11/10/21

Question 1

What organisms can cause both pneumonia and vesicular inflammation of the tympanic membrane?

Answer 1

Mycoplasma pneumoniae and Streptococcus pneumoniae.

Question 2

What is considered an appropriate tidal volume for lung-protective ventilation?

Answer 2

6–8 mL/kg predicted body weight.

Question 3

Labs will show Auer rods

Answer 3

Acute Myeloid Leukemia (AML)

Patient will be an adult

Question 4

At what level does the spinal cord end in adults?

Answer 4

L1–L2.

Question 5

What is the first-line vasopressor for the management of cardiogenic shock?

Answer 5

Norepinephrine is the first-line agent for cardiogenic shock.

Question 6

Tetralogy of Fallot (TOF) is a congenital heart disease characterized by four defects:

Answer 6

Mnemonic: PROVe: pulmonic stenosis, right ventricular hypertrophy, overriding aorta, VSD

ventricular septal defect
overriding aorta
right ventricular hypertrophy
Right outflow obstruction.

TOF is the most common cyanotic congenital heart disease.

Question 7

Any ST segment elevation in the inferior leads (II, III, and aVF) should prompt a __________.

Answer 7

right-sided electrocardiogram

ST segment elevation in leads V4R, V5R and V6R is diagnostic of a right ventricular infarct

Question 8

Posterior electrocardiogram would be appropriate to evaluate for posterior ST segment elevation if you saw deep depression in leads ____________.

Answer 8

V1 and V2 with prominent R waves

Question 9

Snake envenomations can cause what classic oral manifestation?

Answer 9

Metallic taste.

Question 10

Unique presentation including raccoon eyes, opsoclonus myoclonus. and ipsilateral Horner syndrome may indicate ___________

Answer 10

Neuroblastoma

Question 11

describe one way to do a pericardiocentesis

Answer 11

needle insertion at the left sternal border between the 5th and 6th ribs. An 18-gauge spinal needle with large volume syringe is the preferred method

Question 12

___________ are used in conjunction as the antidote for organophosphate toxicity

Answer 12

Atropine and pralidoxime

DUMBBELLS (Diarrhea, Urination, Miosis, Bradycardia, Bronchospasm, Emesis, Lacrimation, Lethargy, Salivation, and Seizures).

Question 13

__________ is a reversible acetylcholinesterase inhibitor that crosses the blood-brain barrier and is rarely used in anticholinergic toxicity.

Answer 13

Physostigmine

Question 14

What are the two most common infectious causes of Stevens-Johnson syndrome or toxic epidermal necrolysis?

Answer 14

Mycoplasma pneumoniae or herpes simplex virus

Question 15

Junctional escape rhythm

Answer 15

characterized by a narrow QRS complex rhythm with a rate of 40–60 beats/minute, without association between atrial activity and the QRS complexes.

Question 16

What is the treatment for rate control of rapid atrial flutter in a stable patient?

Answer 16

A non-dihydropyridine calcium channel blocker or a beta-blocker.

Question 17

What are the elements and maximum and minimum scores of the Apgar score?

Answer 17

Appearance (color), pulse, grimace (irritability to suction), activity (muscle tone), and respiratory effort. Maximum score is 10 and minimum 0.

Question 18

Neonatal Resuscitation

After all deliveries

Answer 18

Clear secretions if needed
Warm
Dry
Stimulate
Assess HR and respiration

Question 19

Neonatal Resuscitation Resuscitation indications:

Answer 19

apnea or labored breathing, bradycardia (HR < 100 bpm)

Provide PPV
If no improvement: take ventilation corrective steps
If HR < 60 bpm: intubation, compressions

Question 20

Fever in Neonates < 28 Days Old

Answer 20

GBS (most common), E. coli, Listeria
Full sepsis workup
Ampicillin + gentamicin, ceftazidime, cefotaxime, or cefepime
Acyclovir (if herpes simplex virus is suspected)
Admission