10/30/31

Question 1

Symptoms of botulism that are not weakness/ nerve related

Answer 1

dry mouth, painful tongue, and sore throat

Question 2

Aside from increased intracranial pressure, what other things can cause an increased optic nerve sheath diameter?

Answer 2

Optic neuritis, trauma, cavernous sinus mass, and anterior orbit mass

Question 2

Aside from increased intracranial pressure, what other things can cause an increased optic nerve sheath diameter?

Answer 2

Optic neuritis, trauma, cavernous sinus mass, and anterior orbit mass

Question 3

L5 radiculopathy is the most common radicular pain in the lumbosacral spine and presents with

Answer 3

back pain that radiates down the lateral aspect of the leg into the foot

Question 4

S1 radiculopathy presents with

Answer 4

pain that radiates down the posterior aspect of the leg into the foot from the back.

Question 5

Which lower extremity reflex can be diminished in a patient with a significant L2, L3, or L4 radiculopathy?

Answer 5

The knee reflex.

Question 6

Above what blood pressure is antihypertensive therapy required prior to giving thrombolytics in acute ischemic stroke?

Answer 6

> 185/110 mm Hg.

Question 7

What is status migranosus?

Answer 7

A severe migraine headache that persists > 72 hours. Associated symptoms are usually debilitating, and hospitalization may be required.

Question 8

Deficiency in which vitamin causes macrocytic anemia, peripheral neuropathy, and ataxia?

Answer 8

Vitamin B12/ cobalamin

Question 9

Which blocker OD presents with Labs that will show hypoglycemia

Answer 9

Beta-Blocker Toxicity

Treatment is hemodynamic support, glucagon, high-dose insulin, lipid emulsion therapy

Question 10

What of the following fetal heart rate findings is considered abnormal?

Answer 10

Late decelerations

Question 11

Fetal Heart Rate: Mnemonic

VEAL CHOP

Answer 11

Variable: cord compression
Early: head compression
Accelerations: okay
Late: placental insufficiency

Question 12

What are the risk factors for Listeria meningitis?

Answer 12

HIV, advanced age, neonates, pregnancy, steroid use, and immunosuppresion.

Question 13

What two traumatic mechanisms in pediatric patients frequently cause a duodenal hematoma?

Answer 13

Lap belt injuries and handlebar injuries.

Question 14

Epinephrine in Pediatric Advanced Life Support

Answer 14

• no maximum dose
• Dose: 0.01 mg/kg of 1:10,000 (0.1 mg/mL) epi
• q 3–5 minutes
• After ROSC, IV drip at 0.1–1 mcg/kg/min, titrated to effect

Question 15

Are children in cardiac arrest found in pulseless electrical activity or asystole more or less likely to survive when compared to adults?

Answer 15

Children are two times more likely to survive cardiac arrest with pulseless electrical activity or asystole with nearly a quarter of such patients having return of spontaneous circulation.

Question 16

What is the most common symptom of Kawasaki disease after fever?

Answer 16

Bilateral conjunctivitis.

Question 17

What is the onset of action of phenobarbital?

Answer 17

Approximately 5 minutes. Care should be taken not to stack doses of phenobarbital in patients who are not mechanically ventilated.

Question 18

True or false: a unilateral cervical facet dislocation is usually an unstable injury.

Answer 18

false

Question 19

________ is sudden, transient, painless monocular vision loss and is equated to a transient ischemic attack of the eye.

Answer 19

Amaurosis fugax

Question 20

_______ is the paralysis or weakness of the eye muscles.

Answer 20

Ophthalmoplegia