Quiz

Question 1 of 6

1

76yof presents with 4 days of dark melanotic stools. What should you grab to bring with you before you go into the room?

Select one or more of the following:

  • guaiac card

  • NG Tube

  • developer

  • blood consent form

  • 2U PRBC

  • Speculum

  • culture swabs

  • lube

Explanation

Question 2 of 6

1

76yof presents with 4 days of dark melanotic stools. You brought in your stuff with you... like a boss... What do you want to ask this patient about?

Select one or more of the following:

  • NSAID use

  • pepto bismol use

  • menstrual/vaginal bleeding

  • anticoagulant use

  • easy bruising/bleeding

  • favorite color

  • vaccination history

Explanation

Question 3 of 6

1

76yof presents with 4 days of dark melanotic stools. You do a rectal exam, it's guaiac positive. You also hear a late-peaking crescendo-decrescendo systolic murmur. What is a likely cause of her GI bleeding?

Select one or more of the following:

  • longstanding aortic stenosis --> GI AV malformations

  • profound anemia --> AV malformations

  • longstanding mitral regurg --> esophageal varices

  • H. pylori infection --> peptic ulcer disease

  • hemorrhoids

Explanation

Question 4 of 6

1

76yof presents with 4 days of dark melanotic stools. Guaiac positive stool. VS are stable, patient is not in distress, she is not on anticoagulants, has no cardiac history. Her hemoglobin returns at 6.9, what do you do?

Select one or more of the following:

  • transfuse 1U PRBC

  • watch and wait

  • give TXA

  • admit to the ICU and let them deal with it.

Explanation

Question 5 of 6

1

42yom w/ history of EtOH abuse presents to ED with massive hematemesis. BP 64/22. Patient's mental status is declining. What do you need set up/at the bedside in order to intubate this patient?

Select one or more of the following:

  • video and traditional laryngoscopes

  • push dose pressors

  • suction

  • BVM

  • pressor drip

  • central line

  • 2 large bore IVs or IOs

  • bougie

  • NG tube

  • octreotide

Explanation

Question 6 of 6

1

You have successfully intubated the 42yom w/ massive hematemesis. What medications should be started now in order to reduce morbidity and mortality?

Select one or more of the following:

  • fentanyl drip 25mcg/hour

  • fentanyl drip 100mcg/hour

  • IV ceftriaxone 1g

  • PPI drip

  • octreotide

Explanation

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