9/27/21 Flashcards

1
Q

What is the maximum daily rate of change of serum sodium that one should achieve when correcting a patient’s serum sodium?

A

Maximum of 10-12 mEq/L/day

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Polycythemia Vera labs will show

A

↑ RBC mass
↑ Hgb
overproduction of ALL cell lines

presents with headache, dizziness, pruritus after showering, PE will show hypertension, splenomegaly

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

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

A

Staphylococcus species, most notably S. aureus.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Black Widow Spider rx

A

Opioids, benzodiazepines, antivenin (only if severe Sx)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is the most common precipitant of Stevens-Johnson syndrome?

A

Medications, such as sulfa drugs or anticonvulsants.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Once shoulder dystocia is recognized during delivery, you should do what?

A

the mother’s legs should be hyperflexed and pulled up by the abdomen (McRoberts maneuver) and firm suprapubic pressure applied

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

If an episiotomy needs to be performed, in which direction should the incision be made?

A

Mediolateral.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What are the five cyanotic congenital heart defects?

A
1- Transposition of the great arteries
2- tetralogy of Fallot
3- tricuspid atresia
4- truncus arteriosus
5- total anomalous pulmonary venous return.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Visual hallucinations are more common in organic (medical) psychoses than functional (psychiatric) psychoses.

A

True.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Does cefepime provide antipseudomonal coverage?

A

yes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Which muscles are predominantly responsible for plantar flexion of the foot?

A

Gastrocnemius and soleus muscles.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Lab markers of intoxication with ethylene glycol include

A

high anion gap metabolic acidosis
calcium oxalate formation –> AKI
*absence of significant lactate or ketone concentrations

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Ethylene Glycol Intoxication treatment

A

Treatment is fomepizole

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is considered a prolonged QTc?

A

> 440 ms (men) and > 460 ms (women), with > 500 ms associated with an increased risk of developing torsades de pointes.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Idarucizumab is a monoclonal antibody fragment that is used to reverse the direct oral anticoagulant _____________

A

dabigatran

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is the recommended therapeutic international normalized ratio range for patients with mechanical mitral valves?

A

2.5–3.5.

17
Q

____________ is the reversal agent for heparin.

A

Protamine sulfate

18
Q

What is commotio cordis?

A

Commotio cordis is blunt cardiac trauma from a direct blow to the heart that results in a dysrhythmia, hypotension, and loss of consciousness.

19
Q

There are two correct electrode positions for cardioversion. The pads should be placed where?

A

-left chest anterior to the heart and left upper back

or

-right upper chest and left midaxillary line.

The pads should be placed in the same location for defibrillation