Emergency Medicine

Question 1

ETT size

Answer 1

(Age + 16)/4

Question 2

Meds that can be given via ETT

Answer 2

Lidocaine, Atropine, Epinephrine, Narcan (LANE)

Question 3

Reactions to radio contrast are due to what? Tx?

Answer 3

High osmolality of the solution. (anaphylactoid/Non- IgE mediated). Pre-tx with steroids, H1/H2 antihistamines

Question 4

High index suspicion rabies bite. Tx?

Answer 4

Wash and debride, HRIG, 5 doses rabies vaccine

Question 5

Head trauma with lucid period, followed by deterioration

Answer 5

Epidural hematoma (lens shape)

Question 6

Tx warm shock (meningococcemia)

Answer 6

Norepinephrine

Question 7

Tx cold shock (CHF)

Answer 7

Dobutamine

Question 8

Normal GCS for 2 yo and younger

Answer 8

<5

Question 9

Which fracture more associated with abuse? Bucket handle or buckle fracture?

Answer 9

Bucket handle

Question 10

What is the rule of nines in a >=9 yo child?

Answer 10

Head=9%, Arms=9% each, Legs=18% each, trunk 36%

Question 11

Chlamydia infection transmitted at birth should not persist beyond what age?

Answer 11

18 months

Question 12

How can you tell if an object is in the esophagus or trachea?

Answer 12

Objects are en face on AP view if in the esophagus, on side in the lateral view. Tracheal FB is on its side in AP view, en face in AP view

Question 13

Formula for burn fluids?

Answer 13

4cc x weight in kg x %BSA, first 1/2 over 1st 8 hours, remaining over 16 hours

Question 14

What is the most common cause of death in a patient with a direct blow to the chest?

Answer 14

Ventricular fibrillation