10/27/21

Question 1

What is the most common cause of acquired heart disease in children?

Answer 1

Kawasaki disease.

Question 2

What constitutes an acute kidney injury?

Answer 2

Increase from baseline creatinine of 50 percent or more within 7 days.

Question 3

What is the correct number of synchronized joules that should be given to an adult patient with unstable ventricular tachycardia on a biphasic machine?

Answer 3

100 joules.

Question 4

This pressor increases cardiac contractility and is the agent of choice in cardiogenic shock with preserved blood pressure.

Answer 4

Dobutamine

It can be used as an adjunct in septic shock in patients with myocardial dysfunction.

Question 5

After maximal therapy with Levophed, the next best pressor in septic shock is ___________

Answer 5

vasopressin

Question 6

TIA High vs Low risk ABCD score

Answer 6

Low-risk TIA = ABCD2 score < 4

High-risk TIA = ABCD2 score ≥ 4

Question 7

Transient Ischemic Attack rx for Low-risk TIA

Answer 7

Low-risk TIA = ABCD2 score < 4

Treatment with aspirin alone

Question 8

High-risk TIA Rx

Answer 8

High-risk TIA =ABCD2 score ≥ 4

Begin with dual antiplatelet therapy (DAPT) for 21 days using aspirin plus clopidogrel

Question 9

_____________ is the appropriate treatment for a patient with neurologic or cardiac manifestations of Lyme disease.

Answer 9

Ceftriaxone 1 g IV q12

Question 10

What percentage of patients with significant carbon monoxide exposure exhibit a delayed neuropsychiatric syndrome, consisting of cognitive deficits, personality changes, movement disorders, and focal deficits?

Answer 10

40%.

Question 11

Which rare potentially life-threatening disease can present resembling a candidal diaper rash?

Answer 11

Langerhans cell histiocytosis.

Question 12

Which rare potentially life-threatening disease can present resembling a candidal diaper rash?

Answer 12

Langerhans cell histiocytosis.

Question 13

___________ dislocations account for the majority of hip dislocations

Answer 13

Posterior hip= most common

anterior dislocations seen in less than 15% of patients.

Question 14

Posterior hip dislocation PE and Nerve complication

Answer 14

Posterior: internally rotated, sciatic nerve injury

Anterior: externally rotated, femoral artery/vein/nerve injury

Question 15

Anterior hip dislocation PE and Nerve complication

Answer 15

Anterior: externally rotated, femoral artery/vein/nerve injury

Posterior: internally rotated, sciatic nerve injury

Question 16

This lab abnormality is well described in children who have ingested ethanol.

Answer 16

Decreased blood glucose below 40 mg/dL

Question 17

What is the treatment for ethylene glycol poisoning?

Answer 17

Fomepizole.

Question 18

Severely violent patients who require rapid sedation can be given the meds, _______ and ______

Answer 18

haloperidol plus lorazepam

Question 19

At what acetaminophen level would treatment with N-acetyl cysteine be warranted at four hours?

Answer 19

Treatment should be initiated at an acetaminophen level of 150 μg/mL

Question 19

At what acetaminophen level would treatment with N-acetyl cysteine be warranted at four hours?

Answer 19

Treatment should be initiated at an acetaminophen level of 150 μg/mL

Question 20

_____________ on ekg is most concerning for occlusion of the left main coronary artery.

Answer 20

ST segment elevation in aVR greater than 1 mm

or

greater than the ST elevation seen in V1