9/27/21 bonus

Question 1

For what duration of time is the testicle salvageable with torsion?

Answer 1

Approximately six hours

Question 2

What is considered a safe time period for cardioversion in new-onset atrial fibrillation or atrial flutter?

Answer 2

48 hours.

Question 3

At what bilirubin level is jaundice evident in the face?

Answer 3

> 5 mg/dL.

Question 4

____________ should be suspected in any diver that loses consciousness on ascent or within the first few minutes of surfacing.

Answer 4

Arterial gas embolism

occurs due to rupture of air or nitrogen gas bubbles into the pulmonary vein and left heart causing cardiac, neurologic, musculoskeletal, and renal damage.

Question 5

Signs and symptoms of neurological decompression sickness, also known as “the staggers,” include

Answer 5

vertigo
nausea
tinnitus.

Symptoms occur following ascent within 1–12 hours

Question 6

What is the treatment for arterial gas embolism?

Answer 6

Place the patient in the supine position, immediately administer 100% oxygen, and transfer to a hyperbaric chamber facility.

Question 7

Why do we bother with a Kleihauer-Betke test?

Answer 7

It determines need for EXTRA rhogam

the standard dose clears only 15 mL of fetal red blood cells

Question 8

What is the recommended antibiotic regimen for a brain abscess from an oral or sinus source?

Answer 8

Intravenous metronidazole and ceftriaxone (or cefotaxime) +/- vancomycin.

Question 9

What is the pathognomonic chief complaint associated with ciguatera toxicity?

Answer 9

Hot and cold temperature reversal.

Question 10

What topical antibiotics are recommended for contact lens wearers who have a corneal abrasion?

Answer 10

Ciprofloxacin or tobramycin.

Question 11

Toxic alcohol ingestion w/ Elevated osmolar gap, ketosis without acidosis

Answer 11

Isopropanol Intoxication

Question 12

The presence of which compound in the urine is suggestive of ethylene glycol intoxication?

Answer 12

Calcium oxalate crystals.

Question 13

Lumbar Puncture adult vs neonate placement

Answer 13

Adult needle placement: L3–L4
Infant needle placement: L4–L5

*In a newborn, the cord ends lower than adults at the L3 vertebra

Question 14

The soft signs of penetrating neck trauma include

Answer 14

minor hemoptysis
hematemesis
dysphonia
dysphagia
subcutaneous or mediastinal air
non-expanding hematoma

Question 15

The hard signs of penetrating neck trauma include

Answer 15

Rapidly expanding or pulsatile hematoma
Severe hemorrhage or difficult to control bleeding
Shock refractory to fluid resuscitation
Decreased or absent pulse
Vascular bruit or thrill
Neurologic deficit

Question 16

What is the most severe presentation of a type I hypersensitivity reaction?

Answer 16

Anaphylaxis.