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