EDAIC Emergency Medicine 2

Question 1

A patient presents with anaphylactic shock. Which vasopressor is the first-line treatment?

Accepted Answer

Epinephrine

Answer

Epinephrine (adrenaline) is the first-line treatment for anaphylaxis due to its combined alpha and beta adrenergic effects.

Question 2

In a patient with suspected carbon monoxide poisoning, what is the most appropriate initial oxygen therapy?

Accepted Answer

100% oxygen via non-rebreather mask

Answer

100% oxygen via non-rebreather mask reduces the half-life of carboxyhemoglobin from ~5 hours to ~60-90 minutes.

Question 3

Which ECG finding is most characteristic of hyperkalemia requiring immediate treatment?

Accepted Answer

Sine wave pattern

Answer

A sine wave pattern on ECG indicates severe hyperkalemia with imminent risk of ventricular fibrillation and requires emergency treatment.

Question 4

A patient with acute severe asthma fails to respond to bronchodilators and steroids. What adjunct therapy should be considered next?

Accepted Answer

Magnesium sulfate IV

Answer

IV magnesium sulfate causes bronchial smooth muscle relaxation and is recommended by guidelines for acute severe asthma not responding to initial treatment.

Question 5

In traumatic cardiac arrest, which reversible cause should be addressed before all others?

Accepted Answer

Tension pneumothorax

Answer

Tension pneumothorax is the most immediately correctable cause of traumatic cardiac arrest and bilateral needle decompression should be performed first.

EDAIC - European Diploma in Anesthesiology and Intensive Care Practice Test

EDAIC - European Diploma in Anesthesiology and Intensive Care Practice Test

EDAIC Emergency Medicine 2