EM Flashcards

1
Q

if I have a question that is pointing in the direction of a pelvic fracture and blood in the meatus and I am thinking urethral damage or bladder damage because of the fracture, how do I proceed with management?

A

retrograde urethrogram

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

When do we do surgical stabilization of the c spine in an acute traumatic setting?
What type of injury or fracture will

A

when the vertebral column is unstable from extension injuries and bilateral pedicle fractures

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

aspirin toxicity management includes 3 things?

3 presenting signs?

A

gastric lavage, activated charcoal and alkalinize the urine

AMS, ringing in the ears, NV

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

first line treatment for acute pancreatitis?

A

fluids

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

what is the name for the management of tamponade?

A

pericardiocentesis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

How do you alkalinize the urine with aspirin toxicity?

A

sodium bicarb

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

sign of appendicitis that I was not thinking?

A

anorexia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is TB cause that is a common cause of an insufficiency worldwide?

A

adrenal insufficiency

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

most definitive test to diagnose boorhave?

A

contrast esophragm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

How do you treat barbiturate overdose?

A

sodium bicarb

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

image choice for suspected appendicitis?

image choice for suspected cholecystitis?

A

CT

RUS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what is the mechanism of action of digoxin and result?
one very unique side effect of toxicity from it?
EKG sign of digoxin toxicity>

A

blocks the sodium potassium pump in heart cells causing hyperkalemia and increased calcium in the cell to increase contractility for heart failure.
altered color vision
scoopted st segments

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

what text for subarachnoid hemmroahge?

A

CT

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is the most common transfusion reaction?

How to prevent it next time?

A

No hemolytic febrile reaction

Use leukocyte washed blood products

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

what is an adverse effect of sodium nitroprusside and how do we treat it?

A

cyanide toxicity

give hydroxocobalamin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What does the breath smell like with arsenic poisonings?

What med to use to treat?

A

garlic

dimercaprol

17
Q

What is the most common serious complication of GCA?

A

vision loss die to occlusion to the main artery to optic nerve

18
Q

What two classes of meds do we use for hypertensive emergency?

A

calcium channel blockers and beta blockers

19
Q

in treating DKA, what do we do first before insulin or electrolytes?

A

fluids