EM incorrects

Question 1

first treatment for wernike korsakoff?

Answer 1

thiamine

Question 2

chlordioxepide treats

Answer 2

the symptoms of alcohol withdrawal

Question 3

protein pump inhibitors cause what deficiency?

Answer 3

folic acid b9

Question 4

if a patient comes to er with suspected bacterial meningitis what to do?

Answer 4

iv vanc ceftriaxone

even before lumbar puncture

Question 5

spider bite treatment?

Answer 5

parenteral opioid tretment

Question 6

animal bite wound treatment?

Answer 6

amoxicillin-clav

Question 7

isoniazid toxicity?

Answer 7

seizures

altered mental status

deficiency of pyridoxine

Question 8

what is tuberculosis prophylaxis?

Answer 8

isoniazid

Question 9

antibiotic for boerhaave?

Answer 9

iv ticarcillin- clav

Question 10

treatmet for pnuemomediastinum?

Answer 10

analgesics and rest

Question 11

what causes spontaneous pneumomediastinum and what does it feel like?

Answer 11

acute astham exacerbation +lower uri

retrosternal pain
cough
neck pain
difficulty swallowing
hamman sign: muffled heart sound + crunching

Question 12

amioadarone is used for

Answer 12

v tach or v fib

Question 13

defibrillation is used for

Answer 13

v fib

Question 14

treatment for barbituate overdose?

Answer 14

sodium bicarb

Question 15

uti will cause fever when?

Answer 15

2-3 days after procedure

Question 16

DV will cause fever when?

Answer 16

5 days after procedure

Question 17

pneumonia will cause fever when?

Answer 17

2-3 days after procedure

Question 18

medication induced fever will happen at what time?

Answer 18

anytime, really

Question 19

surgical site infection is most common when?

Answer 19

more than 7 days after procedure

Question 20

82 to 90 degrees , altered mental status without shivering ,what to do?

Answer 20

active external rewarming

Question 21

90-95 degrees, no altered mental status with shivering, what to do?

Answer 21

passive external rewarming

Question 22

less than 82 degrees, bradycardia, hypotension, oliguria, hyporeflexia

Answer 22

active internal rewarming, iv crystalloid

Question 23

most common infection of burn within 5 days?

Answer 23

staph aureus or strep

Question 24

pseudomonas infection of burns?

Answer 24

after 5 days

blue green, smell

Question 25

candida infection of burns?

Answer 25

opportunistic infection after treatment with antibiotics

Question 26

ecoli infection of burns?

Answer 26

after 5 days | potential gi and respiratory source

Question 27

pneumothorax is due to

Answer 27

defect in visceral pleura

Question 28

treatment of non displaced pelvic fracture?

Answer 28

conservative treatment with pain meds

Question 29

treatment of severe pelvic fracture?

Answer 29

immolbilziation

Question 30

gold standard for thrombus in lungs

Answer 30

ct angiogram

Question 31

sharp, sudden epigastric abdominal pain that wakes elderly from sleep?

Answer 31

perforated ulcer

Question 32

what to do about perforated ulcer?

Answer 32

iv fluids then surgery consult

Question 33

imaging perforrated ulcer?

Answer 33

chest radiograph

Question 34

treatment for cervical hyperextension injury?

Answer 34

surgical correction

Question 35

treatment for b blocker overdose?

Answer 35

iv glucagon

Question 36

b bloccker overdose symptoms?

Answer 36

bradycardia, coma, seizures, delirium prolonged pr interval prolonged qrs interval

Question 37

head trauma with acceleration decceleration injuries usually cause

Answer 37

occipital lobe contusion

Question 38

basal ganglia hemhorrages cause what? and come from what?

Answer 38

come from hypertension cause contralateral hemiparesis of body and face

Question 39

carotid artery dissection causes what?

Answer 39

symptoms similar to ischemic stroke facial drooping weakness speech difficulty

Question 40

what if you want to give tpa but BP is above 185/110?

Answer 40

IV labetalol or nicardipine

Question 41

when to do carotid endarectomy?

Answer 41

more than 70% stenosis with symptoms more than 80% no symptoms

Question 42

wernicke triad?

Answer 42

ophtalmaplegia gait ataxia confusion

Question 43

korsakoff syndrome symptoms

Answer 43

retrograde+ anterograde amnesia confabulations psychosis

Question 44

arsenic poisoning causes

Answer 44

coma, seizures, delirium

Question 45

vitamin b12 deficiency leads to

Answer 45

loss of position and vibration | glossitis

Question 46

what occurs from cervical hyperextension injury, what happens?

Answer 46

central cord syndrome lateral spinothalamic tract injury UE dysfunction bladder dysfunction decrease pain and tempreature sensation in cape

Question 47

what disrupts descending autonomic fibers?

Answer 47

brown sequard syndrome

Question 48

posterior column spinal cord affected by

Answer 48

tabes dorsalis ms friedrich ataxia

Question 49

cyanide poisoning causes

Answer 49

cherry red followed by cyanosis anciety, confusion, coma goes from tachycardia to bradycardia

Question 50

treatment for neuroleptic malignant syndrome

Answer 50

dantrolene

Question 51

basilar skull fracture looks like

Answer 51

raccoon eyes

Question 52

subdural hemhorrages?

Answer 52

whiplash injury especially in elderly progressive decline into coma

Question 53

first thing to do for organophosphate poisoning

Answer 53

intubation

Question 54

antigote for organophosphate poisoining?

Answer 54

atropine then pradoliximine.

Question 55

what is renal capsular distention?

Answer 55

kidney stones!

Question 56

benzo overdose symptoms?

Answer 56

slurred speexh gait abnormalities altered mental status

Question 57

what to do signs of shock, spleen injury?

Answer 57

laparatomy!

Question 58

folic acid deficiency can cause ___ulcers

Answer 58

oral ulcers

Question 59

treatment for mesenteric artery thrombosis?

Answer 59

heparin anticoag

Question 60

pneumomediastinum is

Answer 60

free air from ruptured air collects in mediastinum neck pain, chest pain that is retrosternal, worsens with inspiration

Question 61

pneumomediastinum is exacerbated by

Answer 61

asthma choking infection

Question 62

pneumomediastinum signs

Answer 62

ring around artery hamman sign thymic sail sign diaphragm sign

Question 63

no pulse, whats the first thing you do

Answer 63

chest compressions

Question 64

pernicious anemia is more likely in

Answer 64

autoimmune diseases like thyroiditis