Comquest 1

Question 1

What are the salter types of fractures?

Answer 1

type 1: straight through growth plate
type 2: above growth plate, so metaphysis
type 3: lower than growth plate, so epiphysis
type 4: through everyting, all 3
type 5: crush

Question 2

What is the leading cause of blood transfusion related death?

Answer 2

donor antibodies against recipient white blood cells in the lung

Question 3

What is first line treatment for rate control of a fib?

Answer 3

beta blockers or calcium channel lockers

Question 4

I have a patient with UTI and AMS, how do I give abx and why?

Answer 4

IV because they aint taking oral

Question 5

What type of anesthesia in elderly with femoral neck fracture?

Answer 5

regional block so they don’t have to have opioids

Question 6

child 4-10 with hip pain and limp, what am I thinking?

Answer 6

avascular necrosis of hip

Question 7

Describe the 4 classes of hemorrhage?

Answer 7

The classes of hemorrhage are based on the percentage of blood volume lost. Class I is less than 15% and presents with minimal hemodynamic changes; Class II is 15 to 30% and presents with tachycardia but normotension; Class III is 30 to 40% and presents with tachycardia (120 to 140 beats per minute), hypotension, and decreased pulse pressure; Class IV is over 40% and presents with tachycardia (over 140 beats per minute), hypotension, and decreased pulse pressure.

Question 8

What is the most common cause of infectious conjunctivitis

Answer 8

Adenovirus

Question 9

Triad of wernickes

Answer 9

Ataxia confusion and nystagmus

Question 10

What do we use fomepizole for

What do we use flumazenil for

Answer 10

Ingestion of alcohols

Be so overdose

Question 11

What to treat bento withdrawal

Answer 11

Chlordiazepoxide

Question 12

What is the most common cause of travelers diarrhea

Answer 12

E. coli

Question 13

Most common cause of chronic bronchitis

Answer 13

Cig smoking

Question 14

Two big differences between endometriosis and primary dysmenorrhea

Answer 14

Primary dysmenorrhea should resolve with nsaids and usually doesn’t last longer than 72 hours

Question 15

Aspirated pneumonia is what type of bug usually

Answer 15

Polymicrobial

Question 16

How do we treat severe digoxin toxicity

Answer 16

Fab or antibody

Question 17

What is the mechanism of action of digoxin

Answer 17

Inhibit the sodium potassium pump so it can cause high potassium

Question 18

What are the two bugs I am thinking resistant to abx causing pneumonia

Answer 18

Staph and pseudo

Question 19

What type of MI presents with pain referred to the epigatrium

Answer 19

Inferior wall or right ventricular

Question 20

First step in treating HHS

Answer 20

Give fluids first because of the fluid loss

Question 21

What is the most common cause of osteoblastic metastasis in me

Answer 21

Prostate cancer

Question 22

How do we treat methhemoglobinemia

Answer 22

Methylene blue

Question 23

MDMA can cause excessive what

Answer 23

Serotonin

Question 24

Evidence shows what can help in the treatment on Bell’s palsy

Answer 24

Steroids

Question 25

What is a life threatening complication of aortic aneurysm repairs to always keep in mind

Answer 25

Aortic enteric fistula causing massive gi bleeding

Question 26

Besides stones, what other cause do I always need to think about with cholangitis

Answer 26

Malignant tumor or mass obstructing

Question 27

What to give for pulseless electrical activity

Answer 27

Epi

Question 28

Appropriate treatment for uncomplicated cellulitis

Answer 28

Empiric treatment without labs or cultures

Question 29

What type of symptoms do and do not respond to antipsychotics

Answer 29

Positive usually resolve but negative usually persist

Question 30

What is the best way to stop the spread of c diff | What abx for c diff

Answer 30

Hand washing | Vancomycin

Question 31

How do we get endogenous insulin, how do we make it | How do we know if insulin elevation is due to endogenous or exogenous

Answer 31

Pro insulin cleaves c peptide and we get insulin If it is endogenous then both insulin and c peptide should be elevated If it is exogenous then insulin will be elevated and c peptide will be normal

Question 32

What is the hallmark of neurogenic shock to always look for

Answer 32

Hypotension without tachycardia

Question 33

What electrolyte is decreased in the initial stage of rhabdo

Answer 33

Calcium

Question 34

Malignant otitis externa is associated with what chronic health condition and what abx to treat to cover what bug

Answer 34

Diabetes Ciprofloxacin Pseudomonas

Question 35

First line treatment for symptomatic bradycardia

Answer 35

Atropine

Question 36

Massive bowel dilation and sick as crap I am thinking | What two risk factors to remember

Answer 36

Toxic mega colon | Inflammatory bowel and recent abx use leading to cdiff