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* 1. A 17-year-old boy presents to the Emergency Department with severe sore throat that has come on over approximately 12 hours.  For the last two hours, he has been unable to handle his secretions and has been spitting into a cup.  Vital signs are:  BP = 130/70, HR = 98, RR = 18, T = 38.4 degrees C.  The patient is complaining of his pain, and appears distressed and anxious.  There is no stridor, but the patient reports that it is "hard to breathe."  Oxygen saturation on room air is 96%.  A non-rebreather mask is applied, the patient is on a cardiac monitor, and an intravenous line has been established.  The most appropriate initial management is:

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* 2. A 200kg, 5'9" morbidly obese patient presents with a severe bilateral pneumonia.  You estimate his ideal body weight at 75 kg.  As you consider the role of his obesity in planning your RSI drugs, which of the following is true?

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* 3. A 19-year-old man has sustained a significant head injury after riding his new Harley Davidson into a bridge embankment.  Paramedics on the scene call for medical direction, and report that they have immobilized his spine, established IV access and are administering supplemental oxygen via a NRB mask.  The patient is obviously intoxicated and minimally arousable, with a BP of 110/60, heart rate of 110, RR of 20 with "noisy" respirations and oxygen saturation of 95%.  They are en route to your ED with an ETA of four minutes and the scope of practice includes RSI and LMA insertion.  The paramedics request permission to manage the patient's airway.  Which of the following is the best first action to advise in this case:

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* 4. Each of the following patients receives succinylcholine for intubation.  Which is not at risk for succinylcholine-induced hyperkalemia?

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* 5. While awaiting the anesthesiologist and ENT surgeon to arrive for controlled definitive airway management in the OR, your 3-year-old patient with suspected epiglottitis becomes unresponsive and apneic and his heart rate drops to the 40 - 50's.  The patient has no venous access.  The most appropriate initial step in management is:

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