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Oral Boards Random Facts > EM Oral Boards > Flashcards

EM Oral Boards Flashcards

1
Q

Iron formulations and mg of iron

A

Gluconate (12%), sulfate (20%), fumarate (33%) [GSF]

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2
Q

Deferoxamine dose

A

5mg/kg/hr IV

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3
Q

How much iron is toxic to you?

A

> 10mg/kg;

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4
Q

What is a toxic iron level

A

> 300-500

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5
Q

<1y/o VS

A

HR <160, RR 30-60 (<6mo), 24-30 (6-12mo), SBP 80-100

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6
Q

VS 1-11y/o pedi

A

HR 70-120, BP 90-110, RR 12-20

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7
Q

Neonatal sepsis regimens

A

Amp/gent

OR cefotaxime/vanc

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8
Q

Increased IOP meds

A 
Brimonidine (alpha agonist)
Timolol (beta blocker)
Acetazolamide
Mannitol
Prenisolone
Pilocarpine (muscarinic agonist) (once IOP <40) (causes pupillary constriction)
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9
Q

ASA overdose Tx

A 
Activated charcoal (1h)
Alkalinize urine
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10
Q

What’s a toxic Asa level

A

> 20

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11
Q

ASA OD acid/base

A

Initial respiratory alkalosis then metabolic alkalosis

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12
Q

Pedi HSP Tx

A

IV methylpred, ranitidine. Also checK IgA, UA

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13
Q

Target EtOH level if treating for ethylene glycol

A

100-150

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14
Q

Ethylene glycol OD tx

A

HD definitive, also fomepizole or etoh, pyridoxine (inhibits glycolate -> oxalate)

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15
Q

Treatment of Myasthenia gravis

A 
Acetylcholinesterase inhibitor (so more ACh); pyridostimine/neostimine. 
[provokes: edrophonium - AChE inhibitor also, makes symptoms better but can cause cholinergic toxidrome]
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16
Q

What does magnet do to PPM ICD

A

PPM - asynchronous pacing, AICD - stops arrhythmia detection and shocks

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17
Q

Tx for hyperCA

A

IVF, calcitonin 4iu SQ, palmidronate (90mg) over 2h (bisphosphonates), or zoledronic acid (4mg over 15 min)

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18
Q

Describe Osborn waves and when they happen

A

Hypothermia. Upsloping of QRS_ST junction

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19
Q

Pedi murmur, resp distress, no blood flow to legs? What to do

A

Prostaglandin e1, re-opens PDA.

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20
Q

Bloody diarrhea in healthy, what to do

A

Cipro.but also if shiga toxin producing E. coli, risk of HUS.

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21
Q

When steroids for pneumocystis

A

PAo2<70, Aa gradient >35

22
Q

INH OD Tx

A

Pyridoxine 5g

23
Q

Severe INH OD, tx

A

HD

24
Q

Acute gout management

A

Indomethacin, colchicine 0.6mg/hr until side effects

25
Q

Meds to prevent shivering in therapeutic hypothermia

A

Buspirone, meperidine

26
Q

Reticulocyte index

A

= retics * (measured HCT/normal HCT)

27
Q

Migraine hA tx

A

Sumitriptan 6mg IM or SC

28
Q

When to obtain R sided EKG

A

Inferior STE, STE III>II

29
Q

PERC Rules

A

HR>100, Age>50, Use of estrogen, Sat <95, U/l Leg swelling, recent surgery/trauma, hemoptysis, hx/o DVT/PE

30
Q

Toxic Tylenol ingestion amount

A

> 140mg/kg or >7.5G in 24

31
Q

Anterior STEMI, which artery

A

LAD

32
Q

Lateral STEMI which vessel

A

Circumflex

33
Q

SIRS Criteria

A

HR>90, WBC>12/<4, RR>20/PACO2<32, >10% bands, T >38/<36

34
Q

Pediatric age, formulation and dose for hypoglycemia

A

<20 mo, 5cc/kg of D10, 2mo-8y 2cc/kg of d25, >8y 1cc/kg D50

35
Q

HSP Tx

A

Methylpred

36
Q

SCFE what’s Klein’s line

A

Line drawn across top of femoral neck should transect lateral quarter of femoral head. In SCFE, no part of the femoral head is above the Klein’s line

37
Q

Pedi morphine dosing

A

0.1mg/kg

38
Q

IN fentanyl dosing pediatric

A

1.5mc/kg

39
Q

IN versed pedi dosing

A

0.4mg/kg. Max: 10mg

40
Q

Which pregnant females should get rhogam

A

Rh negative mothers

41
Q

INFERIOR MI, also need to do what

A

Right sided EKG for RV involvementQ

42
Q

TTP tx

A

PLEX, steroids

43
Q

Kawasaki ds

A

CRASH - conjunctival injection, rash, adenopathy, skin changes/rash, hands/feet desquamation

44
Q

Kawasaki ds tx

A

IVIG 2g/kg over 8-12h, asa 100m/kg/day

45
Q

How much digibind to give for dig toxicity

A

6 vials over 30 minute

46
Q

CENTOR Criteria

A

F, Age <15, no cough, lymphadenopathy, exudates

47
Q

Stroke tPA dose

A

0.9mg/kg, max 90mg. 10% as bolus, rest over 1h

48
Q

Pb OD

A

Penicillamine

49
Q

Mercury OD

A

Succuimerq

50
Q

Fospheny dose

A

10mg/kg

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