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Step 2 CK_Rapid Review > Emergency Medicine_Selected Topics_RR > Flashcards

Emergency Medicine_Selected Topics_RR Flashcards

1
Q

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

A

Antipsychotic (neuroleptic malignant syndrome)

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2
Q

Side effects of corticosteroids

A

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

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3
Q

Treatment for delirium tremens

A

Benzodiazepines

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4
Q

Treatment for acetaminophen overdose

A

N-acetylcysteine

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5
Q

Treatment for opioid overdose

A

Naloxone

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6
Q

Treatment for benzodiazepine overdose

A

Flumazenil

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7
Q

Treatment for neuroleptic malignant syndrome and malignant hyperthermia

A

Dantrolene

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8
Q

Treatment for malignant hypertension

A

Nitroprusside

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9
Q

Treatment for atrial fibrillation

A

Rate control, rhythm conversion, and anticoagulation

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10
Q

Treatment of supraventricular tachycardia

A

If stable: rate control with carotid massage or other vagal stimulation;
If unsuccessful, consider amiodarone

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11
Q

Causes of drug-induced SLE.

A

Isoniazid, pencillamine, hydralazine, procainamide, chlorpromazine, methyldopa, quinidine

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12
Q

Macrocytic, megaloblastic anemia with neurologic symptoms

A

B12 deficiency

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13
Q

Macrocytic, megaloblastic anemia without neurologic symptoms

A

Folate deficiency

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14
Q

A burn patient presents with cherry-red, flushed skin and coma. SaO2 is normal, but carboxyhemoglobin is elevated. Treatment?

A

Treat CO poisoning with 100% O2 or with hyperbaric O2 if poisoning is severe or the patient is pregnant.

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15
Q

Blood in the urethral meatus or high-riding prostate.

A

Bladder rupture or urethral injury

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16
Q

Test to rule out urethral injury

A

Retrograde cystourethrogram

17
Q

Radiographic evidence of aortic disruption or dissection

A

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

18
Q

Radiographic indications for surgery in patients with acute abdomen

A

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

19
Q

The most common organism in burn-related infections

A

Pseudomonas

20
Q

Method of calculating fluid repletion in burn patients

A

Parkland formula:

24-hour fluids = 4 x kg x % body surface area

21
Q

Acceptable urine output in a trauma patient

A

50 cc/hr

22
Q

Acceptable urine output in a stable patient

A

30 cc/hr

23
Q

Signs of neurogenic shock

A

Hypotension and bradycardia

24
Q

Signs of increased intracranial pressure (Cushing’s triad)

A

Hypertension, bradycardia, and abnormal respirations

25
Q

Decreased CO and PCWP

Increased peripheral vascular resistance (PVR)

A

Hypovolemic shock

26
Q

Decreased CO

Increased PCWP and PVR

A

Cardiogenic (or obstructive) shock

27
Q

Increased CO

Decreased PCWP and PVR

A

Septic or anaphylactic shock

28
Q

Treatment of septic shock

A

Fluids and antibiotics

29
Q

Treatment of cardiogenic shock

A

Identify cause; pressors (eg, dopamine)

30
Q

Treatment of hypovolemic shock

A

Identify cause; fluid and blood repletion

31
Q

Treatment of anaphylactic shock

A

Diphenhydramine or epinephrine 1:1000

32
Q

Supportive treatment for ARDS.

A

Continuous positive airway pressure (CPAP)

33
Q

Signs of air embolism

A

A patient with chest trauma who was previously stable suddenly dies

34
Q

Signs of cardiac tamponade

A

Distended neck veins, hypotension, diminished heart sounds (Beck’s triad); pulsus paradoxus

35
Q

Absent breath sounds, dullness to percussion, shock, flat neck veins

A

Massive hemothorax

36
Q

Absent breath sounds, tracheal deviation, distended neck veins

A

Tension pneumothorax

37
Q

Treatment for blunt or penetrating abdominal trauma in hemodynamically unstable patients

A

Immediate exploratory laparotomy

38
Q

Increased intracranial pressure in alcoholics or the elderly following head trauma. Can be acute or chronic; crescent shape on CT

A

Subdural hematoma

39
Q

Head trauma with immediate loss of consciousness followed by a lucid interval and then rapid deterioration. Convex shape on CT

A

Epidural hematoma

Step 2 CK_Rapid Review (25 decks)

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