ABPS EM Flash Cards

Question 1

Hemophilia A
- What factor deficiency?
- If bleeding, what is treatment?

Answer 1

Hemophilia A
- What factor deficiency? Factor 8 deficiency
- If bleeding, what is treatment? Treat with Factor 8

Question 2

Coumadin (Warfarin) use in post partum period
- What day to start?
- How to bridge?
- Safe in breastfeeding?

Answer 2

Coumadin (Warfarin) use in post partum period
- Start Coumadin on day 2
- Bridge with heparin until INR is 2-3
- Safe in breastfeeding

Question 3

Novel anticoagulants (NOAC) and Factor Xa, which can be used with renal issues?

Answer 3

Warfarin (coumadin) and apixaban (eliquis) can be used in CKD and ESRD

Question 4

Management for bleeding patient on Apixaban (Eliquis) or Xarelto (Rivaroxaban)

Answer 4

Management for bleeding patient on Apixaban (Eliquis) or Xarelto (Rivaroxaban)
- Factor X

Question 5

SPINAL SYNDROMES: Brown Sequard
- Damage location
- SSx

Answer 5

SPINAL SYNDROMES: Brown Sequard
- Damage location: Hemi-section of spinal cord. UMN of CST, dorsal columns STT
- SSx:
- Ipsilateral Paralysis and loss of proprioception of same side of injury
- Contralateral Loss of pain and temperature

Question 6

SPINAL SYNDROMES: Anterior Cord
- Damage location
- Caused by
- SSx

Answer 6

SPINAL SYNDROMES: Anterior Cord
- Damage location: Anterior 2/3 of spinal cord
- Caused by: Compression of anterior spinal artery
- Ass with burst fx or acute disc herniation or spinal artery occlusion, severe flexion
injury
- SSx
- Motor paralysis below the level of the lesion
- Loss of pain and temperature below AND at the level of the lesion

Question 7

SPINAL SYNDROMES: Central Cord
- Damage location
- MCC
- SSx

Answer 7

SPINAL SYNDROMES: Central Cord
- Damage location: Incomplete spinal cord injury
- MCC: Hyperextension injury
- SSx
- Weakness in UE and LE (weakness is more UE than LE)
- Bladder dysfunction
- Loss of pain and temperature sensation at side of lesion
- Preservation of vibration and position sense

Question 8

SPINAL SYNDROMES: Cauda Equina
- Damage location
- SSx

Answer 8

SPINAL SYNDROMES: Cauda Equina
- Damage location: Nerve root in lumbar spine in compressed
- SSx
- flaccid paralysis of muscles of lower limbs
- saddle anesthesia
- bladder incontinence

Question 9

• (Unclear what question is)
  Common bugs - Sinusitis, Nursing home pneumonia

Answer 9

• (Unclear what question is)
  Common bugs - Sinusitis, Nursing home pneumonia
• Treat NH pt with pneumonia with fluoroquinolone or cephalosporin with azithromycin

Question 10

MCC of bleeding in the elderly

Answer 10

MCC of bleeding in the elderly:
- Diverticulosis

Question 11

• -

Answer 11

Southeast Asia travel with fever differentials
- Dengue
- Malaria
- TB

Question 12

OVERDOSE: TCA
- Treatment:
- pH goal
- Contraindicated medication:

Answer 12

OVERDOSE: TCA
- Treatment: Sodium bicarb and benzo
- pH goal: 7.5
- Contraindicated medication: physostigmine (can lower seizure threshold)

Answer 13

OVERDOSE: Ethanol
- Fomepizole

Question 14

-

Answer 14

OVERDOSE: Methanol
- Fomepizole
- Ethanol

Question 15

-

Answer 15

OVERDOSE: 4 MP (Treats for)
- Methanol poisoning
- Ethylene Glycol poisoning

Question 16

OPEN GLAUCOMA (SSx and treatment)
- SSx
- Tx:

Answer 16

OPEN GLAUCOMA (SSx and treatment)
- SSx: Patchy blind spots in peripheral
- Tx: latanoprost, brimonidine, timolol

Question 17

CLOSED GLAUCOMA (SSx and treatment)
- SSx:
- Tx:

Answer 17

CLOSED GLAUCOMA (SSx and treatment)
- SSx: Eye PAIN severe headache, blurry vision
- Tx: Timolol, apraclonidine, pilocarpine, acetazolamide

Question 18

L5 nerve root compression
- SSx

Answer 18

L5 nerve root compression
- SSx: Foot drop

Answer 19

Radial nerve innervation
- wrist, dorsum of index/thumb

Question 20

Posterior fat pad sign
- Seen with
- MC

Answer 20

Posterior fat pad sign
- Seen with Supracondylar elbow fracture
- MC elbow fx

Question 21

Proximal fibular fx
- commonly associated injury from

Answer 21

Proximal fibular fx
- commonly associated injury from fall or direct blow
- most common fracture of the tibia

Question 22

Kawasaki’s Disease
- Cardiac Complication:

Answer 22

Kawasaki’s Disease
- Cardiac Complication: Aneurysm

CREAM
Conjunctivitis (non exudative)
Rash (Polymorphous non vesicular)
Edema (or Erythema of hands or feet)
Adenopathy (Cervical, often unilateral)
Mucosal involvement (erythema or fissures or crusting)

Question 23

HSV Keratitis
- Treatment

Answer 23

HSV Keratitis
- Treatment: Oral Acyclovir

Question 24

Uveitis
- SSx
- Causes
- Dx
- Rx

Answer 24

Uveitis
- SSx: Eye pain, redness, blurry vision
- Causes: shingles, RA, IBD
- Dx: Slit lamp will see white blood cell clumps and flare in the anterior chamber
- Rx: Steroid drops

Question 25

Galeazzi Fracture
- Location
- Caused by

Answer 25

Galeazzi Fracture
- Location: Middle to distal third of radius with associated dislocation/subluxation of the distal radio-ulnar joint
- Caused by FOOSH

Question 26

Epidural hematoma
- Shape:

Answer 26

Epidural hematoma
- Shape: Convex

Question 27

Subdural hematoma
- Shape:

Answer 27

Subdural hematoma
- Shape: concave, crescent moon

Question 28

Uncal herniation
- Caused by:
- SSx:

Answer 28

Uncal herniation
- Caused by: CN III (Oculomotor) compression
- SSx: Acute LOC, ipsilateral pupil dilation, contralateral hemiparesis

Question 29

H influenza post exposure child with no vaccines
- Who to treat
- Treatment

Answer 29

H influenza post exposure child with no vaccines
- Who to treat: all household contacts
- Treatment: Rifampin x 4 days