EMS JEOPARDY V2

6 Categories 30 Questions

Dark, concentrated urine with decreased output often indicates this common problem. Foul-smelling, cloudy urine in an elderly or altered patient commonly points to this.

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Category 1

Dark, concentrated urine with decreased output often indicates this common problem.

Dehydration or hypoperfusion

Foul-smelling, cloudy urine in an elderly or altered patient commonly points to this.

Urinary tract infection

Cola-colored urine following crush injury or prolonged downtime suggests this condition.

Rhabdomyolysis

Early excessive urination followed by dehydration is characteristic of this emergency.

Diabetic ketoacidosis

This malignancy classically presents with painless hematuria.

Renal cell carcinoma

Category 2

This gland sits anterior to the trachea and controls basal metabolic rate.

Thyroid gland

This autoimmune condition causes hypothyroidism. symptoms include weight gain, fatigue, and cold intolerance.

Hashimoto's thyroiditis

This thyroid disorder causes heat intolerance, weight loss, Exophthalmos, and tachycardia.

Graves' disease

Hypothermia, bradycardia, and altered mental status in hypothyroid patients suggest this emergency.

Myxedema coma

Hyperthermia and severe tachycardia in untreated hyperthyroidism indicate this condition.

Thyroid storm

Category 3

This ventilator setting prevents alveolar collapse at end expiration.

PEEP

This is the highest pressure reached during inspiration.

PIP

Measured during an inspiratory pause, this pressure reflects alveolar compliance.

Plateau pressure

Calculated as plateau pressure minus PEEP, this reflects lung stress.

Delta pressure

This setting determines when inspiration ends and is critical for patient synchrony and leak mitigation.

Cycle-off percentage

Category 4

This reversible metabolic abnormality should be checked early in altered mental status patients.

Hypoglycemia

This altered mental status classically presents with a lucid interval.

Epidural hematoma

Fever, neck stiffness, and altered mental status suggest this CNS infection.

Meningitis

Overdose of Sertraline leading to agitation, tachycardia, and diaphoresis with hyperreflexia and inducible clonus is called this.

Serotonin Syndrome

CONFUSED MALNOURISHED OR ALCOHOL-USE PATIENT WITH OPHTHALMOPLEGIA OR NYSTAGMUS AND GAIT ATAXIA.

WERNICKE ENCEPHALOPATHY

Category 5

Somnolent patient. ABG: pH 7.31 PaCO2 56 HCO3 27.

Respiratory acidosis

Vomiting patient. ABG: pH 7.51 PaCO2 45 HCO3 36.

Metabolic alkalosis

Deep rapid respirations. ABG: pH 7.19 PaCO2 23 HCO3 9.

Metabolic acidosis with respiratory compensation

Chronic lung disease. ABG: pH 7.37 PaCO2 62 HCO3 35.

Compensated respiratory acidosis

ABG: pH 7.28 PaCO2 28 HCO3 13.

Metabolic acidosis with respiratory compensation

Category 6

Unresponsive patient with slow respirations and pinpoint pupils.

Opioid toxidrome

Hypertensive, Agitated, diaphoretic, tachycardic patient.

Sympathomimetic toxidrome(cocaine, mdma, amphetamines, meth)

hot as a hare, blind as a bat, dry as a bone, red as a beet, mad as a hatter, full as a flask

Anticholinergic toxidrome(benadryl, TCAs, atropine, jimson weed)

SLUDGEMsalivation, lacrimation, defecation, urination, GI distress, emesis, miosis

Cholinergic toxidrome(organophosphates, carbamates, nerve agents, insecticides)

Slurred speech and ataxia with stable vital signs.

Sedative-hypnotic toxidrome(benzos, ETOH, barbiturates)

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