Emergency Medicine

Question 1

What is cyclopentolate used for

Answer 1

For eye anesthesia ex for corneal abrasion

Question 2

What is paroxysm hemicrania

Answer 2

Similar to cluster headaches . Exquisite stabbing headache with possible autonomic symptoms similar to cluster headaches but is sporadic throughout the day versus predictable time

Question 3

What is the child Pugh classification

Answer 3

Predicts the risk of varicella bleeding. Surgical risk and over all mortality .
Includes EBAAI
Encephalopathy
Bilirubin
Albumin
Ascites
INR

Question 4

What medication can reduce colon cancer

Answer 4

Asa

Question 5

Name the cancer associated with serum markers
1  CEA
2 CA 195
3 b -hcg
4 VIP
5 AFP

Answer 5

1 Colon Ca
2 ovarian ca
3 testicular
4 pancreatic ca
5 testicular, ovarian and liver ca

Question 6

What is the criteria for diagnosing depression

Answer 6

Sig E Caps 2 weeks of depressed mood loss of interest and 4 of the below.

Sleep
Interest
Guilt

Energy
Concentration
Appetite
Psychomotor changes
Suicidality

Question 7

What are the symptoms of atypical depressions

Answer 7

Hyperplasia
Hypersomnolence
Leaden paralysis
Mood reactivity

Question 8

Which antidepressant should not be given to pt with cardiovascular disease

Answer 8

TCA, SNRI, Celexa

Question 9

What is the criteria for dysthymia - persistent depressed disorder

Answer 9

Depressed mood most days for 2 yrs and more of the concentrating difficulties, hopelessness, appetite change sleep, low energy, fatigue, low esteem.

Can’t be free from symptoms more than 2 month for 2 yrs

Question 10

What are the 2 common allergic rxn and which is the worse

Answer 10

Type 1 reaction which is the anaphylaxis. IgE mediated.
Life threatening release histamine with pruritis around the mouth palms and soles

Type 4 T- cell hypersensitization- drug rash