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EM r 2020 > 6/01 Week > Flashcards

6/01 Week Flashcards

1
Q

Open fracture

A

Any fracture with cuts or punctures near the skin

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2
Q

Initial tx for open fracture neuro vascularly intact

A

Abx (don’t delay more than 3 hours) - initial choice cephalosporin

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3
Q

Entamoeba histolytica dz name

A

Amebiasis

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4
Q

Entamoeba histolytica clinic presentation

A

Diarrhea and liver abscess

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5
Q

Aortic dissection, hypotensive and with evidence of Tamponade next tx

A

Immediate percardiocenticis

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6
Q

HA and vomiting after dialysis dz name

A

Dialysis disequilibrium syndrome (osmolality shift causing cerebral edema)

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7
Q

Dialysis disequilibrium tx

A

Mannitol

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8
Q

Clavicle fracture prone to nonunion

A

Superiorly displaced distal clavicle fracture

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9
Q

Emergent ortho consult for clavicle fracture

A

Open, neurovascular compromise, tenting of skin

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10
Q

Tumor lysis presentation

A

Hx of ca with extreme electrolyte abnormalities

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11
Q

Tumor lysis tx

A

IV hydration

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12
Q

Reduce sudden infant death

A

Breast feeding, pacifier use, supine sleeping position

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13
Q

Young ten age girl with toxic shock stable and shipping out, must do this before you do

A

GU exam for tampons

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14
Q

Stable trauma Pt with no injuries and painless microscopic hematuria next step

A

Observe in ED

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15
Q

Painless microscopic hematuria in trauma Pt dx

A

Blunt renal injury

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16
Q

Sac in uterus, no fetal pole, dx and next step

A

Concern for ectopic, consult OB

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17
Q

Head bleed, on enoxaparin, what drug is that and next step

A

Low weight molecule heparin

Reverse with protamine sulfate

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18
Q

Unstable Brady with low urine output dx and to

ECG with sine wave

A

Hyperkalemia (ecg changes, peaked t wave, wide QRS, sine wave)
Give calcium

19
Q

Nonbloddy diarrhea iliocolitis pathogen

A

Yersinia enterocolitica

20
Q

Rash and proximal extremity weakness with elevated CK, dx and underlying dx

A

Dermatomyositis

Occult malignicancy

21
Q

Assessing for abdominal compartment syndrome in intubated Pt next step

A

Paralyze

22
Q

HIV hx of toxoplasmosis infection has blurry vision and floaters, retinal exam shows lesion dx and tx

A

Choriorerinitis from previous toxo infection

Trim-sulfa

23
Q

Black widow bite tx

A

Benzos, pain meds and anti nausea and tetanus

24
Q

Testicular torsion manual untwist how

A

Medial to lateral 360 degrees

25
Q

Not treat fever in peds increases risk of

A

Dehydration

26
Q

OD
Low BP, lethargic, pinpoint pupils, Brady
Med od?

A

Clonidine

27
Q

Relative contraindication for escharotomy to limb

A

Irreversible gangrene to limb - non-salvageable

28
Q

Grief tx

A

Natural with friend and family support, no better than support group

29
Q

Can’t retract foreskin dx tx

A

Phimosis

Urology follow up if able to urinate and no serious infection

30
Q

Peds knee pain and gi symptoms dx and exam finding

A

Hemochromatosis-Schonlein putouts

Rash

31
Q

Acute closure glaucoma tx

A

IV acetazilemide
Topical apraclonidine, topical timolol
Second line mannitol

32
Q

Eye trauma, not able to look up dx

A

Inferior recurs muscle entrapment

33
Q

Acute chest syndrome sx and evidence

A

Fever or respiratory sx AND imaging evidence (pulmonary infiltrate)

34
Q

Activated charcoal doesn’t absorb

A

Metals, ions, corrosive, gasoline, alcohol, oil

35
Q

Draining to dollar abscess can damage what anatomy

A

Carotid

36
Q

Tonsilar abscess tx

A

Most aspiration
Then I&D
All abx- pencilin plus metronidazole
Clindamycin if pen allergic

37
Q

Aortic dissection clinically becomes step

A

Esmolol drip before imaging

38
Q

High sodium, how much decrease over 24 hour period

A

10-12

39
Q

Blurry vision with hx of HTN and dm dx and eye findings

A

Retinal vein occlusion
Blood and thunder
(Artery would be complete loss)

40
Q

Interested HIV with fever, wt loss, sweats, diarrhea dx and tx

A

MAC

Clarithromycin, ethambutol, rifampin

41
Q

Loxosceles sp bite is a

A

Brown recluse

42
Q

Latrodectus sp bite is a

A

Black widow

43
Q

Mumps tell tale sign

A

Parotid swelling

44
Q

Diabetes insipidus dz pathophys

Osmolalilty results

A

Can’t concentrate urine bc no vasopressin

Low urine osmol and high serum

EM r 2020 (8 decks)

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