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6404 Exam 2

Katherine McCusker

Created on November 16, 2024

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Genially Jeopardy

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Exam 2!

400 points

'Roids

100 points

200 points

300 points

400 points

300 points

400 points

200 points

ABGeeze

300 points

Review Games

400 points

ARDz

200 points

300 points

200 points

100 points

100 points

Mixed Bag

100 points

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Category is...

ABGeeze

Science

solution

Hint

+100 points

Question 1/4
Points in play

What blood gas threshold constitutes hypercarbic respiratory failure?

pCO2 > 45?

If your answer is correct,you win 100pts

What is...

Question 2/4

Hint

Points in play

+200 points

solution

Science

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

If your answer is correct,you win 200pts

Acute respiratory acidosis?

Who is...

solution

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

Science

+300 points

Hint

Points in play
Question 3/4
If your answer is correct,you win 300pts

Emergent Intubation?

Where is...

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

solution

Points in play

Hint

+400 points

Question 4/4

Science

If your answer is correct,you win 400pts

Acute on chronic respiratory failure?

How is...

NEXT CATEGORY

FINAL SCORE

Completed!

ABGeeze

Category is...

ARDzzz

solution

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?

+100 points

Points in play

Hint

Question 1/4

Geography

If your answer is correct,you win 100pts

Conservative Fluid Balance

What is...

Geography

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?

+200 points

Points in play

Hint

Question 2/4

solution

If your answer is correct,you win 200pts

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

Who is...

Geography

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?

+300 points

solution

Points in play
Question 3/4

Hint

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

How is...

If your answer is correct,you win 300pts

+400 points

Points in play
Question 4/4

Hint

Geography

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

solution

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prone positioning?

Where is...

NEXT CATEGORY

FINAL SCORE

Completed!

ARDzz

Category is...

'Roids

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?

Hint

solution

Question 1/4
Points in play

+100 points

Arts

If your answer is correct,you win 100pts

normal aldosterone levels?

What is...

Arts

Hint

+200 points

Question 2/4
Points in play

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

If your answer is correct,you win 200pts

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

Who is...

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?

Arts

solution

Points in play
Question 3/4

Hint

+300 points

If your answer is correct,you win 300pts

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

Where is...

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?

+400 points

Hint

Question 4/4

Arts

Points in play

solution

How is...

Schedule a transsphenoidal surgery to remove the pituitary adenoma ?

If your answer is correct,you win 400pts

NEXT CATEGORY

FINAL SCORE

Completed!

'Roids

Category is...

Mixed Bag

solution

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:

+100 points

Question 1/4
Points in play

Hint

History

Class III?

What is...

If your answer is correct,you win 100pts
Points in play

Hint

History

Question 2/4

+200 points

solution

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?

If your answer is correct,you win 200pts

Treat the underlying condition?

Who is...

solution

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:

History

Points in play
Question 3/4

+300 points

Hint

If your answer is correct,you win 300pts

Thoracentesis and pleurex?

Where is...

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?

Question 4/4

solution

History

Points in play

Hint

+400 points

If your answer is correct,you win 400pts

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

How is...

NEXT CATEGORY

FINAL SCORE

Completed!

Mixed Bag

Counter > 3000 points

Final score

Counter < 1000 points

Congratulations!

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

Final score

Counter > 1000 points

Final score

Final score

Counter > 2000 points

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almost at the top

nice score

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your knowledge has no limits!

amazing score

Congrats!

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Lorem ipsum dolor sit amet, consectetur adipiscing elit. Praesent sit amet velit pulvinar, eleifend neque ac, commodo mi. Duis a hendrerit orci, sit amet vulputate neque. Ut sagittis ultricies nisl non tincidunt

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Lorem ipsum dolor sit amet, consectetur adipiscing elit. Praesent sit amet velit pulvinar, eleifend neque ac, commodo mi. Duis a hendrerit orci, sit amet vulputate neque. Ut sagittis ultricies nisl non tincidunt

Lorem ipsum dolor sit amet, consectetur adipiscing elit. Praesent sit amet velit pulvinar, eleifend neque ac, commodo mi. Duis a hendrerit orci, sit amet vulputate neque. Ut sagittis ultricies nisl non tincidunt

Lorem ipsum dolor sit amet, consectetur adipiscing elit. Praesent sit amet velit pulvinar, eleifend neque ac, commodo mi. Duis a hendrerit orci, sit amet vulputate neque. Ut sagittis ultricies nisl non tincidunt

Lorem ipsum dolor sit amet, consectetur adipiscing elit. Praesent sit amet velit pulvinar, eleifend neque ac, commodo mi. Duis a hendrerit orci, sit amet vulputate neque. Ut sagittis ultricies nisl non tincidunt

Lorem ipsum dolor sit amet, consectetur adipiscing elit. Praesent sit amet velit pulvinar, eleifend neque ac, commodo mi. Duis a hendrerit orci, sit amet vulputate neque. Ut sagittis ultricies nisl non tincidunt

Lorem ipsum dolor sit amet, consectetur adipiscing elit. Praesent sit amet velit pulvinar, eleifend neque ac, commodo mi. Duis a hendrerit orci, sit amet vulputate neque. Ut sagittis ultricies nisl non tincidunt

Lorem ipsum dolor sit amet, consectetur adipiscing elit. Praesent sit amet velit pulvinar, eleifend neque ac, commodo mi. Duis a hendrerit orci, sit amet vulputate neque. Ut sagittis ultricies nisl non tincidunt

Lorem ipsum dolor sit amet, consectetur adipiscing elit. Praesent sit amet velit pulvinar, eleifend neque ac, commodo mi. Duis a hendrerit orci, sit amet vulputate neque. Ut sagittis ultricies nisl non tincidunt

Lorem ipsum dolor sit amet, consectetur adipiscing elit. Praesent sit amet velit pulvinar, eleifend neque ac, commodo mi. Duis a hendrerit orci, sit amet vulputate neque. Ut sagittis ultricies nisl non tincidunt

Lorem ipsum dolor sit amet, consectetur adipiscing elit. Praesent sit amet velit pulvinar, eleifend neque ac, commodo mi. Duis a hendrerit orci, sit amet vulputate neque. Ut sagittis ultricies nisl non tincidunt

Lorem ipsum dolor sit amet, consectetur adipiscing elit. Praesent sit amet velit pulvinar, eleifend neque ac, commodo mi. Duis a hendrerit orci, sit amet vulputate neque. Ut sagittis ultricies nisl non tincidunt