Emergency Medicine

Question 1

____ overdose causes metabolic acidosis, respiratory alkalosis , tinnitus, elevated PT, treated with ______

Answer 1

aspirin

urine alkalization (ion trapping, sodium bicarb), activated charcoal

Question 2

Following toxins benefit from urine alkalinization

1) Aspirin
2) ______
3) ______

Answer 2

Phenobarbital

TCA

Question 3

Burn fluid resuscitation formula

___ml.kg * weight * BSA

Answer 3

4

Question 4

_____ is a classic EKG finding of digoxin poisoning

Answer 4

PR prolongation , slow Afib, PVC (bigeminy)

Question 5

____ can be used for ethylene glycol/methanol poisoning

Answer 5

Fomipizole

Question 6

Cyanosis after lidocaine, nitrates, nitroglycerine, dapsone______

Tx____

Answer 6

Methemglobinemia

Methylene Blue

Question 7

NMS occurs when using antipsychotics due to non-specific D2 blockade in the ______ pathway

NMS treated with _____

Answer 7

nigrostriatal

Bromocriptine, Dantrolene (muscle relaxation)

Question 8

_____ used to treat serotonin syndrome

Answer 8

Cyproheptidine

Question 9

nausea, vomiting, diarrhea, tremors, hyper-reflexia with hyponatremia may be evidence of _____ toxicity

Answer 9

Lithium

Question 10

______ is an EKG finding for TCA poisoning

Answer 10

Widened QRS

Question 11

Dilated pupils, dry mouth, constipation, urinary retention (sympathetic symptoms) are signs of ____ poisoning treated with ______

Answer 11

TCA

Urine alkalization

Question 12

____ spider bite results in rigidity, hypocalcemia, non-specific abdominal pain

Answer 12

black widow

Question 13

Necrosis, bullae, dark lesion causes by ______ spider bite

Answer 13

brown recluse spider

Question 14

EKG finding for serious hypothermia _____

Answer 14

J point, J wave

Question 15

Cushing Triad

• High BP
• ____ Pulse
• Cheyne Stoke respiration

Answer 15

Low

Question 16

NEXUS criteria for C Spine

• cervical spine tenderness
• focal neurological deficit
• alert
• no intoxication
• no painful distracting injury

Answer 16

if all correct, than does not need imaging

Question 17

____ shock is caused by tamponade, tension pneumoa, PE

Answer 17

Obstructive

Question 18

_____ is an indication for ankle xray series

Answer 18

1) Lateral/Medial malleolus tenderness
2) Cant take 4 steps

• Ottawa ankle rules

Question 19

_____ is an indication for foot xray

Answer 19

1) Midfoot tenderness

2) Cant take 4 steps

Question 20

_____ hip pain after URI

Answer 20

toxic synovitis

Question 21

proximal fibular injury lead to ______ fracture

Answer 21

Maisonneuve

Question 22

____ fractures in children may lead to radial nerve injury. Caused by falling on an outstretched hand

Answer 22

Supracondylar fracture

Question 23

_____ poisoning characterized by nausea, vomiting, diarrhea, yellow halos. On EKG, PR prolongation, J point depression. Can result in hyperkalemia, worsened by hypokalemia.

Answer 23

Digoxin

Question 24

Nitrate, anesthetic, dapsone can induce_____. pO2 on ABG will look normal

Answer 24

Methemglobinemia

Question 25

Treatment of lithium overdose_____

Answer 25

dialysis

Usually caused by dehydration, and over concentration

Question 26

MAOI induced hypertension : tyramine rich foods , concurrent TCA use

Answer 26

tyramine degranulates norepinephrine, causes hypertension

Question 27

Antidote for organophosphate poisioning : atropine or _____

Answer 27

Pralidoxime

Question 28

EKG finding for hypothermia____

Answer 28

J point elevation (Osborne waves)

Question 29

Saw palmetto is used to treat ____ , associated with bleeding with anti-coagulants

Answer 29

BPH

Question 30

___ is a supplement used for memory that may increase bleeding when used for warfarin

Answer 30

Ginko

Question 31

____ used to treat menopause, cause headaches

Answer 31

black cohosh

Question 32

___ supplement used for liver inflammation can cause nausea, dyspepsia

Answer 32

Milk Thistle