Emergency Management Ch. 14 Quiz
Following rhabdomyolysis, creatine kinase levels peak at about _______________ hours following injury.
24
Which of the following conditions is defined as the rupture of red blood cells and the release of their contents into nearby fluid? a) hemolysis b) hemodissection c) myoglobin d) hematuria
a) hemolysis
Sickle-shaped red blood cells can cause a) vaso-occlusion b) a decrease in blood pressure c) vasodilation d) anticoagulation
a) vaso-occlusion
In patients with rhabdomyolysis, acute renal failure may occur __________ after initial muscle damage a) 1-2 hours b) 1-2 days c) 10-12 hours d) 10-12 days
b) 1-2 days
Sickle cell trait is most prevalent among persons of African or ___________ descent. a) South American b) Mediterranean c) Asian d) Samoan
b) Mediterranean
During the clinical presentation of rhabdomyolysis, the reddish-brown color of urine is caused by a) uric acid b) myoglobinuria c) myoglucose d) urea
b) myoglobinuria
In the United States, SCT occurs in _________ African Americans a) 1 in 160 b) 1 in 260 c) 1 in 12 d) 1 in 25
c) 1 in 12
Exertional rhabdomyolysis is caused by increased intracellular free ionized _______.
calcium
In a patient with compartment syndrome, what is the range that indicates the need for a fasciotomy? a) 10-20 mmHg b) 20-30 mmHg c) 50-70 mmHg d) 30-50 mmHg
d) 30-50 mmHg
Levels of creatine kinase greater than _______________ U/L may indicate ER. a) 500 b) 2,000 c) 250 d) 5,000
d) 5,000
Which of these is a cause of rhabdomyolysis? a) excessive hydration b) accustomed workouts c) hypothermia d) embolism
d) embolism
Exertional rhabdomyolysis is characterized by the breakdown of which type of tissue?
muscular
Which of the following is a characteristic of exertional collapse associated with sickle cell?
slumped to the ground with weak muscles
T/F Cases of exertional rhabdomyolysis are extremely rare.
true
T/F Severe ER can lead to seizures
true
T/F Mild cases of ER may go undiagnosed and may be managed in an outpatient setting.
true
T/F In patients with ECAST, the core temperature is elevated
false
T/F Athletes are at an increased risk for ER near the end of the season, when compared to pre-season risk
false
In athletes with ECAST, what type of oxygen should be administered?
high-flow
Which condition is the most life-threatening electrolyte imbalance that results from exertional rhabdo?
hyperkalemia
