Family Practice Exam Acute Care 3

Question 1

A 6-year-old presents with inspiratory stridor, barking cough, and low-grade fever. Which treatment is most appropriate?

Accepted Answer

Nebulized racemic epinephrine and dexamethasone

Answer

Croup (viral laryngotracheobronchitis) is treated with dexamethasone and nebulized epinephrine for moderate-to-severe cases.

Question 2

A 45-year-old with known COPD presents with worsening dyspnea, decreased breath sounds on the left, and tracheal deviation to the right. What is the immediate intervention?

Accepted Answer

Needle decompression

Answer

Tension pneumothorax with hemodynamic compromise requires immediate needle decompression without waiting for imaging.

Question 3

A patient presents with weakness, hyperkalemia (K+ 7.2 mEq/L), and peaked T-waves on ECG. What is the first medication to administer?

Accepted Answer

Calcium gluconate

Answer

Calcium gluconate stabilizes the cardiac membrane and is the first-line treatment to prevent life-threatening arrhythmias in severe hyperkalemia.

Question 4

A 32-year-old female 20 weeks pregnant presents with BP 160/110 mmHg, headache, and 3+ proteinuria. What is the drug of choice for acute blood pressure management?

Accepted Answer

IV labetalol or hydralazine

Answer

IV labetalol or hydralazine is first-line for acute severe hypertension in pregnancy; ACE inhibitors are contraindicated.

Question 5

A 55-year-old male presents with acute onset of severe flank pain radiating to the groin with hematuria. What is the most likely diagnosis?

Accepted Answer

Nephrolithiasis

Answer

Colicky flank pain radiating to the groin with hematuria is classic for ureteral calculi (kidney stones).

Family Practice Exam Practice Test

Family Practice Exam Practice Test

Family Practice Exam Acute Care 3