Environmental/Travel Disorders

Question 1

Bite, small papule at site of bite, painful skin ulcer with erythema and a necrotic halo. What kind of bite?

Answer 1

Brown recluse

Question 2

Bite, muscle pain/cramping, abdominal rigidity, nausea, vomiting, tachycardia. What kind of bite?

Answer 2

Black widow

Question 3

How do you treat a spider bite?

Answer 3

supportive care and pain management

Question 4

Common bacteria in burn wounds:

Answer 4

MRSA, Pseudomonas, Klebsiella, Candida

Question 5

What is the rue of 9’s?

Answer 5

Head = 9%
Arms = 9% each
Trunk = 4 quadrants, 9% each
Thighs = 9% each
Leg/foot = 9% each
Genitals = 1%

Question 6

Parkland Formula

Answer 6

4mL * %burned * weight (kg) = amount of LR in 24 hours

Half of this amount should be given in the 1st 8 hours

Question 7

metabolic phenomenon that can occur in patients with moderatee to severe burn injuries and is charachterized by an initial hypometabolic phase followed by a hypermetabolic state

Answer 7

post burn hypermetabolism

Question 8

bite, coagulopathy, thrombocytopenia, altered mental status, seizures. What type of bite?

Answer 8

rattlesnake bite

Question 9

bite, painless, nausea/vomiting, descending paralysis, respiratory depression. What type of bite?

Answer 9

Coral Snake