4/25/13

Question 1

How should you Tx a pt w/ a minor wound who is unimmunized or hasn’t received a tetanus booster in over 10 years?

Answer 1

tetanus toxoid

Question 2

How should you Tx a pt w/ a deep or dirty laceration who is unimmunized or hasn’t received a tetanus booster in ten yrs or more?

Answer 2

tetanus toxoid and tetanus Ig

Question 3

How should you treat a pt w/ a deep/dirty wound who has received up to date tetanus immunization?

Answer 3

Toxoid booster if none received in the last 5 yrs

Question 4

What are 2 major adverse effects of isoniazid treatment?

Answer 4

peripheral neuropathy and hepatitis

Question 5

After a first episode of major depresssion, a pt. iss feeling much better after 6 wks of SSRI Tx. What is the best course of action at this point?

Answer 5

Continue the SSRI for another 6 mos.

Question 6

What 2 classes of drugs are used to tx acute dystonia?

Answer 6

antihistamines (diphenhydramine) and anticholinergics (benztropine)

Question 7

What is akithisia, a potential complication of the use of antipsychotics?

Answer 7

feeling of restlessness

Question 8

What drugs are used to combat akithisia?

Answer 8

beta-blockers

Question 9

What do you call the condition that may occur in pts taking antipsychotics that consists of high fever, muscle rigidity, and rhabdomyolysis?

Answer 9

neuroleptic malignant syndrome

Question 10

What can be used to treat croup?

Answer 10

corticosteroids or nebulized epi

Question 11

Abd pain and red currant jelly stools in a 2 yr old child.

Answer 11

Intussusception

Question 12

In mechanical ventilation, FiO2 should be kept below ___% when possible to prevent lung toxicity.

Answer 12

60

Question 13

What is the effect of oral contraceptive use on endometrial cancer?

Answer 13

decreased risk

Question 14

What is the correlate of antisocial personality disorder in pts under 18?

Answer 14

conduct disorder

Question 15

How long must the Sx of conduct disorder have been present to make a Dx?

Answer 15

1 yr

Question 16

What is the most common malignant brain tumor in children?

Answer 16

medulloblastoma

Question 17

What is the overall most common brain tumor in children?

Answer 17

cerebellar astrocytoma

Question 18

Most cases of syringomyelia are associated with _______ malformation.

Answer 18

Arnold-Chiari

Question 19

What is the Atnold-Chiari malformation?

Answer 19

displacement of cerebellar tonsils through foramen magnum

Question 20

The tighter the confidence interval, the more _______ the result.

Answer 20

precise

Question 21

When suspicion is high for subarachnoid hemorrhage, but head CT is negative, what is the next diagnostic step?

Answer 21

lumbar puncture