9/15/21

Question 1

Rheumatic Fever JONES criteria

Answer 1

Joints
oh no, carditis!
nodules
erythema marginatum
Sydenham chorea

Question 2

Insulinomas are part of what tumor triad?

Answer 2

Multiple endocrine neoplasia (MEN) type 1, which consists of parathyroid tumors, pancreatic tumors, and pituitary tumors.

Question 3

What is the cause of hematemesis with subcutaneous emphysema?

Answer 3

Boerhaave syndrome.

Question 4

In patients with active upper GI bleeding and liver disease, ___________ is indicated for reversal of coagulopathy.

Answer 4

cryoprecipitate

also give ondansetron, and proton pump inhibitors, octreotide, and cefotaxime/ ceftriaxone

Question 5

with Radiation Injuries, ____________ at 48 hrs is prognostic

Answer 5

Lymphocyte count

Question 6

Light Criteria

Answer 6

• Fluid is exudate if one of the following Light criteria is present:
• Fluid protein/serum protein ≥ 0.5
• Fluid lactate dehydrogenase (LDH)/serum LDH ≥ 0.6
• Fluid LDH level > 2/3 the upper limit of normal of serum LDH

Question 7

What do you use for a Needle decompression of the chest in the second intercostal space in the midclavicular line

Answer 7

14 gauge or greater angiocatheter followed by chest tube insertion.

Question 8

What is the most common condition resulting in hypercalciuria and subsequent renal stone formation?

Answer 8

Hyperparathyroidism.

Question 9

What is the treatment for acute angle closure glaucoma?

Answer 9

• Topical timolol or apraclonidine
• topical prednisolone
• intravenous acetazolamide
• -> immediately followed one hour later with topical pilocarpine.

Question 10

A Colles fracture

Answer 10

• transverse fracture through the distal radius
• is dorsally displaced and angulated
• characteristic “dinner fork” deformity
• median nerve is the most commonly injured nerve

Question 11

Sgarbossa criteria for STEMI with LBBB

Answer 11

• Concordant ST elevation > 1 mm in leads with a positive QRS (5 points)
• Concordant ST depression > 1 mm in V1–V3 (3 points)
• Discordant ST elevation 5 mm in leads with a negative QRS (2)

3 = STEMI

Question 12

A gram stain showing gram positive cocci in clusters often represents infection with ____________________

Answer 12

Staphylococcus species, most notably S. aureus.

Question 13

Black Widow Spider rx

Answer 13

Opioids, benzodiazepines, antivenin (only if severe Sx)