharged post thoracentesis 2 weeks ago for similar presentation. Upon assessment, the patient is awake, alert, oriented, and tachypnic, with a respiratory rate of 28 and dismissed with speaking. Oxygen saturation is 89% on 2 liters nasal cannula. A recurrent large pleural effusion is noted on chest X-ray. The best treatment for this patient is:

solution

Where is...

Thoracentesis and pleurex?

If your answer is correct,you win 300pts

Question 4/4

Points in play

History

+400 points

Hint

A trauma patient presents to the emergency department after a motor vehicle crash. The patient was found to be in acute respiratory distress with agonal breathing, low oxygen saturation, and extremely abnormal arterial blood gas. The patient arrived alone with no identification and no family has been identified. What is the next best stop for the AG ACP?

solution

How is...

Proceed with endotracheal intubation as the delay would pose risk of serious imminent harm to the patient?

If your answer is correct,you win 400pts

Mixed Bag

Completed!

FINAL SCORE

NEXT CATEGORY

Congratulations!

Final score

Counter < 1000 points

Counter > 2000 points

Counter > 3000 points

Counter > 1000 points

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Not Bad

good job!

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So Good

great work!

keep improving!

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Well done!

nice score

almost at the top

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Congrats!

amazing score

your knowledge has no limits!

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6404 Exam 2

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Transcript

Genially Jeopardy

Exam 2!

Review Games

ARDz

Mixed Bag

ABGeeze

'Roids

Lorem ipsum dolor sit amet, consectetuer adipiscing elit. Aenean commodo ligula eget dolor. Aenean massa.

Category is...

ABGeeze

Question 1/4

Points in play

Science

What is...

pCO2 > 45?

If your answer is correct,you win 100pts

Question 2/4

Points in play

Science

Who is...

Acute respiratory acidosis?

If your answer is correct,you win 200pts

Question 3/4

Points in play

Science

Where is...

Emergent Intubation?

If your answer is correct,you win 300pts

Question 4/4

Points in play

Science

How is...

Acute on chronic respiratory failure?

If your answer is correct,you win 400pts

ABGeeze

Completed!

Category is...

ARDzzz

Question 1/4

Points in play

Geography

What is...

Conservative Fluid Balance

If your answer is correct,you win 100pts

Question 2/4

Points in play

Geography

Who is...

Increased capillary permeability leading to alveolar flooding and impaired gas exchange?

If your answer is correct,you win 200pts

Question 3/4

Points in play

Geography

How is...

Prone positioning improves oxygenation by redistributing the alveolar ventilation and reducing the compression of dorsal lung tissue?

If your answer is correct,you win 300pts

Question 4/4

Points in play

Geography

Where is...

prone positioning?

If your answer is correct,you win 400pts

ARDzz