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Comquest incorrects > EM incorrects > Flashcards

EM incorrects Flashcards

1
Q

first treatment for wernike korsakoff?

A

thiamine

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2
Q

chlordioxepide treats

A

the symptoms of alcohol withdrawal

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3
Q

protein pump inhibitors cause what deficiency?

A

folic acid b9

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4
Q

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

A

iv vanc ceftriaxone

even before lumbar puncture

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5
Q

spider bite treatment?

A

parenteral opioid tretment

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6
Q

animal bite wound treatment?

A

amoxicillin-clav

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7
Q

isoniazid toxicity?

A

seizures

altered mental status

deficiency of pyridoxine

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8
Q

what is tuberculosis prophylaxis?

A

isoniazid

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9
Q

antibiotic for boerhaave?

A

iv ticarcillin- clav

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10
Q

treatmet for pnuemomediastinum?

A

analgesics and rest

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11
Q

what causes spontaneous pneumomediastinum and what does it feel like?

A

acute astham exacerbation +lower uri

retrosternal pain
cough
neck pain
difficulty swallowing
hamman sign: muffled heart sound + crunching
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12
Q

amioadarone is used for

A

v tach or v fib

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13
Q

defibrillation is used for

A

v fib

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14
Q

treatment for barbituate overdose?

A

sodium bicarb

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15
Q

uti will cause fever when?

A

2-3 days after procedure

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16
Q

DV will cause fever when?

A

5 days after procedure

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17
Q

pneumonia will cause fever when?

A

2-3 days after procedure

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18
Q

medication induced fever will happen at what time?

A

anytime, really

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19
Q

surgical site infection is most common when?

A

more than 7 days after procedure

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20
Q

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

A

active external rewarming

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21
Q

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

A

passive external rewarming

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22
Q

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

A

active internal rewarming, iv crystalloid

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23
Q

most common infection of burn within 5 days?

A

staph aureus or strep

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24
Q

pseudomonas infection of burns?

A

after 5 days

blue green, smell

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25
Q

candida infection of burns?

A

opportunistic infection after treatment with antibiotics

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26
Q

ecoli infection of burns?

A

after 5 days

potential gi and respiratory source

27
Q

pneumothorax is due to

A

defect in visceral pleura

28
Q

treatment of non displaced pelvic fracture?

A

conservative treatment with pain meds

29
Q

treatment of severe pelvic fracture?

A

immolbilziation

30
Q

gold standard for thrombus in lungs

A

ct angiogram

31
Q

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

A

perforated ulcer

32
Q

what to do about perforated ulcer?

A

iv fluids

then surgery consult

33
Q

imaging perforrated ulcer?

A

chest radiograph

34
Q

treatment for cervical hyperextension injury?

A

surgical correction

35
Q

treatment for b blocker overdose?

A

iv glucagon

36
Q

b bloccker overdose symptoms?

A

bradycardia, coma, seizures, delirium

prolonged pr interval
prolonged qrs interval

37
Q

head trauma with acceleration decceleration injuries usually cause

A

occipital lobe contusion

38
Q

basal ganglia hemhorrages cause what? and come from what?

A

come from hypertension

cause contralateral hemiparesis of body and face

39
Q

carotid artery dissection causes what?

A

symptoms similar to ischemic stroke

facial drooping
weakness
speech difficulty

40
Q

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

A

IV labetalol or nicardipine

41
Q

when to do carotid endarectomy?

A

more than 70% stenosis with symptoms

more than 80% no symptoms

42
Q

wernicke triad?

A

ophtalmaplegia
gait ataxia
confusion

43
Q

korsakoff syndrome symptoms

A

retrograde+ anterograde amnesia
confabulations
psychosis

44
Q

arsenic poisoning causes

A

coma, seizures, delirium

45
Q

vitamin b12 deficiency leads to

A

loss of position and vibration

glossitis

46
Q

what occurs from cervical hyperextension injury, what happens?

A

central cord syndrome

lateral spinothalamic tract injury

UE dysfunction
bladder dysfunction
decrease pain and tempreature sensation in cape

47
Q

what disrupts descending autonomic fibers?

A

brown sequard syndrome

48
Q

posterior column spinal cord affected by

A

tabes dorsalis
ms
friedrich ataxia

49
Q

cyanide poisoning causes

A

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

50
Q

treatment for neuroleptic malignant syndrome

A

dantrolene

51
Q

basilar skull fracture looks like

A

raccoon eyes

52
Q

subdural hemhorrages?

A

whiplash injury especially in elderly

progressive decline into coma

53
Q

first thing to do for organophosphate poisoning

A

intubation

54
Q

antigote for organophosphate poisoining?

A

atropine then pradoliximine.

55
Q

what is renal capsular distention?

A

kidney stones!

56
Q

benzo overdose symptoms?

A

slurred speexh
gait abnormalities
altered mental status

57
Q

what to do signs of shock, spleen injury?

A

laparatomy!

58
Q

folic acid deficiency can cause ___ulcers

A

oral ulcers

59
Q

treatment for mesenteric artery thrombosis?

A

heparin anticoag

60
Q

pneumomediastinum is

A

free air from ruptured air collects in mediastinum

neck pain, chest pain that is retrosternal, worsens with inspiration

61
Q

pneumomediastinum is exacerbated by

A

asthma
choking
infection

62
Q

pneumomediastinum signs

A

ring around artery
hamman sign
thymic sail sign
diaphragm sign

63
Q

no pulse, whats the first thing you do

A

chest compressions

64
Q

pernicious anemia is more likely in

A

autoimmune diseases like thyroiditis

Comquest incorrects (20 decks)

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