9/16/21

Question 1

Spontaneous Bacterial Peritonitis most common bug

Answer 1

Most commonly caused by E. coli, Streptococcus

Question 2

What physical exam finding is classically associated with necrotizing enterocolitis?

Answer 2

Abdominal wall erythema.

Question 3

For what disease process is an air enema the appropriate therapy?

Answer 3

Intussusception.

Question 4

What antibiotic is appropriate for a pediatric patient with bacterial parotitis and a severe penicillin allergy?

Answer 4

Clindamycin.

Question 5

What is the likely diagnosis in a patient with a fever and diffuse rash that starts twelve hours after being treated for syphilis?

Answer 5

Jarish-Herxheimer reaction.

Question 6

Scorpion Sting rx

Answer 6

BZDs for neuromuscular symptoms
Atropine for excessive secretions
Antivenin

Question 7

Defibrillation should only occur in patients with no pulse and no blood pressure in _________ (rythem) and not in patients with vital signs.

Answer 7

ventricular tachycardia or ventricular fibrillation

Question 8

Cat scratch disease is a typically self-limited illness caused by the gram-negative bacteria ___________

Answer 8

Bartonella henselae.

Question 9

What is the classic time of presentation for pyloric stenosis?

Answer 9

First three to six weeks of life.

Question 10

Acute Mitral Regurgitation murmur

Answer 10

Unique, harsh, midsystolic murmur, best heard at the apex that radiates to the base rather than the axilla

Question 11

What is the Winter formula used for?

Answer 11

used to determine the appropriate respiratory compensation and estimates pCO₂, indicating whether there is a concomitant respiratory acidosis or alkalosis.

Question 12

______________ is the recommended corticosteroid for adrenal crisis

Answer 12

Hydrocortisone 100 mg IV

Question 13

Primary Adrenal Insufficiency (Addison Disease) labs willl show

Answer 13

Labs will show hyponatremia and hyperkalemia

Question 14

What class of drugs should be avoided in patients with cocaine-induced chest pain?

Answer 14

Beta blockers.

Question 15

What size endotracheal tube should be used for intubation in massive hemoptysis?

Answer 15

Size 8.0 to facilitate bronchoscopy.

Question 16

Hemoptysis with renal dysfunction, consider

Answer 16

Goodpasture’s syndrome or Granulomatosis with Polyangiitis (GPA, Wegener’s)

Question 17

Bilateral facial nerve palsy is virtually pathognomonic for ____________

Answer 17

Lyme disease

Question 18

Light Criteria

Answer 18

• 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 19

What is the treatment for acute angle closure glaucoma?

Answer 19

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