Emergency Medicine

Question 1

Class of drugs that may cause syndrome of muscle ridigity, hyperthermia, autonomic instability and extrapyramidal symptoms

Answer 1

Anti-psychotics (Neuroleptic malignant syndrome)

Question 2

Side effects of corticosteroids

Answer 2

Acute mania
Immunosuppression
Thin Skin
Osteoporosis
Easy bruising 
Myopathies

Question 3

Tx for DTs

Answer 3

Benzodiazepines

Question 4

Tx for Acetaminophen OD

Answer 4

N-Acetylcysteine

Question 5

Tx for Opioid OD

Answer 5

Naloxone

Question 6

Tx for Benzodiazepine OD

Answer 6

Flumazenil

Question 7

Tx for neuroleptic malignant syndrome and malignant hyperthermia

Answer 7

Nitroprusside

Question 8

Tx fo Atrial Fibrillation

Answer 8

Rate Control
Rhythm conversion
Anticoagulation

Question 9

Tx of Supraventricular Tachycardia

Answer 9

if Stable
- Rate control with Caroid Massage

Unsuccessful
- Consider Adenosine

Question 10

Causes of Drug induced SLE

Answer 10

INH
Penicillamine
Hydralazine
Procainamide
Chlorpromazine
Methyldopa
Quinidine

Question 11

Macrocytic, Megaloblastic anemia without Neurologic Symptoms

Answer 11

Folate Deficiency

Question 12

Macrocytic, Megaloblastic anemia with Neurologic Symptoms

Answer 12

B12 Deficiency

Question 13

Burn pt presents with cherry red flushed skin and coma

Sa02 is normal but carboxyhemoglobin is elevated

Tx

Answer 13

Treat CO poisoning with 100% 02

or with

Hyperbaric 02 if poisoning is severe or the pt is pregnant

Question 14

Blood in the urethral meatus or high riding prostate

Answer 14

Bladder rupture or urethral injury

Question 15

Test to rule out 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
Depression of left main stem bronchus

Question 17

Radiographic indications for surgery in pt with acute abdomen

Answer 17

Free Air under the diaphram, 
extravasation of contrast, 
severe bowel distention, 
space occupying lesion (CT), 
Mesenteric occlusion (angiography)

Question 18

Organism in burn related infections

Answer 18

Pseudomonas

Question 19

Method of calculation fluid repletion in Burn Pt

Answer 19

Parkland Formula

4 X weight in kg X % of burns

Question 20

Acceptable urine output in trauma pt

Answer 20

50 CC / hr

Question 21

Acceptable urine output 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 increase ICP (Cushing’s Triad)

Answer 24

HTN
Bradycardia
Abnormal Respirations

Question 25

Decrease CO
Decrease Pulmonary Capillary Wedge pressure (PCWP)
Increase Peripheral Vascular resistance (PVR)

Answer 25

Hypovolemic Shock

Question 26

Decrease CO
Increase PCWP
Increase PVR

Answer 26

Cardiogenic (or Obstructive) shock

Question 27

Increase CO
Decrease PCWP
Decrease PVR

Answer 27

Septic or Anaphylactic shock

Question 28

Tx of Septic Shock

Answer 28

Fluids and Antibiotics

Question 29

Tx of Cardiogenic Shock

Answer 29

Identify cause

Pressors (Dopamine)

Question 30

Tx of Hypovolemic Shock

Answer 30

Identify cause

Fluid and blood repletion

Question 31

Tx of Anaphylactic shock

Answer 31

Diphenhydramine

or Epinephrine 1:1000

Question 32

Supportive tx for ARDS

Answer 32

Continuous Positive Airway Pressure

Question 33

Signs of Air Embolism

Answer 33

Pt with chest trauma who was previously stable suddenly dies

Question 34

Trauma Series

Answer 34

AP Chest
AP/Lateral C-Spine
AP Pelvis