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EM r 2020 > 2/05 > Flashcards

2/05 Flashcards

1
Q

Allergic reaction to blood product caused by

A

Iga deficiency

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2
Q

OD on phenobarbital hx taking clonazepam to contraidicated

A

Flumazenil

Throw into withdrawal

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3
Q

Sexual assault post exposure to

A

Azithro, cef, metronidazole, HIV post, hep B vaccine and immunoglobulin if unknown vaccine status

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4
Q

Concern for obstructive uropathy with hydro next test

A

Ureterenoscopy

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5
Q

Asymptomatic preg bacteria in urine tx

A

Amoxicillin or cephalexin

Nitro causes birth defects

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6
Q

Cric position

A

Inferior to thyroid cartilage

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7
Q

Thrombosed hemrhoids tx

A

Excision

Not incision

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8
Q

Olioarticular juvenile arthritis ass sx and test

A 
Uveitis
Positive ANA (systemic is negative)
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9
Q

Sensory ataxia, need eyes to walk, what physical exam finding be abnormal

A

Romberg

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10
Q

Parrot pneumonia bug and tx

A

Chlamydia psitacci

Doxycycline

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11
Q

Arm stuck up type of dislocation

A

Inferior shoulder dislocation

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12
Q

Decorticate posture is arms and legs are

A

Arms in and legs extended

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13
Q

Decerebrate posturing is

A

Arms and legs extended

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14
Q

TRALI vs transfusion associated circulatory overload difference

A

TRALI high fever

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15
Q

Botulism is most common in

A

Infants

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16
Q

Cutting rings with

A

Ring cutter for soft metal

Dremel for hard metal

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17
Q

Old lady syncope with crackles and murmur dx

A

Aortic stenosis

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18
Q

Tx poison ivy

A

Prednisone taper 21 days

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19
Q

Croup tx

A 
Depends on severity
Cough = PO decadron
Cough with stridor/retractions = +epi 
\+ distress = same with admit 
\+ resp failure = same maybe tube
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20
Q

Only time is mass cas you check dead person

A

Lightening strike

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21
Q

Peripheral neuropathy side effect from tx for dz

A

TB

Isoniazid

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22
Q

Axial load frx

A

C1 burst frx

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23
Q

Aspiration pna abx

A

Ceftriaxone and azithromycin

Clinda only if abscess or empeyema

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24
Q

Erythema nodosum tx

A

NSAIDS and potassium iodide

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25
Q

Acute anxiety and impeding doom tx

A

Benzos w

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26
Q

Tarry new born poop cause with vegan mom

A

Swallowed maternal

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27
Q

Orchitis, leg bruising, tender anterior shin nodules dx and tx

A

PAN

Steroids and cyclophosphamide

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28
Q

Virus spread by droplets

A

Flu, adenovirus, RSV

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29
Q

Best indicator of occult hemorrhagic shock

A

Shock index= HR/SBP

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30
Q

Most common cause of death in autosomal dom polycystic kidney dz

A

CAD

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31
Q

Most common cause of dirrhea in AIDS

A

Cryptosporidium

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32
Q

Glyburide OD tx

A

Octeeotide

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33
Q

Vaginal birth see cord and a foot next step

A

Elevate presenting part to relive cord

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34
Q

Phimosis (can’t retract) next step

A

Urology follow up for sx control

Dorsal skit is for paraphimosis

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35
Q

Diaphragm nerve roots

A

C3, C4, C5 keep the diaphragm alive

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36
Q

Exam for traumatic iritis

A

Cell flare

37
Q

Seidel sign eye exam define

A

Concern for globe rupture, hole all the way through

38
Q

Erythemarous papules on baby butt after URI sx, dx?

A

Popular acrodermatitis

39
Q

Failed abx tx for UTI with trim-sulfa and Cipro next abx?

A

Fosfomycin
Nitrofuratoin
Pivmecillnam
IM/IV ertapenem once

40
Q

Foreign body sensation, difficulty with fluids and solids, tx for GERD pecoiusly, dx?

A

Achalasia

Schatzki ring difficulty with solids only

41
Q

Hemolytic transfusion rxn associated with lab result?

A

Haptoglobin decreases
LDH and bilirubin increase
Positive direct Coombs test

42
Q

Pregnant chest tube placement

A

3rd or 4th intercostal

Diaphragm goes up

43
Q

Blood disorder that cause venous and arterial clots, sole omega my and abnormal proliferation in all three myeloid cell lines

A

Polycythemia Vera

44
Q

Factors that increase mortality in pancreatitis

A 
Age>55, 
WBC>16
Glucose >200
LDH>350
AST>250

Lipase not a factor

45
Q

Choledocholithiasis US findings

A

CBD >=6

46
Q

Tularemia most common presentation

A

Red tender papule or ulcer with lymphadenopathy

47
Q

Ammonia into eye, when stop irrigation?

A

Ph of 7.0-7.2
Ammonia is alkaline

+ topical erythromycin
+ cycloplegic if defect or clouding

48
Q

Drug side effect anaplastic anemia

A

Phenytoin

49
Q

Side effect leukopenia

A

Clozapine -agranulocytosis

50
Q

Pinworms, itchy butt to

A

Mebendazole or albendazole

Pipe bends

51
Q

Drugs ok for ET

A

NAVEL (adults) LANE (peds)
Naloxone, Atropine, Vasopressin, Epinephrine, Lidocaine

Lidocaine, Atropine, Naloxone, Epinephrine

52
Q

Hx of systemic sclerosis
hypertensive, AKI, encelopathic
Dx

A

Scleroderma renal crisis = rapid renal decline and hypertensive encelopathy

53
Q

Need to intubate Pt in c-collar how

A

Take off collar, maintain C-spike precautions and tube

54
Q

Toddler ingested one flip oxide next step

A

Obs for 24hr

Octreotide if symptomatic

55
Q

AKI with FENa <1% cause

A

Hypovolemia

56
Q

Toddler mouthful of house bleach next step

A

Obs and PO challenge before dc

Household bleach very dilute

57
Q

Active TB infection more sensitive infection

A

Mantoux test (PPD skin test)

58
Q

Sepsis picture with extremely high WBC

DX and next steps

A

Hyperleukocytosis

IV abx, fluids, consult oncology for chemo, admit ICU

59
Q

32 week preg SOB test consistent

A

Hyperventilating

<7.4 with normal CO2

60
Q

Swelling and red after ear piercing tx

A

Oral cipro 1 week fu ENT 24 hrs

61
Q

Trauma with swollen and painful testicle tx

A

Urology consult for OR

for traumatic testicle dislocation

62
Q

Neck zones

A

Number 1-3 from clavicles up

Zone 3 his mandible to base of skull

63
Q

Come to ED with nothing really wrong with a bunch of different complaints dx

A

Somatic symptoms disorder

Malingering has an end goal

64
Q

Traumatic perforated ear drum tx

A

No intervention

Abx only when infectious cause

65
Q

Ebstein anomaly define

A

Big right atrium with inferior tricuspid

Big brain Ebstein

66
Q

Eisenmenger syndrome define

A

Atrial or ventral septal defect that reverse flow

Syndrome, not a defect itself

67
Q

Sickle cell hx, presented with joint pain and anemia dx and to

A

Parvo - aplastic anemia

Droplet precautions, transfuse, admit time heme for more blood

68
Q

High pressure paint gun finger injury no frx management

A

Radial guttedr splint, admit consult hand > debridment

69
Q

Ankle arthrocentesis location

A

Between big toe ligaments and medial malleolus

70
Q

Hypothermic and frostbite tx

A

Reward body before frostbite

71
Q

Torsion next step

A

Urology consult

Only manually when urology not available and it’s medial to lateral

72
Q

Retroperitoneal organs bleeding that might not show on FAST

A

Kidneys

73
Q

Max dose epi

A

4-5mg/kg

Multiply by concert ration to get ml

74
Q

Tx acute angle glaucoma

A

Topical beta blocker - timilol
Apraclonidine
Pilocarpine

75
Q

12yo Migrating joint pain, fever rash
Penicillin allergy
Dx and tx

A

Acute rheumatic fever

Erythromycin or cephalosporins

76
Q

Breast feeding mastitis tax

A

Diclixacillin

Cephalexin

77
Q

Test determine difference bn iron def and thalassemia

A

Red blood cell distribution width

Increase in iron def

78
Q

HAPE tx besides decent

A

Portable hyperbaric

79
Q

COPD intubate with respiratory acidosis how change vent

A

Increase tidal volume, they retain air

80
Q

Inflamed erupting tooth dx

A

Pericorinitis

81
Q

Best indicator of PPV in new born working

A

Increase HR

82
Q

Inflamed blocked lacrimal duct dx and tx

A

Dacrocysitis

Abx

83
Q

Most common congenital

Hear defect

A

Ventricular septal defect

84
Q

Way to reduce SIDS

A

Pacifier and nap time and bedtime

85
Q

Head impulse test result concern for cerebellar stroke

A

Eyes remain on target

86
Q

Retropjaryngeal appears falsely enlarged on X-ray when

A

Body rotated

87
Q

Male UTI tx

A

Ceftriaxone IM and doxy x7days

Assume due to STI in males

88
Q

Liver abscess manage

A

Consult IR for aspiration and drianage

89
Q

Skin colored leasion for months no drainage or pustule dx

A

Epidermoid cyst/sebaceous cyst

EM r 2020 (8 decks)

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