9/1/21

Question 1

What is the maximum dose of epinephrine that can be used for treatment of anaphylaxis?

Answer 1

0.5 mg or 0.5 mL using epinephrine 1 mg/mL.

Question 2

anaphylaxis epi doses IM

Answer 2

Adults: 0.3 to 0.5 mL 1:1000 (1 mg/mL) solution IM q15 minutes

Children: 0.01 mg/kg 1:1000 (1 mg/mL) solution IM q15 minutes

Question 3

Refractory hypotension in a patient on beta-blockers, give ____________

Answer 3

glucagon

Question 4

Gas that smells like freshly mown hay

Answer 4

Phosgene

rx: observation/ supportive

Question 5

Signs and symptoms of vitamin B12 deficiency include the classic triad of

Answer 5

weakness
sore tongue
paresthesias.

Question 6

Zollinger-Ellison syndrome

Answer 6

Results from excess production of gastrin secondary to a non-beta islet cell tumor in the pancreas that secretes gastrin resulting in increased acid production in the stomach and severe ulcer disease.

Question 7

Wilson disease

Answer 7

a hereditary disease process that results in copper deposition within tissues.

liver cirrhosis and neuropsychiatric symptoms.

Question 8

Hemochromatosis

Answer 8

hereditary disease
excess iron absorption from food.
may develop heart failure, liver cirrhosis, bronzing of the skin, and diabetes.

Question 9

What physical exam finding is pathognomonic for Wilson disease?

Answer 9

Kayser-Fleischer rings in the cornea of the eyes.

Question 10

What is the most common cause of death from seafood consumption in the United States?

Answer 10

Vibrio vulnificus septicemia.

Question 11

What is the classic slit lamp appearance of the eye in patients with traumatic iritis?

Answer 11

Cells and flare in the anterior chamber.

Question 12

Patients with ___________ most commonly present early in the neonatal period with copious frothy secretions and choking and cyanosis with feeding

Answer 12

tracheoesophageal fistula

Question 13

What immunizations are indicated in patients after splenectomy?

Answer 13

Pneumococcal, meningococcal, and H. influenzae type b (Hib) vaccines.

Question 14

The pediatric dose of epinephrine in the treatment of anaphylaxis is __________ of the 1:1,000 solution (1 mg/mL)

Answer 14

0.01 mg/kg

Question 15

Patients with tracheoesophageal fistula most commonly present early in the neonatal period with

Answer 15

copious frothy secretions and choking and cyanosis with feeding

Question 16

The pediatric dose of epinephrine in the treatment of anaphylaxis is 0.01 mg/kg of the ________ solution

Answer 16

1:1,000 (1 mg/mL)

Question 17

What is the second-line treatment for anaphylaxis in cases of hypotension refractory to multiple doses of IM epinephrine?

Answer 17

Intravenous epinephrine at 0.1 mL of the 1:10,000 (0.1 mg/mL) solution.