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Year 3 EMQ revision > Emergencies and Poisoning > Flashcards

Emergencies and Poisoning Flashcards

1
Q

First line management in status epilepticus

A

Rectal diazepam

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2
Q

Most definitive investigation in an aortic dissection

A

CT scan with contrast

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3
Q

First line treatment in anaphylactic reaction (in adults and children over 12)

A

0.5mg IM adrenaline

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4
Q

Treatment in suspected PE / DVT

A

Heparin (LMWH)

Followed by warfarin

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5
Q

Overdose

Pupil dilation, skin flushing, seizures, hypotension

ECG shows tachyarrhythmia and prolonged QRS complexes

A

TCAs, such as amitryptiline

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6
Q

Overdose

Tinnitus, vertigo, hyperventilation, metabolic acidosis (+/- resp alkalosis)

A

Aspirin (salicylates)

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7
Q

Which is the most appropriate first-line treatment in aspirin OD?

A. IV sodium bicarbonate

B. Activated charcoal

C. Gastric lavage

A

B: Activated charcoal

Charcoal and lavage considered within 1 hour of OD

Sodium bicarbonate in moderate poisoning (500-700mg/L) - not given first as it would aggravate existing hypokalaemia (therefore IV fluids given first to correct electrolyte imbalance)

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8
Q

Petechiae, mental state changes, dyspnoea

A

Fat embolism

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9
Q

Hyperacute T waves are an early ECG change seen in…

A

Myocardial infarction

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10
Q

Most definitive investigation in patient with suspected subarachnoid haemmorhage

A

CT scan

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11
Q

Overdose

Tachycardia / bradycardia, yellow halo

A

Digoxin

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12
Q

Treatment of digoxin overdose

A

Digibind

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13
Q

Treatment of paracetamol overdose

A

N-acetyl-cysteine

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14
Q

Overdose

Drowsiness, respiatory depression

A

Benzodiazepines

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15
Q

Treatment of BDZ overdose

A

Flumezanil

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16
Q

Overdose

Salivation, lacrimation, urination, diarrhoea

(SLUD)

A

Organophosphorous insecticides

17
Q

Treatment of organophosphate overdose

A

Atropine

18
Q

Treatment of heparin overdose

A

Protamine

19
Q

Treatment of warfarin overdose

A

Vitamin K

20
Q

Treatment of beta blocker overdose

A

Atropine and glucagon

21
Q

Overdose

Associated with weed killers, alveolar failure

A

Paraquat

22
Q

Treatment of paraquat overdose

A

Charcoal

23
Q

Treatment of paracetamol overdose of known dose, less than 1 hour ago

A

Charcoal

24
Q

Overdose

Cyanosis, confusion, smell of almond on breath

A

Cyanide

25
Q

Treatment of cyanide overdose

A

IV dicobalt edetate

26
Q

Treatment of lead poisoning

A

Dimercaprol

27
Q

Treatment of TCA overdose

A

Activated charcoal

28
Q

Treatment of anti-freeze overdose

A

IV alcohol

(bet you’d love that Payal)

Year 3 EMQ revision (8 decks)

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