10/20/21

Question 1

What are the three Sgarbossa criteria for acute MI in the setting of LBBB?

Answer 1

1. Concordant ST elevation greater than 1 mm in leads with a positive QRS
2. Concordant ST depression greater than 1 mm in V1-V3
3. Excessively discordant ST elevation, greater than 5 mm, in leads with a negative QRS.

Question 2

Bronchiolitis most commonly affects what age group

Answer 2

infants between 2 months and 2 year

Question 3

What is the most common cause of death in patients with systemic lupus erythematosus?

Answer 3

Kidney disease, particularly diffuse proliferative glomerulonephritis.

Question 4

Which organism should be covered for septic arthritis in patients with sickle cell disease?

Answer 4

Salmonella.

Question 5

febrile infants (temperature > 38°C) who are younger than __________ should receive a full sepsis workup.

Answer 5

28 days

Question 6

Herpetic Whitlow

Answer 6

Clear painful vesicles
Do not I&D
Supportive care, acyclovir

Question 7

Which patients treated with mechanical thrombectomy for an acute CVA have the best functional outcome?

Answer 7

Those treated within 6 hours of symptom onset.

Question 8

arrhythmogenic right ventricular cardiomyopathy

Answer 8

fibro-fatty material replaces the myocardium leading to scar formation

diagnosis is seen on cardiac MRI.

Question 9

Thoracotomy indications after chest tube placement for hemothorax

Answer 9

-initial output of > 20 mL/kg or 1,500 mL
or
-subsequent output of > 200 mL/hour

Question 10

How will a valsalva maneuver alter the intensity of the murmur associated hypertrophic cardiomyopathy?

Answer 10

Valsalva increases the intensity of the murmur.

Question 11

Will the positive predictive value increase or decrease if the prevalence of a disease increases?

Answer 11

Increase.

Question 12

_____________ is the most common physical examination finding in a patient with an abdominal aortic aneurysm

Answer 12

A pulsatile abdominal mass

Question 13

What physical examination would lead one to diagnosis de Quervain tenosynovitis in a patient?

Answer 13

Finkelstein test

Finkelstein test consists of flexion of the thumb across the palm and then ulnar deviation of the wrist. Sharp pain at the dorsal compartment suggests a positive test and a diagnosis of de Quervain tenosynovitis.

Question 14

Why should benzocaine be avoided as a mucosal topical anesthetic in children?

Answer 14

Due to its high risk of causing methemoglobinemia in children.

Question 15

Atropine Dose

Answer 15

• initial 0.5 mg IV/IO
• q 3–5 minutes
• maximum of 3 mg

Question 16

In what subset of patients is atropine not effective?

Answer 16

Patients with a history of cardiac transplant.

Question 17

_______ medication is 37% organic iodine by weight and is a common precipitant of hyperthyroidism and thyroid storm.

Answer 17

Amiodarone

Question 18

Neonatal Sepsis Abx

Answer 18

-Ampicillin
plus
-Cefotaxime or Gentamicin

acyclovir can added be added