April '21

Question 1

tx of wide complex tachydysrhythmia in setting of cocaine or toxic ingestion

Answer 1

Na bicarb - rarely ventricular etiology, represents sodium channel blockade effect like TCAs

Question 2

first line agent for agitation and psychosis due to amphetamine and cocaine intox

Answer 2

benzos

Question 3

antidote of choice for cyanide poisoning in the setting of concomitant carbon monoxide exposure

Answer 3

hydroxycobalamin 5 g IV

Question 4

warm dry skin, dilated pupils, hyperthermic, AMS, was in woods with friends

Answer 4

Jimsonweed

Question 5

tx of jimsonweed tox

Answer 5

activated charcoal, benzos for agitation, physostigmine for severe refractory anticholinergic symptoms

Question 6

most sensitive clinical sign in diagnosing high altitude cerebral edema?

Answer 6

cerebellar ataxia

Question 7

how long do you observe a well appearing near drowing patient before discharge home?

Answer 7

4-6 hours

Question 8

how to rewarm fingers of frostbite

Answer 8

wet rewarming, whirlpool tempt 98.6-102.2F for 15-30 minutes

Question 9

MC organism responsible for rapidly evolving infection after a cat bite?

Answer 9

pasteurella multocida

Question 10

miosis, burning sensation in extremitie, cerebrovascular or cardiac ischemia, GI disturbance, and seizures
bradycardia and hypertension

Answer 10

ergotism

Question 11

what is an ergot derivative and what does it do?

Answer 11

dihydroergotamine (DHE) increase serotonin activity in CNS and have alpha-adrenergic agonist effects peripherally leading to vaso occlusive complications

Question 12

ancillary lab test aid in dx of valproic acid poisoning

Answer 12

serum ammonia level

Question 13

kid ingests liquid household bleach

Answer 13

rarely causing injury because dilute sodium hypochlorite. not corrosive to esophagus. observe in ED and PO challenge. discharge

Question 14

tox ingestion, myoclonus and muscle rigidity, hyperthermia

Answer 14

serotonin tox, tx with benzo

Question 15

personality disorder strongly aligned with malingering?

Answer 15

antisocial personality disorder

Question 16

what is scrofula

Answer 16

tuberculous lymphadenitis, usually affecting the cervical lymph nodes

Question 17

what liquid exposure can lead to increased plasma carbon monoxide levels?

Answer 17

methylene chloride, found in some paint strippers

Question 18

what happens to cardiac output immediately following a severe burn injury?

Answer 18

cardiac output decreases

Question 19

what do you put on jellyfish stings?

Answer 19

vinegar