11/11/21

Question 1

Malaria Treatments

Answer 1

Uncomplicated, chloroquine-sensitive areas Rx: chloroquine

Uncomplicated, chloroquine-resistant areas Rx: atovaquone-proguanil

Complicated, chloroquine-resistant areas Rx: artesunate IV

Question 2

How long should CPR continue after fibrinolytics are given to a patient with cardiac arrest prior to pronouncing the patient dead if there is no return of spontaneous circulation?

Answer 2

At least 20 minutes.

Question 3

What is the minimum amount of time recommended to elapse after a cardiac arrest before prognosticating neurologic outcomes?

Answer 3

72 hours.

Question 4

In pts on apixiban, ___________ is used to stop severe bleeding

Answer 4

Prothrombin complex concentrates (PCC)

Andexanet, coagulation factor Xa (recombinant), is first FDA-approved reversal agent

Question 5

Neonatal Sepsis Rx

Answer 5

fluid bolus of 20 mL/kg

ampicillin and cefotaxime

Question 6

What is the most appropriate antibiotic combination to use in a patient over the age of 65 years with suspected meningitis?

Answer 6

Ceftriaxone, vancomycin, and ampicillin.

Question 7

Skin findings in Dermatomyositis

Answer 7

Insidious, painless, proximal muscle weakness (polymyositis) and a rash

Malar rash
Heliotrope rash
Gottron papules

Question 8

What organism is found in soft cheeses and poorly pasteurized dairy products?

Answer 8

Listeria monocytogenes.

Question 8

What organism is found in soft cheeses and poorly pasteurized dairy products?

Answer 8

Listeria monocytogenes.

Question 9

__________ is the most common sign of bladder injury and occurs in more than 95% of cases.

Answer 9

Gross hematuria

Question 10

What are the two diagnostic procedures of choice for bladder injury?

Answer 10

Conventional retrograde cystography and retrograde CT cystography

Question 11

Bladder Injury rx

Answer 11

Intraperitoneal: nonemergent surgical repair
Extraperitoneal: nonsurgical

Common with pelvic fractures

Evaluate with urethrogram, cystogram, or CT cystogram

Question 12

If MRI is unavailable, what imaging modality can be used to detect cauda equina syndrome?

Answer 12

CT myelography

Question 13

Ultrasound in Choledocholithiasis

Answer 13

Ultrasound will show a dilated common bile duct > 6 mm in diameter

Question 14

How does a patient’s tendon reflexes change with hyperkalemia?

Answer 14

They are hyporeflexic or areflexic

Question 15

What is the most common ultrasound finding in ovarian torsion?

Answer 15

Ovarian enlargement.

Question 16

Does treatment of the original streptococcal pharyngitis with antibiotics reduce the incidence of poststreptococcal glomerulonephritis?

Answer 16

No. It does, however, reduce the incidence of acute rheumatic fever.

Question 17

Ankle Sprain Most commonly injured part

Answer 17

anterior talofibular ligament (ATFL)

responsible for two-thirds of ankle sprains

Question 18

What is a grade III ankle sprain?

Answer 18

Complete tear of the ligament with marked joint instability.