11/9/21

Question 1

______________ is considered first-line treatment for nausea in pregnancy that is unresponsive to nonpharmacologic treatments and is FDA approved

Answer 1

Pyridoxine

This can also be supplemented with doxylamine.

Question 2

What clinical finding helps differentiated serotonin syndrome from similar-appearing presentations?

Answer 2

Myoclonus.

Question 3

What serum laboratory test can help to make the diagnosis of Wilson disease?

Answer 3

Ceruloplasmin.

Question 4

Osler-Weber-Rendu syndrome

Answer 4

aka hereditary hemorrhagic telangiectasia (HHT)
Autosomal dominant
Telangiectasia of oral mucosa and finger tips
Epistaxis, Gl bleeding, AVMs
Labs show anemia

characterized by arteriovenous malformations of the brain, liver, and lung that can lead to sudden intraparenchymal hemorrhage and high output congestive heart failure.

Question 5

pediatric blood volume dose

Answer 5

10 mL/kg of packed red blood cells

should be trialed after 20 mL/kg of NS or LR

Question 6

______________ would be the most appropriate treatment option for Wellens syndrome.

Answer 6

Heparinize followed by urgent cardiac catheterization

Question 7

the lesions of ________ cannot be scraped off the surface of the tongue.

Answer 7

oral hairy leukoplakia

caused by Epstein-Barr
rarely seen in conditions other than patients with HIV infection

Most cases are self-limited, but antiviral agents like acyclovir, ganciclovir, and foscarnet can be considered.

Question 8

What is the name of the non-infectious endocarditis that presents with sterile vegetations on both sides of the involved valve?

Answer 8

Libman-Sacks endocarditis.

Question 9

Centripetal rash means

Answer 9

spreads from distal ext towards trunk

ex: rocky mountain spotted fever

Question 10

What laboratory abnormalities are characteristic of Rocky Mountain spotted fever?

Answer 10

Thrombocytopenia and hyponatremia.

Question 11

At what level on the Rumack-Matthew nomogram at 4 hours post-ingestion should you initiate NAC?

Answer 11

150 mcg/dL

also, APAP toxic dose is ~150 mg/kg

Question 12

Antibiotics should be considered when in aspiration pneumonia

Answer 12

severely ill

or

who present with features of fever, purulent sputum, and insidious onset from silent aspiration.

Question 13

What do late decelerations signify on fetal tracing?

Answer 13

Uteroplacental insufficiency.

Question 14

Characteristic white plaques cover the tongue and buccal mucosa, which can be easily scraped off using a tongue blade

Answer 14

oral candidiasis, also known as thrush

Treatment is topical nystatin or oral fluconazole

Question 14

Characteristic white plaques cover the tongue and buccal mucosa, which can be easily scraped off using a tongue blade

Answer 14

oral candidiasis, also known as thrush

Question 15

Which virus is associated with Kaposi sarcoma?

Answer 15

Human herpesvirus 8 (HHV-8).

Question 16

Hyperchloremic metabolic acidosis with low serum bicarbonate and potassium levels suggests what renal diagnosis?

Answer 16

Renal tubular acidosis.

Question 17

Patients with HELLP syndrome are at risk for bleeding complications such as?

Answer 17

DIC
ICH
placental abruption
spontaneous hepatic / splenic hemorrhage
Hepatic hemorrhage--> hepatic rupture

Question 18

What is the antibiotic regimen of choice if an open fracture is deemed to be large (> 10 cm) or very contaminated?

Answer 18

First-generation cephalosporin (ancef) and gentamicin.

Question 19

What is the dose of etomidate for rapid sequence intubation?

Answer 19

0.3 mg/kg IV