Emergency Medicine Flashcards

1
Q

How is the power of the median nerve tested?

A

OK sign

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2
Q

How is the sensation of the median nerve tested?

A

Palmar aspect of index finger

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2
Q

How is the dosing of adrenaline altered for cardiac arrest with hypothermia of <30 degrees?

A

Drugs contraindicated

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3
Q

How is the power of the radial nerve tested?

A

Thumbs up

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3
Q

How is the sensation of the radial nerve tested?

A

First web space on dorsal aspect of hand

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3
Q

How is the power of the ulnar nerve tested?

A

Finger abduction

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4
Q

How is the sensation of the ulnar nerve tested?

A

Palmar aspect of fifth finger

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4
Q

How does IV glucagon manage beta blocker overdose?

A

Stimulates adenylate cyclase to increase cAMP to increase rate and force of cardiac contraction

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4
Q

How does theophylline overdose present?

A

Respiratory alkalosis
Vomiting
Agitation
Dilated pupils
Hyperglycaemia
Tachycardia

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4
Q

Which nerve is responsible for the sensation of the lower hemimandible?

A

Inferior alveolar nerve (part of CNV)

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4
Q

How is the dosing of adrenaline altered for cardiac arrest with hypothermia of 30-35degrees?

A

Dosage interval is doubled

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5
Q

When is hyperbaric oxygen considered for CO poisoning?

A

Pregnant patient
Cardiovascular dysfunction
Severe poisoning
- current or previous syncope
- psychiatric or neurological features
- blood COHb >20%

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5
Q

What is anterior cord syndrome?

A

Infarction of the cord supplied by the anterior spinal artery can cause paraplegia with loss of spinothalamic pathways but preservation of dorsal columns

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6
Q

What is the first line treatment of ethylene glycol toxicity?

A

IV fomepizole

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6
Q

Why is sodium bicarbonate used in aspirin overdose?

A

Alkalinises the urine, thus increasing renal excretion

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7
Q

What happens to C-peptide levels when using sulphoylureas?

A

Increase

8
Q

What is the emergency dose of lorazepam IV in status epilepticus?

A

0.1mg/kg

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