EM FA

Question 1

Corticosteroid side effects

Answer 1

Acute mania, immunosuppression, thin skin, osteoporosis, easy bruising, myopathies

Question 2

DTs treatment

Answer 2

Benzos

Question 3

Acetominophen OD treatment

Answer 3

N-acetylcysteine

Question 4

Opioid OD treatment

Answer 4

Naloxone

Question 5

Benzo OD treatment

Answer 5

Flumazenil

Question 6

Treatment for NMS and malignant hyperthermia

Answer 6

Dantrolene

Question 7

Malignant HTN treatment

Answer 7

Nitroprusside

Question 8

A Fib treatment

Answer 8

Rate control, rhythm conversion, anticoagulation

Question 9

SVT treatment

Answer 9

If stable, rate control with carotid massage or other vagal stimulation. If unsuccessful, adenosine.

Question 10

Causes of drug-induced SLE

Answer 10

INH, penicillamine, hydralyzine, procainamide, chlorpromazine, methyldopa, quinidine

Question 11

Macrocytic, megaloblastic anemia causes. Which has neurologic symptoms?

Answer 11

Folate and B12 (neuro).

Question 12

Burn pt with cherry-red, flushed skin and coma. Sao2 normal. Elevated carboxyhemoglobin. Treatment?

Answer 12

Treat CO poisoning with 100% 02 or hyperbaric (severe or if pt is pregnant).

Question 13

Blood in the urethral meatus or high riding prostate

Answer 13

Bladder rupture or urethral injury

Question 14

Test to rule out urethral injury

Answer 14

Retrograde cystourethrogram

Question 15

Radiographic evidence of aortic disruption or dissection

Answer 15

Widened mediastium (> 8 cm), loss of aortic knob, pleural cap, tracheal deviation to the right, depression of left main stem bronchus

Question 16

Radiographic indications for acute abdomen surgery

Answer 16

Free air under diaphragm, extravasation of contrast, severe dis tension, space-occupying lesion (CT), mesenteric occlusion (angiography)

Question 17

Burn-related infections

Answer 17

Pseudomonas

Question 18

Calculation for burn pt fluid repletion

Answer 18

Parkland formula 4 x kg x % BSA

Question 19

Acceptable UOP in trauma pt

Answer 19

50 cc/hr

Question 20

UOP in stable pt

Answer 20

30 cc/hr

Question 21

Signs of neurogenic shock

Answer 21

Hypotension and bradycardia

Question 22

Signs of ICP (Cushing’s triad)

Answer 22

Hypertension, bradycardia, abnormal respirations

Question 23

Low CO, low PCWP, high PVR. Treatment?

Answer 23

Hypovolemic shock. Identify cause. Fluid and blood repletion

Question 24

Low CO, high PCWP, high PVR. Treatment?

Answer 24

Cardiogenic (or obstructive) shock. Identify cause, pressors (dopamine)

Question 25

Inc CO, low PCWP and PVR. Treatment?

Answer 25

Septic or anaphylactic shock. Fluids and Abx

Question 26

Treatment for anaphylactic shock

Answer 26

Diphenhydramjne or epi 1:1000.

Question 27

Supportive treatment for ARDS

Answer 27

Continuous positive airway pressure

Question 28

Signs of air embolism

Answer 28

A patient with chest trauma who was previously stable suddenly dies

Question 29

Signs of cardiac tamponade

Answer 29

Distended neck veins, hypotension, diminished heart sounds (beck’s triad), pulsus paradoxus

Question 30

Class of drugs that cause muscle rigidity, hyperthermia, autonomic instability, extrapyramidal symptoms

Answer 30

Antipsychotics (NMS)

Question 31

Absent breath sounds, dullness to percussion, shock, flat neck veins

Answer 31

Massive hemothorax

Question 32

Absent breath sounds, tracheal deviation, shock, distended neck veins

Answer 32

Tension pneumothorax

Question 33

Treatment for blunt or penetrating abd trauma in hemodynamically unstable pts

Answer 33

Immediate exploratory laparotomy

Question 34

Inc ICP in alcoholics or the elderly following head trauma. Acute or chronic; crescent shape on CT

Answer 34

Subdural hematoma

Question 35

Head trauma and immediate loss of consciousness followed by lucid interval then rapid deterioration. Convex on CT

Answer 35

Epidural hematoma