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Medical Scribe Quiz2
| Question | Answer |
|---|---|
| Aspirin is aka? | Salicylate, used only for OD cases |
| Tylenol is aka? | Acetaminophen, used for OD cases |
| 4 seizure medications | Dilnatin Phenobarbital Depakote Tegretol |
| 2 Cardiac and AFib meds | Digoxin (cardiac/afib) Coumadin (Afib->PT/INR ordered) |
| 1 resp dz med | Theophylline |
| 3 renal fxn labs and how to tell if pt has renal insufficiency | BUN-high Creatinine-high GFR-low |
| What is Warfarin? What lab is ordered for this med? | aka Coumadin blood thinner PT/INR lab ordered with this drug |
| What does TIA stand for? | Transient Ischemic Attack |
| What is ischemia? | Lac of oxygen due to restriction of blood |
| What is TIA? | Mini-stroke |
| What causes TIA? | Caused by carotid artery dz/blockage |
| How is TIA treated? | Doc listens to pt's neck for a bruit Carotid endarectomy used to remove plaque and increase blood flow |
| What is ordered for a TIA? | US to the neck, not seen in CT scan |
| What does CVA stand for? | Cerebral Vascular Accident |
| What are the two types of CVA? | 1.Hemorrhagic 2.Non-hemorrhagic |
| What causes a hemorrhagic CVA? | Induced by spontaneous eruption of an aneurysm, also by trauma |
| What type of pt is susceptible to traumatic bleeding? | Older pts who are on blood thinners such as Coumadin and Plavix |
| What causes a non-hemorrhagic CVA? | Caused by a thrombus or embolus blocking blood supply to a portion of the brain. |
| What is a "deficit" when talking about CVA? | the damage done after CVA |
| McBurney's Sign | The pt feels papin due to palpation of Mcburney's Poit, which is on the right side of the abd and 1/3 of the way from the anterior superior iliac spine to the umbilicus. A positive sign can mean a possible appendicitis. US or CT scan ordered. |
| Murphy's Sign | Pt has pain on the RUQ of the abd where the gallbladder is located, during inspiration while palpating. Possible cholecystitis. US ordered |
| Rovsing's sign | Pt feels pain in the RLQ due to palpation of the LLQ. Possible appendicitis. US or CT scan ordered |
| 12 EKG Leads | I, II, III, IV, V1, V2, V3, V4, V5, V6, AvL, AvF |
| NSR | Normal sinus rhythm aka sinus rhythm (60-100bpm) |
| ST | Sinus tachycardia (>100bpm) |
| SB | Sinus bradycardia (<60bpm) |
| AFib | Atria are beating abnormally leading to irregular impulses in the ventricles no p-wave heard on exam as "irregularly irregular" rhythm |
| 2 types of AFib | Paroxysmal AFib (random) Chronic AFib (always in AFib) |
| Pts with AFib are at risk for...? What treatment do they take? | clots and CVA; pts usually take Coumadin or other anticoagulant |
| AFib w/ RVR | RVR=rapid ventricular rate-> AFib with a rate above 100bpm |
| What is SVT? | SVT=supraventricular tachycardia HR goes from 80 to 180 almost instantly |
| Treatment for SVT | Usually resolves on its own or w/ IV meds such as adenosine |
| Cardiac Ectopy | Change in distance btn PQRST intervals |
| 2 types of cardiac ectopy | PVC=pre-ventricle contraction PAC=pre=atrial contraction |
| LBBB/RBBB | L/R bundle branch block |
| RAE/LAE | R/L atrial enlargement |
| IVCD | Intraventricular conduction delay |
| PVC | pre-ventricle contraction |
| PAC | pre-atrial contraction |
| AVB | atrioventricular block |
| NS ST/T | nonspecific |
| PRWP | poor R wave progression |
| 4 abnormalities with EKG | T-wave inversion T-wave flattening in leads... Prolonged QT interval Prolonged T-waves |
Created by:
nyb229
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