Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

iOSCE > Emergency > Flashcards

Emergency Flashcards

1
Q

Indication for definitive airway

A 
GCS < 8
cannot protect airway
inadequate O2
shock
need for intubate in future
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Class I shock

A

<15% loss

no change

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Class II shock

A 
750-1500 (15-30%) loss
tachycardic
tachypnea
reduced cap refill
20 ml/hr urine
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Class III shock

A 
1500-2000 (30-40%) loss
tachycardia
tachypnea
hypotension
decreased cap refill
10 ml/hr urine
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Class IV shock

A 
>2000 (40%) loss
tachycardia
tachypnea
hypotension
decreased cap refill
no urine
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

GCS eye

A

4 spontaneous
3 voice
2 pain
1 none

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

GCS verbal

A 
5 answers
4 confused
3 words
2 sounds
1 none
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

GCS motor

A 
6 commands
5 localizes
4 withdraws
3 decorticate flexion
2 decerebrate extension
1 none
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Canadian CT head = minor injury +

A

GCS 2
Age > 65
Amnesia > 30 min
Dangerous mechanism

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Basal skull fractures

A

hemotympanum
raccoon eyes
otorrhea/rhinorrhea
Battle’s sign

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Dangerous mechanism injury

A

person hit by car
eject from car
fall > 3ft/5 stairs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Minor head injury

A

witnessed LOC
amnesia
witnessed disorientation
GCS 13-15

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Clear C-spine

A 
no posterior midline cervical tenderness
no intoxication
oriented x 3 + event
no focal neuro deficit
no painful distractions
can rotate neck
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Compartment syndrome 6P’s

A

pain out of proportion, pain with passive stretch, pallor, paresthesia, paralysis, polar

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Ottawa ankle rule

Ankle

A

Ankle X ray only if tenderness in lateral malleolus, medial malleolus and inability to weight bear

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Ottawa ankle rule

Foot

A

Foot x-ray if tender at base of 5th metatarsal, navicular (medial) and inability to weight bear

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Ottawa knee rule

A

Acute injury plus one of

1) >55 yr
2) tender at head of fibula
3) isolated tender of patella
4) cannot flex to 90 degrees
5) cannot bear weight (4 steps)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Altered LOC metabolic/toxic causes

A 
Major organ fail
Electrolytes/Endocrine
Toxin/temperature
Acid 
Base
Oxygen decrease
Lactate
Insulin/Infection
Cardiac/Calcium high
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Universal antidote

A

thiamine (100 mg iv/im)
D50W (1-2 ml)
naloxone (2-10 mg)
oxygen

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Wells DVT

A 
2+ pt likely
active cancer
paralysis/paresis/recent immobilize
bedridden > 3 d, major surg in 4 wk
Localized tender
Leg swollen
Calf swell > 3cm compared to other
pitting edema
collateral veins
alternative dx unlikely (2 pt)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Wells PE

A 
4+ pt likely
Clinical finding DVT 3
Alternative Dx unlikely 3
Recent bed rest >3d, surgery in 4wk 1.5
HR > 100 1.5
Previous DVT/PE 1.5
Malignancy 1
Hemoptysis 1
22
Q

PERC score PE

A 
1+ need Wells
> 50yr
HR > 100
O2 RA < 94
Prior DVT/PE
recent trauma/sx
hemoptysis
exogenous E
clinical sign DVT
23
Q

D-dimer cutoff

A

500 ng/ml

24
Q

Status epilepticus management

A

O2, monitor, iv –> glucose –> benzo –> phenytoin –> phenobarbital –> pentobarbital

25
Q

Lorazepam dose

A

0.1 mg/kg at 2 mg/min

26
Q

Diazepam dose

A

0.2 mg/kg at 5 mg/min

27
Q

Phenytoin dose

A

15-20 mg/kg at 50 mg/min

max 30 mg/kg

28
Q

Phenobarbital

A

20 mg/kg at 100 mg/min

29
Q

Croup

A

Steeple sign
parainfluenza
barky cough with drool

30
Q

Bacterial tracheitis

A

exudate in trachea
Staph aureus/GAS
Barchy cough, appear toxic

31
Q

Epiglottitis

A

Thumb sign
H flu type B
Drool, appear toxic

32
Q

Asthma Tx

A

Increasing severity

B-agonist, anticholinergic, steroid (pred 40-60 po), O2, intubate

33
Q

COPDe Tx

A

Keep O2 88-92
Ipratriopium + salbutamol
Steroid pred 40 mg po taper 3 wk
Abx = TMP-SMX, cephalosporin, resp quinolone (sx of infect)

34
Q

Anion gap acidosis

A 
methanol
uremia
DKA
phenformin/paraldehyde
isoniazide/iron/ibuprofen
lactate
ethylene glycol
salicylates
cyanide/CO
alcoholic ketoacidosis
toluene/theophylline
35
Q

Osmolar gap acidosis

A 
Methanol
acetone
ethanol
diuretic (osmolar)
isopropanol
ethylene glycol
36
Q

Decreased anion gap

A

error
high Na/K/Mg/Li/Br
hypoalbuminemia (50%)
Paraprotein (MM)

37
Q

Increased O2 sat

A

carboxyhemoglobin
methemoglobin
sulmethemoglobin

38
Q

Normal anion gap acidosis

A

high K = pyelonephritis, obstructive nephropathy, renal tubular acidosis, IV, TPN
low K = small bowel loss, acetazolamide, RTA

39
Q

Drugs cause hypoventilation

A

opioid, sedative, hypnotic, phenothiazines, EtOH

40
Q

Drugs cause hyperventilation

A

ASA, CO

41
Q

Drugs cause hyperkalemia

A

digitalis, fluoride, potassium

42
Q

Drugs cause hypokalemia

A

theophylline, caffeine, beta-adrenergic, barium salt, diuretic, insulin

43
Q

Drugs case Wide QRS

A

TCA, quinidine, Class 1a, 1c antiarrhythmic

44
Q

Drugs cause long QT

A

quinidine, terfenadine, astemizole

45
Q

Drugs cause AV block

A

Ca+2 antagonist, digitalis, phenylpropanolamine

46
Q

Anticholinergic toxidrome

A

hot, blind, dry, red, mad, full

TCA, carbamazepine, antihistamine, anti-parkinson, anti-psychotic, anti-spasmotic

47
Q

Cholinergic toxidrome

A 
Diaphoresis/diarrhea/decreased BP
urination
miosis
BBB (killer B)
emesis/excitation
lacrimation
salivation/seizures
nerve gas (carbamate), physostigmine, organophosphate
48
Q

Narcotic/sedative/hypnotic/etoh

A

hypothermia, hypotension, resp depress, CNS depression

EtOH, benzo, opiate, barbiturate, GHB

49
Q

Sympathomimetics

A

hyperthermia, CNS excite, tachy, HTN, n/v, diaphoresis, dilate pupil
caffeine, amphetamine, cocaine, LSD, PCP, decongestant, thyroid, ETOH withdrawal

50
Q

Serotonin syndrome

A

HARMED
hyperhermia, autonomic instable, rigidity, myoclonus, encephalopathy, diaphoresis
MAOI, TCA, SSRI, opiate analgesic, cough med, weight reduce

iOSCE (4 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions