Cram Flashcards

1
Q

What is the equation for osmolality?

A

2Na + glu/18 + BUN/2.8 + etoh/4.6

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2
Q

What is the parkland formula?

A

4kgtbsa. First half given in the first 8 hours, the next over 12

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3
Q

What is the formula for sodium correction for elevated glucose?

A

Add 1.6 to the sodium for every 100 mg/dL of glucose over 100

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4
Q

What is the formula for Aa gradient at room air?

A

(150 - (5/4)(PCO2)) - PaO2

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5
Q

What is the formula for FeNa?

A

FENa = (PCr * UNa)/(PNa * UCr) x 100. Prerenal <1%, Intrinsic >1%, Postrenal >4%

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6
Q

What is the spinal level tested with the Achilles reflex?

A

S1

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7
Q

What is the spinal level tested with the Patellar reflex?

A

L4

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8
Q

What is the spinal level tested with the brachioradialis reflex?

A

C5, C6

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9
Q

What is the spinal level tested with the Biceps reflex?

A

C5, C6

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10
Q

What is the spinal level tested with the triceps reflex?

A

C7

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11
Q

What is the classic adverse effect of indanavir?

A

Renal stones

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12
Q

What is the treatment for ciguatera poisoning?

A

Mannitol

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13
Q

What is the treatment for jellyfish stings?

A

Acetic acid

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14
Q

What is the treatment for stingray wounds?

A

Hot water

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15
Q

What is the treatment for tularemia?

A

Streptomycin

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16
Q

What are the s/sx of tularemia?

A

Fever
skin ulcers
LAD
Pneumonia

17
Q

What are the five states of Fe poisoning?

A
Stage 1: Abdominal pain/vomiting (hours)
Stage 2: Quiescent period
Stage 3: Shock and metabolic acidosis
Stage 4: Elevated liver enzymes
Stage 5: GI scarring
18
Q

What level of lymphocytes at 48 hours indicates severe radiation poisoning?

A

less than 1500

19
Q

What are the SIRS criteria?

A
  • Fever more than 38 ° C (100.4 ° F) or less than 36 ° C (96.8 ° F)
  • HR over 90
  • RR over 20 or PaCO2 less than32 mmHg
  • WBC more than 12,000/mm3 or less than 4,000/mm3, or >10% bands