8/29/21 Flashcards

1
Q

Weakness with plantar flexing at the ankle suggests nerve impingement at the _______ nerve root.

A

S1 nerve root

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2
Q

In what situation is dobutamine considered a first-line vasopressor?

A

In patients with cardiogenic shock who require inotropy.

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3
Q

What musculoskeletal injury is classically associated with electrocution injuries?

A

Posterior shoulder dislocation.

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4
Q

What is the American Diabetic Association treatment goal for HbA1c?

A

Physicians should shoot for a HbA1c of < 7%.

A level of 4–6% is normal

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5
Q

Along with dextrose, what is the treatment for sulfonylurea-induced hypoglycemia?

A

Octreotide

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6
Q

Why should patients with posterior nasal packs be admitted to a monitored bed?

A

Posterior packing can cause vagal stimulation with resulting bradycardia and bronchoconstriction.

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7
Q

If a patient with infectious mononucleosis takes penicillin, what physical exam finding is likely to occur?

A

A rash

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8
Q

Classic ECG findings in patients with intracerebral hemorrhage w/ increased ICP

A

widespread giant T wave inversions (“cerebral T waves”)
QT prolongation
bradycardia

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9
Q

What is the first line treatment of multiple sclerosis exacerbations?

A

High-dose methylprednisolone followed by a prednisone taper.

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10
Q

__________________ symptoms suggest Wernicke-Korsakoff encephalopathy.

A

Confusion, confabulation, ataxia, ophthalmoplegia, and nystagmus

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11
Q

Dextrose should be given BEFORE OR AFTER thiamine for the theoretical prevention of Wernicke-Korsakoff syndrome

A

after

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12
Q

ECG findings of ___________________ is consistent with ventricular tachycardia.

A

AV dissociation
fusion beats
QRS greater than 0.14 seconds

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13
Q

The mainstay of treatment for ALL severities of croup is _____________.

A

corticosteroid therapy

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14
Q

Patients with moderate to severe croup (stridor at rest) may benefit from ____________.

A

nebulized epinephrine treatment

The mainstay of treatment for all forms of croup is corticosteroid therapy

Children treated with nebulized epinephrine should be observed for three hours after administration.

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15
Q

Children treated with nebulized epinephrine for croup should be observed for _______ after administration.

A

three hours

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16
Q

Nebulized albuterol is not recommended for treatment of croup because?

A

there is a theoretical risk of worsening upper airway obstruction due to beta-receptor vasodilation, which may worsen upper airway edema.

17
Q

What is the single oral dose of dexamethasone that is recommended for the treatment of croup in children?

A

0.6 mg/kg orally.

18
Q

Laryngotracheitis (Croup) X-ray will show _________ on PA view

A

“steeple sign”

19
Q

Tox: labs show Elevated osmolar gap, ketosis without acidosis

A

Isopropanol Intoxication

20
Q

Bacterial Vaginosis

A

malodorous vaginal discharge
thin, gray/white discharge
pH > 4.5, clue cells
KOH to smear → fishy odor, “whiff test”