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April EOR Exams > Emergency Medicine > Flashcards

Emergency Medicine Flashcards

1
Q

Pregnant woman with dysuria, frequency, urgency and hydronephrosis. What is the best initial step?

A

turn on left side, ultrasound, stent or induce labor

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2
Q

Show of EKG of “going, going, gone”

A

2nd degree type I

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3
Q

What is diagnostic maneuver of BPV?

A

Dix-Hallpike

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4
Q

Patient has right flank pain radiating to testicles with dysuria, frequency, urgency, nitrates, leuks, and CVAT. What is dx?

A

nephrolithiasis or pyelonephritis

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5
Q

Patient has acute asthma attack. Which ABG would have a worse prognosis?

A

pH 7.27, CO2 46

-it’s the most acidic answer, shows patient getting tired (respiratory acidosis…breathing slowing down)

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6
Q

Patient with HIV has consolidation on CXR. What do you use to tx?

A

Bactrim

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7
Q

Patient with optic neuritis has MRI showing white lesions, what is the dx?

A

MS

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8
Q

65 year old patient with symptoms of pneumonia. What vaccine should they have gotten?

A

pneumococcal vaccine

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9
Q

What risk factor increases chance of aortic dissection?

A

hypertension

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10
Q

What cervical spine injury can cause respiratory distress?

A

above C5

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11
Q

Midshaft fracture of ulna, what splint?

A

sugar tong

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12
Q

Murmur associated with aortic dissection?

A

aortic regurgitation

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13
Q

Patient is hypotensive that is not responding to fluids. What should you add?

A

norepi or dopamine

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14
Q

65 year old man goes out drinking and then complains of a hot, swollen, and tender knee. Knee tap shows negatively birefringent crystals, what is the dx?

A

gout

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15
Q

Patient is diagnosed with a. fib, other than an anticoagulant, what else should you start?

A

diltiazem

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16
Q

Patient is complaining of pain with chewing but has erythema and induration anterior and inferior to the ears. What is the dx?

A

parotitis or giant cell arteritis

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17
Q

Patient is taking clindamycin and now has diarrhea, what is the cause?

A

pseudomembranous colitis

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18
Q

Patient hit his head and now has blood in anterior chamber of eye, what is the dx?

A

hyphema

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19
Q

PE finding of malignant hypertension?

A

papilledema

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20
Q

Patient gets corneal ulcer patch, what complications might happen?

A

pseudomonas

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21
Q

Patient is having a stroke, what do you want to do?

A

tPA

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22
Q

MC bug in pyelonephritis?

A

E coli

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23
Q

What do you worry about in a knee dislocation?

A

arterial bleed

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24
Q

Patient has a cast and now is developing pain, what is the dx?

A

compartment syndrome

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25
Q

Open fracture of fibular, in addition to stabilization, what do you want to do?

A

antibiotics

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26
Q

What is in the pheochromocytoma triad other than HTN and diaphoresis?

A

headache

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27
Q

Patient brought to ED with acute onset dyspnea, alcoholic, history of MVA, crackles auscultated. CXR shows bilateral infiltrates spare costovertebral angles, no cardiomegaly or pleural effusion. O2 sat 70%. What is initial tx?

A

intubation

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28
Q

Patient was bit by a cat. What medication?

A

augmentin

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29
Q

LP finding of Guillain Barre?

A

elevated protein with normal glucose

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30
Q

OB question about threatened abortion, what is initial step?

A

type and screen and Rh status

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31
Q

Patient is acting needy and saying they will “do anything” to get help. What is the dx?

A

histrionic

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32
Q

Kid having trouble in school, tearing, and sad for several weeks after parents got divorced. What is the dx?

A

adjustment

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33
Q

Kid with URI presenting with altered mental status, funky liver labs, vomiting. What is the dx?

A

Reye’s syndrome

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34
Q

Patient can’t see, can’t pee, can’t climb a tree. What is the dx?

A

reactive arthritis

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35
Q

Patient with non-infected olecranon bursitis, what is the best tx?

A

naproxen

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36
Q

Patient is having acute asthma attack, what is the initial tx?

A

albuterol nebs

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37
Q

Patient has suspected pneumonia. What would you see on PE?

A

“ee” sounds like “ay”

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38
Q

Patient has suspected pneumonia. What would you see on PE?

A

“ee” sounds like “ay”

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39
Q

What is the best intervention for osteopenia?

A

weight lifting

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40
Q

Girl is fatigued with period, lab values show anemia. What is causing her anemia?

A

menorrhagia

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41
Q

IVDA with endocarditis MC valve?

A

tricuspid

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42
Q

Patient with endocarditis what is the MC valve?

A

mitral

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43
Q

8 year old girl with bleeding gums. thrombocytopenia. what is the dx?

A

ITP

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44
Q

How do you diagnose hemophilia B?

A

factor IX

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45
Q

Lab finding in DKA?

A

low bicarb, I think it was 12.2

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46
Q

What is best given to patient to prevent MI?

A

aspirin

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47
Q

Patient has symptoms of SJS. What is cause?

A

ampicillin

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48
Q

Kid had arm pulled out of traffic, now has pain at elbow, what is the dx?

A

radial head subluxation

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49
Q

Little girl going downstairs and knee clicks, some lateral deformity and flattened anterior, she keeps it flexed at 30 degrees and pain with passive motion. What is the dx?

A

patella dislocation

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50
Q

Why do patient with inferior MI have sinus bradycardia and vomiting?

A

increased vagal tone

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51
Q

Pt with SBO, with PMH of abdominal surgery in the past, what is the cause?

A

adhesions

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52
Q

Patient stabbed in chest with electrical alternans and echo showing collapsed right ventricle. What else is associated?

A

JVD

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53
Q

Baseball player injured his shoulder, what is the dx?

A

labrum tear

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54
Q

Patient has positive empty can test, this is rotator cuff injury, what is the tx?

A

NSAIDs

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55
Q

What is the best XR view to see position of shoulder dislocation?

A

axillary

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56
Q

Risk factor for pancreatitis?

A

hypertriglyceridemia

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57
Q

What will cause a rash because of cross reactivity with PCN?

A

cephalosporin

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58
Q

EKG showing V-tach but patient is comfortable and responding to questions, what is the next best step?

A

synchronized cardioversion

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59
Q

Yellow tissue at TM after untreated otitis media?

A

cholesteatoma

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60
Q

Patient has 4 hours of left leg pain with pallor, cool, and no pulses, what is the dx?

A

arterial insufficiency or DVT

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61
Q

Patient has leg pain on the anterolateral leg (not calf), what is this?

A

compartment syndrome

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62
Q

Patient with several months of nonhealing ulcers on toe, leg is cool with pallor and decreased pulses, what is the dx?

A

arterial insufficiency

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63
Q

Patient has intracranial bleed with HTN with systolic in 200s, what is the tx?

A

clonidine

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64
Q

What do you tell a patient with CHF to do daily?

A

weigh themselves

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65
Q

Patient coughs, cough, cough some more and then vomits. What is the dx?

A

pertussis

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66
Q

Most likely pathogen of endocarditis?

A

staph aureus (acute) or strep viridians (subacute)

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67
Q

Patient is alcoholic with yellow sputum and pneumonia symptoms. Most likely etiology?

A

Klebsiella

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68
Q

Patient had total knee replacement in the past. Now presenting with swollen tender knee after dental surgery, what is the dx?

A

periprosthetic infection

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69
Q

Patient has symptoms of mycoplasma pneumonia with bullous myringitis, what is the tx?

A

azithromycin

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70
Q

Patient recently had a C-section and now presenting with SOB and sinus tach on EKG, what is the dx?

A

pulmonary embolism

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71
Q

Patient has rigid abdomen, rebound tenderness and guarding, what would you see on abdominal x-ray?

A

free air

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72
Q

Patient gets abdominal pain that is relieved with eating, what is the dx?

A

duodenal ulcer

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73
Q

Patient went camping and now has foul smelling stool, what is the cause?

A

giardia

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74
Q

What would confirm successful immunization against hep B?

A

hepatitis surface antibody

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75
Q

Patient has periorbital headache with unilateral lacrimation, what is the tx?

A

oxygen

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76
Q

Patient has cluster headache symptoms, what is the acute treatment at home?

A

NSAIDs

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77
Q

What kind of injury would cause binocular double vision in maxillofacial trauma?

A

EOM dysfunction, rental injury, lens dislocation

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78
Q

Patient had cataract surgery removal and now presenting with floaters in vision, what is the dx?

A

retinal detachment

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79
Q

Patient has a sore throat with exudates but has splenomegaly, negative strep and positive heterophile test, this is mono, what is the tx?

A

acetaminophen

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80
Q

Patient has SBO, what do you wanna give IV?

A

normal saline

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81
Q

Patient has hypopigmented maculopapular that are more easily visualized when he is tan. KOH prep shows hyphae, what is the dx?

A

tinea versicolor

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82
Q

Patient was bit by something and now has symptoms of local pain, burning, nausea, vomiting, tearing, etc. what bit him?

A

black widow spider

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83
Q

What is a symptom due to electrolyte changes with SIADH?

A

sluggishness and confusion

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84
Q

What is the treatment of a patient that had sinus surgery through the nose and now presents with symptoms of diabetes insipidus?

A

desmopressin

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85
Q

Patient has vaginal bleeding, what is the definitive treatment?

A

hysterectomy

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86
Q

Patient has been acting weird for past 8 days with a lot of shopping and being disorganized and then also bouts of depression, what is the dx?

A

bipolar I

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87
Q

Patient depressed for year but does not affect work life, what is the dx?

A

dysthymic disorder

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88
Q

Patient coombs positive, what is the dx?

A

autoimmune hemolytic anemia

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89
Q

Patient with fever, night sweats, what would you see on CXR?

A

upper lobe/apical lesions

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90
Q

What is the reversal agent of tylenol?

A

n-acetylcysteine

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91
Q

What is the reversal agent of benzos?

A

flumazenil

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92
Q

Penis foreskin has white discharge with KOH showing hyphae, what is the tx?

A

Monistat cream

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93
Q

Post measles complication in 10 month old

A

encephalitis

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94
Q

What medication interacts with coumadin?

A

clarithromycin

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95
Q

What is a risk factor for placental abruption?

A

hypertension

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96
Q

Patient has bulimia nervosa, what is a symptom?

A

misuse of laxatives

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97
Q

Patient has bulimia nervosa, what is the tx?

A

fluoxetine (Prozac)

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98
Q

What symptom is associated with diabetic ketoacidosis?

A

deep, slow breathing

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99
Q

Patient who is an alcoholic presents with sx of pneumonia, what is the tx?

A

azithromycin or doxy

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100
Q

Patient has red, swollen finger with pain on passive extension, what is the dx?

A

flexor tenosynovitis

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101
Q

What is the best way to diagnose pheochromocytoma?

A

24 hour urine catecholamines

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102
Q

Patient presents with a hematocrit of 59%, what is the dx?

A

secondary polycythemia vera

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103
Q

Female patient comes in 24 hours after vaginal delivery that was uncomplicated, is now bleeding a lot, along with IV resuscitation and blood, what other intervention do you do?

A

Pitocin or hysterectomy

104
Q

Presentation of patient with COPD, but is a nonsmoker, what is the etiology of this?

A

antitrypsin deficiency

105
Q

Presents with a whole bunch of labs - all the blood values are low, what is this?

A

aplastic anemia

106
Q

Patient presents with stroke symptoms - gait ataxia, diplopia, nystagmus with occipital pain, what type of stroke?

A

posterior cerebral artery

107
Q

Stroke with symptoms that are mac in the face and upper extremity

A

middle cerebral artery

108
Q

Low back pain, has + straight leg test, what testing do you want to do on this patient?

A

MRI

109
Q

Why does S3 sound occur?

A

because of LV becoming stiff and interfering with blood entering LV during filling

110
Q

Patient with hypertensive with AMS, what is the tx of hypertensive emergency?

A

nicardipine

111
Q

Facial weakness, eyebrow dropped, dysphagia, and upper extremity weakness that goes away, what is the dx?

A

myasthenia gravis

112
Q

CT scan of bleed and vignette will say it is an alcoholic, what kind of bleed?

A

subdural bleed

113
Q

Patient has a cast on, and now has swelling of all fingers, what is the finding?

A

decreased two point discrimination

114
Q

What is charcot’s triad for cholangitis?

A

fever, jaundice, and abdominal pain

115
Q

What is reynold’s pentad for cholangitis?

A

fever, jaundice, abdominal pain, altered mental status, hypotension

116
Q

X-ray and symptoms of patient presenting with epiglottis. What other symptom would this patient have?

A

drooling, dysphagia, tripod position

117
Q

Basketball ball injury to finger, now cannot extend DIP. What is the treatment?

A

splint DIP for 8 weeks

118
Q

Lumbar puncture showing atraumatic RBC. What is this?

A

subarachnoid hemorrhage

119
Q

Patient is afraid to give presentations at work, what do you dx this as?

A

social panic disorder

120
Q

What is the tx of Reiter’s?

A

indomethacin (NSAIDs)

121
Q

How do you treat priapism?

A

IV Phenylephrine

122
Q

What reflex is Achilles tendon reflex?

A

S1

123
Q

What reflex is biceps?

A

C5

124
Q

What reflex is knee?

A

L4

125
Q

What is the worst prognostic factor of cauda equina?

A

decreased sphincter tone

126
Q

What is the tx of parotitis?

A

augmentin

127
Q

What is the dx when you hear a click with shoulder movement?

A

labrum

128
Q

What is the MCC of pyelonephritis?

A

E. coli

129
Q

What should conjunctivitis, urethritis, arthritis make you think of?

A

reiter’s

130
Q

What is the organism for endocarditis?

A

staph wasn’t there, pick strep viridians

131
Q

What is the MCC of endocarditis (mentions IVDA)?

A

staph

132
Q

What is the best tool to see valves?

A

transesophageal echocardiogram

133
Q

45 year old comes in with a change in her bowel habits, has FH of breast cancer and colon cancer, what is the next step for her?

A

send her for a colonoscopy and genetic testing

134
Q

Football player collapses when he gets off field, what do you do?

A

don’t let him practice until cleared by cardiologist

135
Q

What is aortic stenosis?

A

harsh systolic ejection crescendo-decrescendo murmur at the right upper sternal border (aortic area) with radiation to the neck and apex heard best by leaning forward with expiration

136
Q

What is aortic regurgitation?

A

soft, early diastolic blowing murmur along the left sternal border with the patient sitting leaning forward after exhaling

137
Q

What is mitral stenosis?

A

diastolic low pitched decrescendo rumbling murmur with opening snap heard best at the apex (mitral area) with the patient in the lateral decubitus position

138
Q

What is mitral regurgitation?

A

holosystolic high-pitched blowing murmur at the apex (mitral area) that radiates to axilla with a split S2

139
Q

What is a direct inguinal hernia?

A

passage of intestine through the external inguinal ring at Hesselbach triangle, rarely enters the scrotum

140
Q

What is the treatment for stable SVT?

A

Adenosine

141
Q

75 yo lady who found to have LVH leading to CHF. She comes in for something else however, what would you expect her to admit for?

A

Dyspnea on Excertion

142
Q

Pt with PMH of HLD and 40 pack/year smoker. Recently dx with glioblastoma. Just had surgery and developed 6hrs of crushing CP. Stable VS. ECG shows ST elevations in precordial leads. What is the treatment option?

A

PCI (Percutaneous Coronary Intervention)

143
Q

Patient with signs of PAD (atrophic changes, hair loss, pain with ambulation not rest). What lifestyle modifications would you give her?

A

Decrease caffeine consumption

144
Q

After recent bone reduction, you no longer feel distal pulses. Next step?

A

Consult vascular surgery

145
Q

Patient comes in with polygonal, pruritic papules with scales. Dx?

A

Lichen Planus

146
Q

Patient comes in with truncal rash. We think it’s either HHV 6 (Roseola) or 7 (Pityriasis rosea). Describe the rash?

A

Salmon colored, oval, scales – Herald patch

147
Q

Patient has signs of SJS. What drug likely caused it?

A

Unasyn (Ampicillin-sulbactam)

148
Q

Unvaccinated teen comes in testicular pain. What vaccine would have prevented his current condition?

A

MMR (Mumps)

149
Q

Patient noticed hypopigmentation on chest and pack after tanning. Doesn’t tell you KOH. Dx?

A

Tinea versicolor

150
Q

Patient has had trauma to ear and now the TM is chalky white and hard, what is the likely dx?

A

Tympanosclerosis

151
Q

Treatment of parotitis?

A

Ampicillin-sulbactam

OR

Cefuroxime + metronidazole

OR

Nafcilli + Ceftriaxone or levofloxacin + Metronidazole or clindamycin

152
Q

Symptoms seen in SIADH?

A

Hyperreflexia, fasculitions, convulsions, stupor

153
Q

Old guy with PMH of DM and dementia comes in with 1 wk of N/V “can’t keep anything down”. VS are not great and he’s disoriented. What lab do you want to do initially?

A

Blood glucose, ABG, CBC

154
Q

Middle age guy recently went out drinking and now having severe stomach pain. Has been taking 5 ASA QD for back pain. What treatment would you give?

A

Protonix

155
Q

What would you see on titers for someone who had the Hep B vaccination?

A

HB surface AB

156
Q

45 yo F with FHx of colorectal CA and endometritis. Comes in bc of change in bowel habits. She meets some fancy criteria. What would you do next?

A

Outpatient colonoscopy and follow-up with GI

157
Q

HIV + male who just got off clindamycin for a lung infection comes in with constant diarrhea and +LLQ pain on exam. What do you want to order next?

A

Stool culture to observe for C.diff

158
Q

Patient has diagnosed anal fissure. It stopped bleeding but he’s still experiencing a lot of pain. Next step?

A

Topical analgesics and stool softeners

159
Q

What medication class do you want to give to BPH pts?

A

5 alpha reductase inhibitors (ie finasteride)

160
Q

What do you want to inhibit the conversion of in BPH?

A

Dihydrotestosterone

161
Q

MCC of posterior shoulder dislocation?

A

Seizure

162
Q

Patient has signs of rotator cuff tear. Mentions he’s a crossfit trainer. First line tx?

A

NSAIDs

163
Q

Patient has FOOSH injury on a flexed wrist. Ventral angulation. Dx?

A

Smith Fx - distal radius fracture

164
Q

Patient with lower back strain. First tx?

A

NSAIDs

165
Q

Spinal level which you worry about respiratory dysfunction?

A

C5

166
Q

Treatment of essential tremor?

A

Propanolol

167
Q

Tx of TIA?

A

Anticoagulation and close outpatient follow up

168
Q

Patient in MVA and had neck hyperextension injury. Upper extremities have ⅗ strength, lower ⅘ strength, lower ⅘ strength. +Proprioception and vibratory sensation. No bowel and bladder incontinence. What cord is injured?

A

Central cord (upper extremities/shawl distribution)

169
Q

2 yo having SOB. No other URI sx. Wheezes auscultated on RUL. Dx?

A

Foreign body aspiration

170
Q

Pt had stroke and now is having trouble swallowing. The soft palate is not rising. Tongue midline. Sensory intact. What cranial nerve is damaged?

A

Vagus

171
Q

Patient who is on psych meds for bipolar comes in with AMS (hinting at NMS I believe). What is the first thing you want to do?

A

Discontinue the medication

172
Q

When/to whom is the proper time to administer the gardasil vaccine?

A

10-24

173
Q

Medication that causes achilles tendon rupture?

A

Cephalosporin

174
Q

SE of colchicine?

A

fever, diarrhea, nausea, vomiting

175
Q

Etiology of SVT?

A

Reentry pathway

176
Q

Na 152, Chloride 100, BUN 28, urine H20 osmolality. Patient presents with polyuria, polydipsia, and nocturia. What is dx?

A

Diabetes insipidus

177
Q

Treatment for Scabies?

A

permethrin

178
Q

Pain in the back of the neck radiates down the arm and into the first finger & index finger. What cervical level?

A

C6 or C7

179
Q

Pt on clinda, now has diarrhea. How to dx?

A

Stool assay

180
Q

Patient has compartment syndrome on the hand. What is the first presentation?

A

Loss of 2 point discrimination

181
Q

Pt presents with Sciatica what is the treatment?

A

Naproxen

182
Q

You auscultate the pts abdomen and the patient’s rectus abdominis contracts. What physical exam finding?

A

Guarding

183
Q

Patient PMHx conists of colon cancer & gets a DVT. What is the tx?

A

Anticoagulant

184
Q

Woman presents with uterine atony. How do you treat?

A

Uterine massage and IV pitocin

185
Q

Upon fundoscopy, you see blurred disc margins what would you diagnose?

A

Papilledema

186
Q

Anterior shoulder dislocation. What nerve is involved?

A

Axillary

187
Q

Patient has perioral and extremity paresthesias. What is also seen on PE?

A

Chvostek sign

188
Q

Patient in nursing home, has an NG tube and now has rales and decreased breath sounds in the right lower lobe. What dx?

A

Misplacement of NG tube causing atelectasis

189
Q

Patient has mild persistent asthma. On albuterol. What do you want to add?

A

ICS

190
Q

Pt with crohns and is having an acute flare up with diarrhea and dehydration. What medication do you want to give pt?

A

Prednisone

191
Q

Patient is having blood in bowel and signs of a GI bleed. What is initial dx?

A

Endoscopy and/or Colonoscopy

192
Q

Pt with diabetic nephropathy what HTN med should be started?

A

ACE-I

193
Q

Pregnant pt comes in with lab values of pancreatitis. What is the cause?

A

Gallstones

194
Q

Pt with A fib + Hyperthyroid how do you treat?

A

PTU

195
Q

What medication is used for Nephrolithiasis?

A

Tamsulosin (alpha blocker)

196
Q

20 year old with severe scrotal swelling, and pain so severe he vomited. Absent cremasteric reflex. What do you want to do?

A

Urology Consult

197
Q

1st sign of a brain abscess?

A

Headache

198
Q

How to treat hepatic encephalopathy?

A

Lactulose

199
Q

What medications can cause SJS?

A

Ampicillin, ASA, HCTZ, Prednisone

200
Q

Causative organism in chronic paronychia?

A

Candida albicans

201
Q

Painless ulcer on vagina, fatigue and lymphadenopathy, likely dx?

A

Lymphogranuloma venereum

202
Q

In an MI, n/v weakness and bradycardia are due to what?

A

Increased vagal tone

203
Q

Pt presents with cat bite, how do you treat?

A

Augmentin

204
Q

Blood in anterior chamber of eye is what diagnosis?

A

Hyphema

205
Q

Risk Factors for pancreatitis?

A

High Triglycerides

206
Q

Tx of bulimia?

A

Fluoxetine - Prozac

207
Q

Girl is anemia is likely due to what?

A

menorrhagia

208
Q

What Murmur is heard in aortic dissection?

A

Aortic Regurgitation

209
Q

Lab finding in DKA?

A

Decreased bicarb

210
Q

Pt presents with hypotension what medication do you administer?

A

Norepinephrine

211
Q

Pneumothorax on XR shows what?

A

Pleural visceral line

212
Q

MC endocarditis valve?

A

Mitral Valve

213
Q

MC endocarditis valve in IVDU?

A

Tricuspid

214
Q

Allergy to PCN cross reaction what do you give instead?

A

Keflex (cephalexin)

215
Q

Child has bruising, gingival bleeding, platelets 50, likely diagnosis?

A

Idiopathic Thrombocytopenia Purpura

216
Q

Penis foreskin cracking with white discharge. Stain shows hyphae. How do you treat?

A

Miconazole (Monistat cream)

217
Q

In a pt with CHF what should be done daily?

A

Daily body weight

218
Q

Most specific enzyme for cardiac injury?

A

Troponin

219
Q

Reversal agent for benzos?

A

Flumazenil

220
Q

What is the pheochromocytoma triad?

A

Episodic headache, sweating, and tachycardia.

221
Q

Pts mom was murdered and now she has physical symptoms what is the likely dx?

A

Conversion disorder

222
Q

What is the mechanism of an angiotensin inhibitor?

A

Vasodilation by inhibiting the formation of angiotensin II.

223
Q

Man had an MI 2 weeks ago and now comes in with 3 days of chest pain, new ST elevations and enlarged heart on chest x-ray. What is the likely dx?

A

Pericardial tamponade

224
Q

Women is 49 y/o with metromenorrhagia, abnormal uterus, what is the definitive treatment?

A

Hysterectomy

225
Q

Picture of a splinter hemorrhages is shown and, stem describing endocarditis, what is another physical exam finding?

A

Heart murmur

226
Q

Man with HIV comes in with diarrhea, how do you determine the organism?

A

Ova and parasite stool test

227
Q

Alcoholic with pneumonia and yellow sputum has gram negative rods, likely diagnosis?

A

Klebsiella

228
Q

Red, swollen knee with negative birefringent crystals, likely dx?

A

Gout

229
Q

Pt with diarrhea after medications use, what is the diagnosis?

A

Pseudomembranous colitis

230
Q

Symptoms of arterial insufficiency?

A

Leg pain while walking that is relieved by rest

231
Q

Hepatic encephalopathy diet restrictions?

A

No proteins

232
Q

Bradycardia tx?

A

Atropine, if ineffective then transcutaneous pacing

233
Q

What is a sign of chronic pancreatitis?

A

Pancreatic calcifications

234
Q

Infectious diarrhea tx?

A

Azithromycin or Cipro

235
Q

Von Willebrand factor tx

A

Desmopressin

236
Q

Pt is an unstable patient who needs medication to reduce his dislocation, what is the safest option?

A

Ketamine

237
Q

Best diagnostic study for an aortic dissection?

A

CT scan

238
Q

RBBB treatment?

A

Usually none is needed but if needed pacemaker.

239
Q

SIADH causes hyponatremia what symptom findings do you see?

A

Disorientation

240
Q

25 yo 3 days of sob with exertion, no history of lung disease, denies meds, travel, vital tachy no fever everything else normal but peak flow is 70% what physical exam symptom

A

Prolonged expiration

241
Q

ESRD with third fracture this year, what are you suspicious of?

A

Multiple Myloma

242
Q

Why are ACE-inhibitors used for patients with CHF?

A

Suppresses sympathetic nervous system

243
Q

Imaging used to observe for Osteoprosis?

A

dual-energy x-ray absorption (DEXA)

244
Q

What type of foot fracture is seen in a pt that occurs in the middle of the foot, affecting ligaments and metatarsals?

A

Lisfranc fracture

245
Q

Pt with a productive cough, SOB, chills fever 103.7, increase resp effort no retractions decreased breath sounds on right side, likely diagnosis?

A

Lobar consolidation

246
Q

Pt with hx of bipolar, ran out of med, hearing voices to harm himself, what do you do?

A

Mood stabilizing medication and admit

247
Q

What is the best initial test for an AAA?

A

Abdominal US

248
Q

What is the Meniere’s disease triad?

A

Episodic vertigo, tinnitus, and hearing loss

249
Q

Patient has chest pain and gets aggravated when leaning forward, what will you see on EKG?

A

S1Q3T3 (sign of PE)

250
Q

Patient had radial head fx, which nerve would be affected?

A

Ulnar nerve

251
Q

Pt with IVDA what is the likely causative organism for endocarditis?

A

S. aureus

252
Q

Woman with abd pain, shows snowstorm on pelvic US, positive BHCG, likely diagnosis?

A

Hydatidiform mole

253
Q

Lateral ankle sprain, what will be affected?

A

Anterior talofibular ligament

254
Q

What physical exam is heard with pneumonia?

A

Egophony (“Ee” is heard as “ay”)

255
Q

Contraindication for TPA?

A

Intracranial hemorrhage

April EOR Exams (3 decks)

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