11/8/21 Early Bird

Question 1

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

Answer 1

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 2

What is the current recommendation for targeted temperature management?

Answer 2

The patient should be cooled to a goal of 32–36°C

Question 3

What diagnostic test can help identify right coronary artery vs. left circumflex artery involvement in an acute inferior wall myocardial infarction?

Answer 3

Right-sided electrocardiogram with a focus on V4R.

An upright T wave in lead V4R indicates involvement of the distal right coronary artery, and ST segment elevation indicates a proximal right coronary artery lesion.

Question 4

Inferior ST Elevation Myocardial Infarction

Answer 4

RCA occlusion

ST elevations: II,III, aVF

RV infarction

ST elevations: V4R and V5R

JVD, hypotension

Rx: IVF

NTG contraindicated

Question 5

Why is the MMR vaccine administered at 12 months of age?

Answer 5

Measle, mumps, and rubella are rare among infants less than 1 year of age because of protection by maternal antibodies against these viruses.

Question 6

Sarcoidosis Labs will show

Answer 6

hypercalcemia

elevated serum ACE

Question 7

Glimepiride is what kind of medication

Answer 7

sulfonylurea

Question 8

Cluster Headache Prophylaxis

Answer 8

verapamil

Question 9

What is the most common pathogen associated with cholangitis?

Answer 9

E. coli (25–50%), followed by Klebsiella (15–20%) and Enterobacter (5–10%) species.

Question 10

A torus fracture is also called a ?

Answer 10

Buckle Fracture

Axial compression
Wrinkling or buckling of cortex
Distal radius (most common)
Casting

Question 11

Which odontoid fractures are considered unstable?

Answer 11

Type I (stable), Type II (unstable), Type III (unstable).

Question 12

What is Hutchinson’s sign?

Answer 12

Vesicular lesions on the tip of the nose which are associated with a high risk of herpes zoster ophthalmicus.

Question 13

The current recommended treatment for massive PE is thrombolytic therapy with TPA if any of the following criteria are met:

Answer 13

cardiac arrest

hypotension

respiratory failure–> pulse oximetry reading < 90% despite oxygen administration

evidence of right heart strain on cardiac ultrasound

elevated troponin levels.

Question 14

What is the one absolute contraindication for transvenous pacemaker placement?

Answer 14

Mechanical tricuspid valve.

Question 15

Postpartum Hemorrhage Management

Answer 15

Empty bladder

Bimanual exam and uterine massage

Oxytocin and additional uterotonics (e.g., prostaglandins)

Tamponade (balloon or surgery)

Question 16

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

Answer 16

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

Question 17

Spontaneous Bacterial Peritonitis

Answer 17

Labs will show PMNs > 250/µL, WBC > 1,000/µL, pH < 7.34

Question 18

What medication used in the management of acute myocardial infarction activates antithrombin III and inactivates thrombin?

Answer 18

Heparin

Question 19

What is luxatio erecta?

Answer 19

An inferior glenohumeral dislocation. It is the least common type of shoulder dislocation and associated with axillary artery injury.

Question 20

Perform synchronized cardioversion for monomorphic VT and other tachydysrhythmias with an energy level of?

Answer 20

150−200 J biphasic