5/30/13 a

Question 1

What is the treatment for methanol or ethylene glycol intoxication?

Answer 1

fomepizole

Question 2

What is the most important consideration for abdominal trauma in pregnancy?

Answer 2

placental abruption

Question 3

Is placental abruption painful?

Answer 3

yes

Question 4

What do early decelerations indicate?

Answer 4

head compression

Question 5

What do variable decelerations indicate?

Answer 5

cord compression

Question 6

What do late decelerations indicate?

Answer 6

placental insufficiency

Question 7

What is the most common causative organism of menignitis?

Answer 7

Pneumococcus!!!

Question 8

What are the 4 compnents of a reassuring fetal heart rate pattern?

Answer 8

1. BASELINE rate normal (110-160)
2. ACCELERATIONS present
3. DECELERATIONS absent
4. VARIABILITY present

Question 9

What are the 2 most sensitive and specific serologic tests for Celiac Dz?

Answer 9

anti-endomysial and anti-tissue transglutaminase Abs

Question 10

Chronic pain and tingling of the buttocks that worsens upon sitting, riding bikes, or running is typical of what condition?

Answer 10

piriformis syndrome

Question 11

What is the mechanism of piriformis syndrome?

Answer 11

compression of the greater sciatic nerve as it exits the freater sciatic foramen below the piriformis m.

Question 12

How do you establish the Dx of Pneumocystis jiroveci pneumonia (PjP)?

Answer 12

immunofluorescence of induced sputum sample

Question 13

What is the next step if a pt w/ hi clinical suspicion for PjP has a negative immunofluorescence of sputum sample?

Answer 13

bronchoalveolar lavage

Question 14

What angle should the x-ray be taken from to Dx posterior shoulder disloaction?

Answer 14

axillary

Question 15

What 2 situations classically cause post. shoulder dislocation?

Answer 15

seizure and electrocution

Question 16

What is the normal tidal volume of a healthy person?

Answer 16

500 mL/breath (~7 mL/kg/breath)

Question 17

Should mechanically ventilated ARDS pts be ventilated at a higher or lower than normal tidal volume?

Answer 17

lower (~ 420 mL/breath in a 70 kg man or ~6 mL/kg/breath)

Question 18

Newborn with green vomiting and double bubble sign on X-ray. Give 2 differential diagnoses.

Answer 18

malrotation and duodenal atresia

Question 19

What hi-dose topical steroids are apprpriate for lichen sclerosis of the vulva?

Answer 19

clobetasol or halobetasol

Question 20

What immunosuppresant drug may be used to treat severe atopic dermatitis?

Answer 20

tacrolimus