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EM oral boards Flashcards

1
Q

iron toxicity

A
  • IV, O2, Monitor
  • EKG
  • Acet/sal
  • Fluids
  • Whole body irrigation
  • deferoxamine
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2
Q

Hypertrophic pyloric stenosis

A
  • IV, O2, Monitor
  • NG tube
  • GS consult
  • NPO
  • Fluids
  • US
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3
Q

Intracranial hemorrhage

A
  • IV, O2, Monitor
  • CT Head
  • Manage airway
  • Coags
  • Reverse if necessary
  • ICU admission
  • Neurosurgery consult
  • Bedside glucose
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4
Q

Tension PTX

A
  • IV, O2, Monitor
  • Needle/Tube thoracostomy
  • CXR
  • Analgesia
  • Surgical consult
  • Full exam
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5
Q

Cholecystitis

A
  • IV, O2, Monitor
  • Analgesia
  • US
  • NPO
  • Antibiotics
  • GS consuit
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6
Q

1 month infant sepsis

A
  • IV, O2, Monitor
  • fluid bolus (20 ml/kg) up to four
  • CXR
  • UA, Urine Culture
  • Blood Culture
  • LP
  • Antibiotics
  • PICU
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7
Q

Boerhaave Syndrome

A
  • IV, O2, Monitor
  • CXR
  • Antibiotics (vanc, cefepime)
  • GI/CT/ENT consult
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8
Q

Epidural abscess

A
  • IV, O2, Monitor
  • MRI
  • Antibiotics (Vanc, cef, flagyl)
  • Determine cause of infection
  • NS consult
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9
Q

Necrotizing fasciitis

A
  • IV, O2, Monitor
  • Fluids
  • Antibiotics (vanc, cef, clinda)
  • GS consult
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10
Q

Hyperkalemia

A
  • IV, O2, Monitor
  • Insulin. D50
  • Albuterol
  • Lasix
  • Kayexelate
  • Calcium
  • EKG
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11
Q

Acute Angle Glaucoma

A
  • IV, O2, Monitor
  • Visual acuity
  • IOP
  • Slit lamp/flurescein
  • Timolol, Alphagan, Pilocarpine, Acetazolamide
  • Ophtho consult
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12
Q

Incarcerated hernia with bowel obstruction

A
  • IV, O2, Monitor
  • CXR
  • XR abdomen (obstructive series)
  • NPO
  • Analgesia
  • GS consult
  • Antibiotics
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13
Q

Aspirin toxicity

A
  • IV, O2, Monitor
  • acet
  • EKG
  • sodium bicarb drip
  • ICU
  • monitor salicylate levels
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14
Q

HSP

A
  • IV, O2, Monitor
  • Fluids
  • XR abdomen
  • GS consult
  • Pain mgmt
  • Labs of liver and renal injury
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15
Q

Dry snake bite

A
  • IV, O2, Monitor
  • ABCs
  • Assess wound
  • Identify snake
  • Labs for signs of envenomation
  • Observe for signs of envenomation
  • contact poison control
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16
Q

Retinal Vascular Occlusion

A
  • IV, O2, Monitor
  • Ocular exam
  • Ophto consult
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17
Q

Torsades

A
  • IV, O2, Monitor
  • Magnesium
  • Defibrillate
  • EKG
  • CXR
  • Trop
  • Consult Cards
  • ICU
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18
Q

Retropharyngeal abscess

A
  • IV, O2, Monitor
  • Airway mgmt
  • Antibiotics (clinda)
  • ENT consult
  • XR lateral
  • ICU admission
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19
Q

Slipped capital femoral epiphysis

A
  • IV, O2, Monitor
  • Bilateral pelvis exam
  • Bilateral pelvis xray
  • Ortho consult
  • Analgesia
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20
Q

Testicular Torion

A
  • IV, O2, Monitor
  • US
  • Urology
  • Analgesia
  • NPO
  • Manual detorsion
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21
Q

Gastric Perf

A
  • IV, O2, Monitor
  • Analgesia
  • NPO
  • Fluids
  • GS consult
  • Antibiotics
  • Upright CXR
  • XR obstructive series
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22
Q

Pertussis

A
  • IV, O2, Monitor
  • CXR
  • Airborne precautions
  • Antibiotics (azithromycin)
  • Prophylaxis for family
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23
Q

AAA

A
  • IV, O2, Monitor
  • US
  • Fluids
  • Blood (type and cross)
  • Vascular Surgery
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24
Q

carbon monoxide poisoning

A
  • IV, O2, Monitor
  • Carboxyhemoglobin level
  • Transfer to hyperbaric chamber
  • Fingerstick glucose
  • 100 NRB
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25
Maxillofacial Trauma
- IV, O2, Monitor - Control hemorrhage - Airway Mgmt - CT Head, face, c-spine - Trauma Surgery - C-spine immobilization
26
Thermal Burn
- IV, O2, Monitor - Fluids (parkland) - Analgesia - Airway Mgmt - Escharotomy - Transfer to burn unit - Tetanus
27
Variceal Bleeding
- IV, O2, Monitor - PPI - Octreotide - GI consult - Fluids - Blood (Type and Cross) - Ceftriaxone - ICU - Platelet/FFP transfusion
28
Bradycardia
- IV, O2, Monitor - Atropine - Transcutaneous pacing - EKG - Cards Consult - ICU
29
Acute Asthma
- IV, O2, Monitor - Albuterol - Atrovent - Steriods - Mag - BIPAP - ICU
30
Stevens Johnson Syndrome
- IV, O2, Monitor - Stop offending drug - Fluids - Derm/optho consult - ICU
31
GBS
- IV, O2, Monitor - Neuro exam - LP - intubation (based on FVC, NIF) - ICU admission - IVIG/plasmapheresis - Neuro consult - Fingerstick glucose
32
SBO
- IV, O2, Monitor - Analgesia - CXR upright - XR abdomen (obstructive series) - NG tube - Fluids - GS consult
33
Cocaine induced chest pain
- IV, O2, Monitor - trop - EKG - CXR - Asa - Ativan - Nitrate - Admit (observation)
34
SImple febrile seizure
- IV, O2, Monitor - Tylenol/Ibuprofen - Reasurrance
35
PE
- IV, O2, Monitor - EKG - PT/PTT - Anticoagulant - CT PE - Admit
36
Analphylaxis
- IV, O2, Monitor - Epi - Steroids - Benadryl - Pepcid - Fluids - Pressors - Observe for at least 6 hours
37
Appendicitis
- IV, O2, Monitor - Analgesia - CT abdomen & pelvis - Antibiotics - GS consult - Fluids - NPO - Serial abdominal exam
38
subdural hematoma
- IV, O2, Monitor - CT head - Glucose - Coags - Reverse coagulopathy - Airway mgmt - NS consult - Pain mgmt - ICU
39
Uncomplicated perianal abscess
- IV, O2, Monitor - I & D - Analgesia - Follow-up - Wound care counseling
40
ectopic pregnancy
- IV, O2, Monitor - Beta HCG - Pregnancy test - Analgesia - TVUS - NPO - Ob Gyn consult - Fluid bolus - Blood type and cross - RH and possible rhogam - Pelvic exam
41
alcohol intoxication
- IV, O2, Monitor - CT head - Acet/sal - etoh level - UDS - Glucose - EKG - Thiamine, MVI - Anion gap, osmolar gap
42
DKA
- IV, O2, Monitor - K replacement - Insulin - Fluids - ICU admission - EKG - Glucose - Look for cause (non-compliance v infection)
43
Inferior MI
- IV, O2, Monitor - Right sided EKG - EKG - Fluids - ASA, plavix, heparin/lovenox - Activate cath lab - Avoid nitro
44
Ovarian Torsion
- IV, O2, Monitor - US - Analgesia - Preg test - Beta HCG - NPO - Ob Gyn consult - Pelvic exam
45
Opioid overdose
- IV, O2, Monitor - Glucose - CT head - Narcan - Airway mgmt - EKG - Reassessment
46
Traveler's diarrhea
- IV, O2, Monitor - ova, parasite, culture, giardia, c-diff, fecal leukocytes - Fluids - Electrolyte replacement - Antibiotics - Follow-up
47
TTP
- IV, O2, Monitor - Steroids - Plasmapheresis - Note petechiae - CBC/peripheral smear - Hematology consult - Admit
48
Ludwig's angina
- IV, O2, Monitor - Airway mgmt - ENT consult - Antibiotics (Clinda) - ICU admission
49
Acute pericardial tamponade
- IV, O2, Monitor - Cards consult - Trauma - Airway mgmt - Pericardicentesis - Fluids - Blood transfusion - OR
50
Cat bite
- IV, O2, Monitor - Assess/clean wound - tetanus - augmentin
51
TOA
- IV, O2, Monitor - Pelvic exam - TVUS - Antibiotics (doxy + cefoxitine) - Fluids - Ob Gyn consult - Preg test - Analgesia
52
Cavernous Venous Sinus Thrombosis
- IV, O2, Monitor - CT head - LP - Antibiotics (cef, vanc) - Steroids - MRI/MRV - ICU
53
Kawasaki
- IV, O2, Monitor - ASA, IVIG - Infectious or rhuem consult
54
cauda equina
- IV, O2, Monitor - Neuro exam - Post void residual - MRI - Neurosurgery consult - Pain control - Consider steroids with NS
55
SIDS
- IV, O2, Monitor - PALS - Assess signs for abuse - Resuscitation - Support for family
56
Septic Arthritis
- IV, O2, Monitor - Arthrocentesis (gram stain, crystals) - Antibiotics (Vanc,cef) - Ortho consult - Xray - Admit
57
RMSF
- IV, O2, Monitor - Doxy - Exam - Relevant hx (camping)
58
Acute Chest Syndrome
- IV, O2, Monitor - CBC, Retic - CXR - Analgesia - Antibiotics (cef, azith) - FLuids - Heme consult for consideration of exchange transfusion - ICU
59
Bacterial meningitis
- IV, O2, Monitor - CT head - LP - Antibiotics (vanc, cef) - steroids - Reporting to public agency - ICU admission and isolation
60
Pericarditis
- IV, O2, Monitor - EKG - Ibuprofen - Bedside Echo - Admit if pericardial effusion
61
Hypoglycemia due to sulfonylurea
- IV, O2, Monitor - Glucose - D50 - Food - Admit
62
HACE
- IV, O2, Monitor - Steroids - Acetazolamide - Descent - CT head - Glucose
63
Dig Toxicity
- IV, O2, Monitor - Digibind - EKG - CCU - Treat electrolyte abnormalities (hyper K)
64
CHF
- IV, O2, Monitor - BNP - CXR - Nitro - BIPAP - Lasix - ASA - CCU
65
Coarctation of Aorta
- IV, O2, Monitor - BP in upper and lower extremities - CXR - Prostagland E - Cards consult - EKG
66
Nephrolithiais
- IV, O2, Monitor - Analgesia - CT Stone - UA - Urology follow-up
67
Status epilepticus
- IV, O2, Monitor - benzo - glucose - airway mgmt - uds - chemistries - Neuro consult
68
Fournier gangrene
- IV, O2, Monitor - Antiobiotics (vanc, zosyn, clinda) - GS/Urology consult - cultures
69
Intussussception
- IV, O2, Monitor - GS consult - fluid - enema
70
HIV, likely PCP
- IV, O2, Monitor - CXR - Cultures - Antibiotics - Cef, Azith, Bactrim - UA - Respiratory isolation
71
SVT
- IV, O2, Monitor - EKG - Vagal manuever - Adenosine - Rhythm strip and repeat EKG - Patient education about adenosine
72
CAP
- IV, O2, Monitor - CXR - Antibiotics (cef, azith) - Fluids - admit v DC
73
Drowning/diving
- IV, O2, Monitor - C-spine precautions - CT C-spine - NS consult - Intubation - Fluids - Pressors
74
Pancreatitis
- IV, O2, Monitor - Analgesia - Fluids - NPO - Type and hold - Discuss alcohol cessation
75
Ischemic bowel, embolism to sma
- IV, O2, Monitor - CT AP - Antibiotics - GS/Interventional radiology consult - Analgesia - EKG
76
COPD
- IV, O2, Monitor - Albuterol - Atrovent - Steroids - BIPAP - Fluids - CXR - Antiobiotics if admitted (levaquin/cef, azith)
77
alcohol withdrawal with seizures
- IV, O2, Monitor - GLucose - Ativan - UDS - Etoh - Acet/Sal - CT head - Airway mgmt - Thiame/MVI - ICU admission - Management of agitation
78
Stroke
- IV, O2, Monitor - Airway - PT/PTT - EKG - CT head - Neurology - Control BP if necessary
79
Pelvic fracture with hemorrhage | Open right ankle fracture
- IV, O2, Monitor - CT head, c-spine, chest, ap - CXR, pelvis - tetanus - right ankle xray - ancef - trauma - bind pelvis - IR - fluids - Blood Transfusion - Type and cross - Fast
80
Pyelo
- IV, O2, Monitor - UA - Urine culture - Antibiotics - Fluids - Analgesia - Proper follow-up.
81
thyrotoxicocis
- IV, O2, Monitor - CXR - Antibiotics - Propranolol, PTU, iodine, steroids -
82
NAT | Splenic Lac
- IV, O2, Monitor - CT AP - Recognition of potential abdominal injury - Recognition of possible abuse - Surgery Consult - Social Work/Child Services
83
HUS
- IV, O2, Monitor - Discussion with family - Admission - Heme consult
84
Foreign body aspiration
- IV, O2, Monitor - CXR (insipiration and expiration) - Airway mgmt - ENT
85
Acetaminophen overdose
- IV, O2, Monitor - Determine timing of ingestion - EKG - Acet/Sal - UDS - NAC - sitter
86
AMI
- IV, O2, Monitor - EKG - ASA, Plavix, Heparin/Lovenox - Activate Cath - Cards Consult - Nitro - Analgesia
87
SIRS
- IV, O2, Monitor - Lactic - Fluids - antibiotics - cultures - CXR - UA
88
Heatstroke
- IV, O2, Monitor - Evaporative cooling - Liver Profile - Fluids - Glucose - Acet/Sal - PT/PTT - UDS - CT Head - Rectal temp (continuous) - ICU
89
Pericardial Tamponade
- IV, O2, Monitor - Fluids - EKG - Bedside US - CXR - CT surgery - Pericardiocentesis
90
Diverticulitis w faver
- IV, O2, Monitor - blood cultures - UA - CXR - CT AP - fluids - lactate - antibiotics (zosyn) - general surgery consult
91
Eclampsia
- IV, O2, Monitor - Beta Hcg - EKG - Magneisum\ - Hydralazine/Labetolol - Ob Gyn - CT Head - UA
92
VTACH
- IV, O2, Monitor - EKG - Trop - Amio - Synchronized cardioverson - Sedation - Cards consult
93
TCA toxicity
- IV, O2, Monitor - EKG - Acet/sal - UDS - Poison Control - Sodium Bicarb - ICU - FLuids
94
Post transplant fever (liver)
- IV, O2, Monitor - Cultures, - UA, CXR - antibiotics (vanc, cefepime, fluconazole_ - Analgesia - FLuids - transplant team consult
95
Blunt trauma (abdominal)
- IV, O2, Monitor - CT head, C-spine, Chest, AP - CXR, Pelvic XR - Fluid - Blood type and cross - Trauma - Fast - Analgesia
96
Necrotizing enterocolitis
- IV, O2, Monitor - XR abomen - Fluids - Antibiotics (amp, gent, clinda) - CXR - General Surgery Consult
97
SBP
- IV, O2, Monitor - Paracentesis - Antibiotics - Ceftriaxone - Fluids - Analgesia
98
Pulmonary Inhalation Anthrax
- IV, O2, Monitor - CXR - antibiotics (cef, azith, cipro) - Isolation - Intubation - CDC - Prophylaxis for contacts
99
Hypertensive Emergency
- IV, O2, Monitor - EKG - Trop - BMP - CT Head - IV antihypertensive - LP - Admission
100
Hypothermia
- IV, O2, Monitor - Rectal monitor - Bear hugger - Airway mgmt - ICU admission
101
aortic coarctation
- IV, O2, Monitor - Anterior and back for murmurs - CXR - Prostaglandin E1 - Discussion with family - Cards consult
102
Enteroinvasive diarrhea
- IV, O2, Monitor - Rehydration - Repletion of electrolytes - Antibiotics
103
PCP
- IV, O2, Monitor - CXR - Airway mgmt - steroids - Antibiotics (cef, azith, bactrim) - Airborne isolation - MICU
104
INH
- IV, O2, Monitor - pyroxidine - airway mgmt - glucose - Acet/Sal - CT head
105
Elder Abuse | Dehydration
- IV, O2, Monitor - Reporting to APS - Social work - Fluids - CPK - EKG - Infection workup, UA, CXR
106
acute gout
- IV, O2, Monitor - arthrocentesis (crystals, cell count, stain, culture) - analgesia - Counseling on meat, alcohol
107
carotid artery dissection
- IV, O2, Monitor - CT head - CTA neck - Pain - Anticoagulation (heparin) - Neurology
108
Sigmoid volvulus
- IV, O2, Monitor - analgesia - GS/GI consult - Obstructive series - NG tube
109
Heart Failure (LVAD failure due to thrombosis)
- IV, O2, Monitor - EKG - Bedside Echo - Heparin gtt - VAD Coordinator, Cards, CT surgery
110
radial head subluxation
- IV, O2, Monitor - Reduction (hyperpronation, supination-flexion) - Reassessment
111
Sepsis (from decub ulcer with DIC)
- IV, O2, Monitor - fluids - finding decub ulcer as source - antibiotics (vanc, zosyn) - recheck lactic acid - recognize DIC
112
Pulseless VT- cardiac arrest
- IV, O2, Monitor - confirm airway - cardiac monitor - recognize VT arrest with ROSC - neuro exam - therapuetic hypothermia - appropriate sedation
113
DVT
- IV, O2, Monitor - anticoagulation - pain mgmt
114
SVC syndrome
- IV, O2, Monitor - clinical diagnosis - elevate head and give diuretics - consult oncology/IR
115
Hydrofluoric acid exposure
- IV, O2, Monitor - diagnose HF burns - EKG - Calcium therapy - Analgesia - Consult tox or burn specialist - admit patient - check labs, including calcium and potassium
116
Malfunctioning pacemaker
- IV, O2, Monitor - note pacemaker on left chest - EKG - Atropine .5 mg IV - transcutaneous pad placement - apply magnet over pacemaker - consult cards or device manufacturer
117
hypo-osmolar hyponatremia with cerebral edema, secondary to beer potomania
- IV, O2, Monitor - glucose, ABC, naloxone - recognize AMS out of proportion to etoh level - recognize hyponatremia with neuro findings - hypertonic saline - slow sodium correction - ICU admission
118
Hypercalcemia from squamous cell lung cancer
- IV, O2, Monitor - EKG - CXR - identification of clinical hypercalcemia - CA, iCa levels - bisphosphonate - icu admission
119
cushing syndrome
- IV, O2, Monitor - pregnancy test - CBC (platelets, coags) - recognize cushing/endocrine etiology - endocrine consult/referral - random cortisol level
120
aplastic anemia
- IV, O2, Monitor - CBC - Retic count - blood cultures - transfusion - CXR - Pain control - Admit
121
Rhabdo heat exhaustion aki
- IV, O2, Monitor - fluids - EKG - Analgesia - Obtain cardiac hs - Renal for potiental HD - ICU
122
Migraine
- IV, O2, Monitor - Full neuro - fluids - meds - possible imaging
123
acute cerebellar stroke
- IV, O2, Monitor - time of onset - neuro exam - MRI/MRA - Neuro and NS consult - BP control with IV agents - Aspirin within 24 hours
124
Myasthenia Gravis
- IV, O2, Monitor - Neuro consult - Airway prep - Avoid or reduce the use of depolarizing or nondepolarizing agents - ICU
125
ethylene glycol poisoning | hypocalcemia causing prolonged QT
- IV, O2, Monitor - EKG - Glucose testing - Sodium bicarb (bolus, gtt) - Correct hypocalcemia - Fomepizole/alcohol - HD - ICU

em oral boards (1 decks)

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