Emergency Medicine

Question 1

SEs of corticosteroids

Answer 1

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

Question 2

Tx for DTs

Answer 2

Benzos

Question 3

Tx for APAP O/D

Answer 3

N-acetylcysteine

Question 4

Tx for opioid O/D

Answer 4

Naloxone

Question 5

Tx for benzo O/D

Answer 5

Flumazenil

Question 6

Tx for neuroleptic malignant syndrome (NMS) and malignant hyperthermia

Answer 6

Dantrolene

Question 7

Tx for malignant HTN

Answer 7

Nitroprusside

Question 8

Tx of AFib

Answer 8

Rate control, rhythm conversion, and anticoagulation

Question 9

Tx of supraventricular tachycardia (SVT)

Answer 9

• If stable, rate control with carotid massage or other vagal stimulation
• If unsuccessful, consider adenosine

Question 10

Causes of drug-induced SLE

Answer 10

Hydralazine, INH, penicillamine, procainamide, chlorpromazine, methyldopa, quinidine

Question 11

Macrocytic, megaloblastic anemia with neuro sxs

Answer 11

B12 deficiency

Question 12

Macrocytic, megaloblastic anemia without neuro sxs

Answer 12

Folate deficiency

Question 13

Burn pt presents with cherry-red flushed skin and coma. SaO2 is nl, carboxyHb (COHb) is elevated. Tx?

Answer 13

Tx CO poisoning with 100% O2 or with hyperbaric O2 if severe poisoning or pregnant pt

Question 14

Blood in urethral meatus or high-riding prostate

Answer 14

Bladder rupture or urethral injury

Question 15

Test to r/o urethral injury

Answer 15

Retrograde cystourethrogram

Question 16

Radiographic evidence of aortic disruption or dissection

Answer 16

Widened mediastinum (>8 cm), loss of aortic knob, pleural cap, tracheal deviation to the right, LMSB depression

Question 17

Radiographic indications for surgery in pts with acute abdomen

Answer 17

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

Question 18

MC organism in burn-related infxns

Answer 18

Pseudomonas

Question 19

Method of calculating fluid repletion in burn pts

Answer 19

Parkland formula

Question 20

Acceptable UOP in a trauma pt

Answer 20

50 cc/hr

Question 21

Acceptable UOP in a stable pt

Answer 21

30 cc/hr

Question 22

Cannon “a” waves

Answer 22

3rd degree heart block

Question 23

Signs of neurogenic shock

Answer 23

Hypotension and bradycardia

Question 24

Signs of increased ICP (Cushing’s triad)

Answer 24

HTN, bradycardia, and abnl respirations

Question 25

Decreased CO, decreased PCWP, increased peripheral vascular resistance (PVR)

Answer 25

Hypovolemic shock

Question 26

Decreased CO, increased PCWP, increased PVR

Answer 26

Cardiogenic (or obstructive) shock

Question 27

Increased CO, decreased PCWP, decreased PVR

Answer 27

Septic or anaphylactic shock

Question 28

Tx of septic shock

Answer 28

Fluids, abx

Question 29

Tx of cardiogenic shock

Answer 29

Identify cause, pressors (ex: DA)

Question 30

Tx of hypovolemic shock

Answer 30

Identify cause, fluid and blood repletion

Question 31

Tx of anaphylactic shock

Answer 31

Diphenhydramine or Epi 1:1000

Question 32

Supportive tx for ARDS

Answer 32

Continuous positive AW pressure (CPAP)

Question 33

Signs of air embolism

Answer 33

A pt with chest trauma who was previously stable suddenly dies

Question 34

Trauma series

Answer 34

AP chest, AP/lateral C-spine, AP pelvis

Question 35

Class of drugs that may cause syndrome of m. rigidity, hyperthermia, autonomic instability, and extrapyramidal sxs (EPS)

Answer 35

Antipsychotics (neuroleptic malignant syndrome)