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Step 2 Rapid Review Part Duex > EMERGENCY MED > Flashcards

EMERGENCY MED Flashcards

1
Q

Class of drugs that cuases muscle rigidity, hyperthermia, autonomic instability and EPS

A

antipsychotics that cause neuroleptic malignant syndrome

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2
Q

Side FX of steroids

A

acute mania, immunosuppression, thin skin, osteoporosis, easy bruising, myopathies

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3
Q

Tx for DTs

A

IV Benzos

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4
Q

Tx for acetaminophen OD

A

N-acetylcysteine

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5
Q

Tx for opioid OD

A

naloxone

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6
Q

Tx for benzo OD

A

Flumazenil

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7
Q

Tx for NMS and malignant hyperthermia

A

Dantrolene

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8
Q

Tx for malignant HTN

A

Nitroprusside

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9
Q

Tx for A-Fib

A

Rate control, rhythm conversion, anti-coagulation

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10
Q

Tx for SVT

A

if stable, rate control and carotid massage or other vagal manoeuver, if unsuccessful try adenosine

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11
Q

Causes of drug induced SLE

A

INH, penicillamine, hydralazine, procainamide, chlorpromazine, methyldopa, quinidine

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12
Q

Macrocyctic megaloblastic anemia w/ neuro sx

A

B12 (thiamine) deficiency

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13
Q

Macrocyctic megaloblastic anemia w/ NO neuro sx

A

Folate deficiency

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14
Q

burn pt presents w cheery red flushed skin and coma. O2 sat is normal, but carboxyhemoglobin is elevated. Tx?

A

Tx CO poisoning with 100% O2 or with hyperbaric O2 if poisoning is severe or the patient is pregnant.

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15
Q

Blood in urethral meatus or high riding prostate =

A

bladder rupture or urethral trauma

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16
Q

Test to rule out uretheral injury

A

retrograde cystourethrogram

17
Q

radiographic evidence of aortic dissection or disruption

A

widened mediastinum (>8cm), loss of aortic knob, pleural cap, tracheal deviation to the right, depression of left main stem bronchus

18
Q

radiographic indications for surgery in patients w/ acute abdomen

A

free air under the diaphragm, extravasation of contrast, severe bowel distention, space occupying lesion (CT), mesenteric occlusion (angiography)

19
Q

most common organism in burn related infxn

A

pseudomonas

20
Q

How to calculate fluid repletion in burn pts

A

Parkland formula = 24 hour fluids = 4 x kg x %BSA burned

21
Q

acceptable urine output in trauma patient

A

50cc/hr

22
Q

acceptable urine output in a stable patient

A

30cc/hr

23
Q

signs of neurogenic shock

A

Hypotension and bradycardia

24
Q

signs of increased ICP (Cushing triad)

A

HTN, bradycardia and abnormal respirations

25
Q

decreased cardiac output, decreased PCWP, increased peripheral vascular resistance

A

hypovolemic shock

26
Q

decreased cardiac output, increased PCWP, increased peripheral vascular resistance

A

cardiogenic or obstructive shock

27
Q

increased cardiac output, decreased PCWP, decreased peripheral vascular resistance

A

septic or anaphylactic shock

28
Q

Tx of septic shock

A

fluids and antibiotics

29
Q

Tx of cardiogenic shock

A

identify cause and give pressors (dopamine)

30
Q

Tx of hypovolemic shock

A

fluid and blood repletion

31
Q

Tx of anaphylactic shock

A

diphenhydramine or Epinephrine 1:1000

32
Q

Supportive Tx for ARDS

A

CPAP

33
Q

signs of air embolism

A

patient with chest trauma who was previously stable suddenly dies

34
Q

signs of cardiac tamponade

A

distended neck veins, hypotension, diminished heart sounds, pulsus paradoxus

35
Q

absent breath sounds, dullness to percussion, shock, flat neck veins

A

massive hemothorax

36
Q

absent breath sounds, tracheal deviation, shock, distended neck veins

A

tension pneumo

37
Q

Tx for blunt or penetrating abd trauma in hemodynamically unstable patients

A

immediate ex lap

38
Q

increased ICP in alcoholics or the elderly following head trauma. Can be acute or choronic, crescent shape on CT

A

subdural hematoma

39
Q

head trauma with immediate loss of consciousness followed by a lucid interval and then rapid deterioration. convex shape on CT

A

epidural hematoma

Step 2 Rapid Review Part Duex (8 decks)

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