Emergency Medicine

Question 0

Gcs for intubation

Answer 0

less than 8, intubate

Question 1

Location to decompress pneumothorax

Answer 1

2nd intercostal space

Question 2

Palpable radial pulse

Answer 2

80 mm

Question 4

3 categories gcs

And points

Answer 4

Eyes
Verbal
Motor
4-5-6

Question 5

location of source of inspiratory stridor vs expiratory stridor

Answer 5

inspiratory is supraglottic

Question 6

Avpu assessment

Answer 6

Alert
Verbal stim
Pain
Unconscious

Question 7

Chest pain Dx. 6 bad

Answer 7

PAPA PE

Pneumo
Acs
Pericarditis
Aortic aneurysm
PE
Esophageal rupture

Question 8

V1 to v6

Answer 8

Anterior

Question 9

1, avl v5 v6

Answer 9

Lateral

Question 10

V1 v4r

Answer 10

Right

Question 11

Percocet

Answer 11

Oxycodone and acetominophen

Question 12

Norco

Answer 12

Hydrocodone and acetominophen

Question 13

Cardiac arrest and vf or vt

6 steps

Answer 13

Cpr 2 min
Shock
Cpr and epi 2 min
Shock
Cpr and amiodarone

Alternate with epi and amiodarone

Question 14

Asystole

3 steps

Answer 14

Cpr q2
Shock

Epi every 3 minutes

Question 15

time window for gastric lavage

Answer 15

< 2 hours

50% of pills left at 1 hour
15% of pills left at 2 hours

Question 16

sequence of acid-base abnormalities in aspirin OD (2)

Answer 16

1. respiratory alkalosis

2. metabolic acidosis (from lactate)

Question 17

double substance OD
you give flumazenil with naloxone and seizure.

What are the substances?

Answer 17

benzoes and TCA

TCA causes seizures, benzo would normally suppress it

Question 18

2 labs findings for CO poisoning for abg

Answer 18

low bicarb

low pH

Question 19

tx for acetominophen >24 hours ago

Answer 19

no therapy

Question 20

1st and 2nd drug in organophosphate poisoning

Answer 20

1. atropine

2. pralidoxime

Question 21

what electrolyte abnormality causes digoxin toxicity

Answer 21

hypokalemia

but the toxicity causes hyperkalemia

Question 22

best initial dx test for lead poisoning

Answer 22

+ free erythrocyte protoporphyrin

Question 23

serum osmolality

Answer 23

2(Na) + BUN/2.8 +glucose/18

Question 24

black widow lab abnormality

Answer 24

hypocalcemia

Question 25

black widow tx (2)

Answer 25

calcium

antivenin

Question 26

brown recluse tx (3)

Answer 26

debridement
steroids
dapsone

Question 27

dog and cat bite pathogen

Answer 27

Pasteurella multicida

Question 28

human bite pathogen

Answer 28

Eikenella corrodens

Question 29

tx for all bites (2)

Answer 29

amoxicillin/clavulanate

tetanus vaccine if > 5 yrs

Question 30

large brain hematoma management (step, rx, surgical intervention)

Answer 30

intubation, hyperventilation
mannitol
drainage

Question 31

Mees lines, white hor. Lines on fingernails

N/v diarrhea

Answer 31

Arsenic

Question 32

Arsenic poisoning antidote?

Answer 32

Dimercaprol

Question 33

Almond scented breath, coma

Answer 33

Cyanide

Question 34

Cyanide antidote

Answer 34

Hydroxocobalamine

Question 35

Erethism

Answer 35

Reduced memory

Question 36

Red hourglass on abdomen of spider

Answer 36

Black widow

Question 37

what causes dig toxicity?

Answer 37

hypokalemia

Question 38

hypothermia on EKG

Answer 38

J waves (before ST segment)

Question 39

drowning tx

Answer 39

PP ventilation

NOT steroids or abx

Question 40

indication and timing for precordial thump

Question 41

only 2 indications for unsynchronized conversion

Answer 41

VF

pulseless VT

Question 42

Gcs 3 scores

Answer 42

4 eyes
6 cylinder motor
Jackson 5 = verbal 5