11/7/21

Question 1

What is a recommended antibiotic regimen for diverticulitis?

Answer 1

Ciprofloxacin and metronidazole.

Question 2

Acute mitral valve regurgitation from MI will have this ECG

Answer 2

ST-segment in leads II, III, and aVF

it is most commonly associated with transmural infarction of the inferior wall of the heart

Question 3

Torsades de Pointes Treatment

Answer 3

Unstable: defibrillation
Stable: intravenous magnesium sulfate and stopping the offending drug

Question 4

Exposure to bat and bird droppings in the Mississippi and Ohio River valleys

Answer 4

histoplasmosis

Question 5

Exposure to bat and bird droppings in the Mississippi and Ohio River valleys

Answer 5

histoplasmosis

Question 6

Erysipelas

Answer 6

deeply erythematous, sharply demarcated elevated shiny patch

streptococcus pyogenes (group A beta strep)

Infections with systemic compromise: parenteral cefazolin, ceftriaxone, or flucloxacillin

Mild infections: oral amoxicillin or cephalexin

Question 7

rsR’ with ST segment elevation followed by a downsloping inverted T wave in leads V1 and V2

Answer 7

Brugada syndrome

Question 8

True or false: squatting will decrease the intensity of the murmur associated with hypertrophic cardiomyopathy.

Answer 8

True. Squatting will decrease the intensity, as will anything that increases preload or afterload.

Question 9

What is the most common site of compartment syndrome and the symptoms of that compartment?

Answer 9

anterior compartment of the leg

can present with decreased sensation between the first and second toes and weakness with foot dorsiflexion

A delta pressure (diastolic blood pressure – compartment pressure) of < 30 indicates the need for a fasciotomy

Question 10

What is the appropriate pediatric dose in Joules/kg for cardioversion?

Answer 10

Initial dose is 0.5-1 Joules/kg, followed by 2 Joules/kg with subsequent doses.

Question 11

Peds adenosine dose

Answer 11

In stable patients, vagal maneuver first

adenosine 0.1 mg/kg- maximum single dose of 6 mg

If this initial dose is unsuccessful, the next dose increases to 0.2 mg/kg- maximum single dose of 12 mg

Question 11

Peds adenosine dose

Answer 11

In stable patients, vagal maneuver first

adenosine 0.1 mg/kg- maximum single dose of 6 mg

If this initial dose is unsuccessful, the next dose increases to 0.2 mg/kg- maximum single dose of 12 mg

Question 12

ED medication asc with malignant hyperthermia

Answer 12

Succinylcholine

Question 13

Used in the management of sulfonylurea overdose, what is the mechanism of action of octreotide?

Answer 13

Inhibits insulin release from pancreatic beta-islet cells.

Question 14

What is the name of the flank bruising due to severe hemorrhagic pancreatitis?

Answer 14

Grey Turner sign.

Question 15

go look at a picture of a scaphoid fracture

Answer 15

=)

Question 16

Felon

Answer 16

localized suppurative infection of the pulp space of the distal finger or thumb.

It does not usually involve the nail or cuticle, but may be a complication of a paronychia

Question 17

paronychia

Answer 17

PE will show an infection of lateral nail fold
Most commonly caused by S. aureus
Treatment is Abx, warm soaks, I&D

Question 18

What substance contains a lethal amount of salicylate even in small quantities?

Answer 18

Oil of wintergreen.

Question 19

What substance contains a lethal amount of salicylate even in small quantities?

Answer 19

Oil of wintergreen.

Question 20

Name 4 malignancies that are considered AIDS-defining illnesses.

Answer 20

Cervical cancer, Kaposi sarcoma, Burkitt lymphoma, and primary CNS lymphoma.

Question 21

High-quality chest compressions are associated with CO2 values of?

Answer 21

CO2 values > 10 mm Hg

The value of CO2 is also helpful in prognostication of the arrest. For patients with a value of at least 10 mm Hg, the chance of return of spontaneous circulation (ROSC) is greater than 90%. Those with less than 10 mm Hg are almost never successfully resuscitated.

Question 22

he FAST exam is not sensitive for finding retroperitoneal fluid or blood, sometimes lending false security in caring for patients with abdominal trauma.

Answer 22

Just know that

Question 23

What is the classic side effect you must warn patients about when starting rifampin?

Answer 23

Orange discoloration of body fluids.

Question 24

In the setting of compartment syndrome, should the extremity be elevated at or above the level of the patient’s heart?

Answer 24

At the level of the heart—elevation above this can further decrease arterial flow and affect venous drainage.

Question 25

What is the appropriate dose of epinephrine during cardiac arrest in an adult?

Answer 25

The proper dose is 1 mg of epinephrine (10 mL of the 0.1 mg/mL (1:10,000) concentration).