Aug '21

Question 1

3 drugs that cause decreased effect of adenosine

Answer 1

methylxanthines

theophylline

caffiene

Question 2

3 drugs that may require decrease of adenosine dose

Answer 2

carbamazepine

dipyridamole

cardiac transplant

Question 3

COPD exacerbation indication for ICU admission?

Answer 3

worsening hypercapnia with interventions

Question 4

tx for pertussis?

Answer 4

macrolide abx (erytho, clarithro, azithro)

Question 5

ways to reduce SIDS

Answer 5

no smoking in home, offer pacifier at nap and bed time, supine sleep, avoid excessive bundling or bedding

Question 6

treatment of stable VT

Answer 6

amio 150

procainamide

Question 7

asthma medications in prego pt

Answer 7

use all the same, same aggressiveness as meds are relatively safe

Question 8

what happens to tidal volume and functional residual capacity during pregnancy

Answer 8

tidal volume increases eventually, FRC decreases

Question 9

MC pulmonary problem in pregnancy?

Answer 9

asthma

Question 10

what tissue has the highest conductive capacity

Answer 10

nerves

Question 11

what cardiac drug is contraindicated in infants?

Answer 11

CCB, due to decreased ca reserve in sarcoplasmic retic

cause hypotension

Question 12

MC significant dysrhythmia in peds?

Answer 12

SVT

Question 13

several weeks of cough, fever, pleurtic chest pain, weight loss, night sweats

Answer 13

lung abscess

Question 14

MCC of lung abscess?

Answer 14

aspiration pneumonia

Question 15

what causes artifical widening of the retropharyngeal space on XR?

Answer 15

body rotation, neutral or flexion of neck, expiration

Question 16

upper limit of normal for retropharyngeal space on XR of peds pt at C6?

Answer 16

14 mm

Question 17

abx for epiglottitis

Answer 17

3rd gen cephalosporin and vanc

Question 18

narrowest area of peds airway

Answer 18

cricoid ring

Question 19

3 possible etiologies of MAT

Answer 19

COPD, hypoxia, pulm htn

Question 20

difference between wandering pacemaker and MAT

Answer 20

wandering will be <100 bpm, MAT >100 bpm

Question 21

MC associated complication of mitral valve stenosis

Answer 21

afib

Question 22

percentage of kids with untreated kawaski disease who go on to have coronary artery aneurysms?

Answer 22

15-25%

Question 23

Drugs that can be delivered via ET tube in peds

Answer 23

Lidocaine

Atropine

Naloxone

Epi

Question 24

compression to ventilation ratio in a newborn

Answer 24

30:1

90 compressions and 30 breaths per minute

Question 25

MC source of arterial emboli

Answer 25

cardiac thrombus from Afib

Question 26

arterial occlusion with what symptom requires emergent surgery?

Answer 26

paralysis

Question 27

MC complication of rubella infection?

Answer 27

arthritis and arthropathies

Question 28

what is normal PR length

Answer 28

120-200 ms

Question 29

radiographic evidence of alveolar fluid accumulation without hemodynamic evidence of a cardiogenic etiology

Answer 29

noncardiogenic pulmonary edema

Question 30

headache, fever, focal neuro ssx, no meningismus

Answer 30

possible subdural empyema

Question 31

abx for brain abscess from sinusitis?

Answer 31

IV metronidazole and ceftriaxone, +/- vanc

Question 32

complication of basilar skull fx

Answer 32

cranial nerve palsys 2-3 days after and bacterial meningitis

Question 33

IM epi dose for peds anaphylaxis

Answer 33

epi 0.1mg/mL, 0.01 mL/kg

Question 34

risk of untreated fever in kid?

Answer 34

dehydration

Question 35

treatment of PJP/PCP pneumonia

Answer 35

bactrim and prednisone

Question 36

XR finding of PCP pneumonia

Answer 36

batwing appearance

Question 37

At what CD4 count should patients with HIV begin prophylaxis against Pneumocystis jiroveci?

Answer 37

200

Question 38

kid with croup. gets epi. improves.. what next?

Answer 38

observed in ED for three hours - symptoms often return between 2-3 hours of nebs. 2 or more tx then should be admitted

Question 39

if oxygen is required at 28 days after birth or 36 weeks post-menstrual age then consideration for dx of

Answer 39

bronchopulmonary dysplasia

Question 40

common XR findings in pts with mild to moderate bronchopulmonary dysplasia?

Answer 40

low lung volumes with diffuse haziness and a coarse interstitial pattern

Question 41

pattern of abnormal T waves in the precordial leads, V2 and V3, that is associated with a high grade stenosis of teh left anterior descending artery

Answer 41

Wellen's syndrome

Question 42

differentiate on EKG between orthodromic and antidromic WPW

Answer 42

ortho - regular and narrow complex tach looks like AVNRT anti- regular wide complex looks like VT

Question 43

what are the three stages of ARDS?

Answer 43

exudative, fibroproliferative, and fibrotic

Question 44

complication of untreated retropharyngeal abscess?

Answer 44

mediastinitis

Question 45

optimal positioning and timing for a lateral XR of the neck?

Answer 45

during inspiration with neck extended

Question 46

treatment of pleurisy

Answer 46

indomethacin

Question 47

tx of acute hypertensive emergency

Answer 47

mainstay of therapy is vasodilators, predominantly nitrates

Question 48

How does an infected pseudoaneurysm present?

Answer 48

fever, tender pulsatile mass in pt with IV drug use hx

Question 49

best sonographic view to assess for cardiac wall motion abnormalities?

Answer 49

parasternal short axis

Question 50

gold standard dx of myocarditis?

Answer 50

endomyocardial biopsy

Question 51

tx of CAP

Answer 51

in healthy patients - high dose amox doxy or a macrolide if local resistance is less than 25% COPD or heart dz - amox clauv or cephalosporin plus macrolide or doxy

Question 52

kid cuffed ETT size

Answer 52

age/4 + 3.5

Question 53

uncuffed kid ETT size?

Answer 53

age/4 +4

Question 54

silo fillers disease

Answer 54

nitrogen dioxide pneumonitis

Question 55

inhalation of chlorine gas causes lung injury as a result of the formation of what toxic chemicals?

Answer 55

hydrochloric and hypochlorus acids

Question 56

triad of hypoxemia, neurologic abnormalities, and petechial rash

Answer 56

fat embolism syndrome