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Step 2 CK > ER > Flashcards

ER Flashcards

1
Q

parkland burn formula and what used for?

A

how miuch fluids to give to burn patient

4ml x body mass kg x % BSA

  1. 5 first 8 hours
  2. 5 next 16 hours
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2
Q

concerns with electrical burn

A

cardiac dysrhythmias, neurological problems, compartment syndrome, myoglobinuria, rhabdo, renal failure, acidosis

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3
Q

pulmonary pathology in patieht who had salt water drowning

A

pulmonary edema

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4
Q

EKG abnl in hypthermia patient

A

j wave

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5
Q

cocaine overdose HTN and tachycardia tx

A

alpha blocker, benzos

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6
Q

antidote of aspirin

A

sodium bicarb

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7
Q

antidote of acetaminophen

A

NAC

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8
Q

antidote of opiods

A

naloxone/naltrexone

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9
Q

antidote of benzos

A

flumazenil

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10
Q

antidote of TCA

A

sodium bicarb

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11
Q

antidote of atropine

A

physostigmine

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12
Q

antidote of propranolol

A

atropine, glucagon, Ca, insulin/glucose

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13
Q

antidote of dig

A

dig abd fragments

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14
Q

antidote of cyanide

A

sodium thiosulfate, nitrates, hydroxycobalamine

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15
Q

antidote of methemoglobin

A

methylene blue

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16
Q

antidote of methanol

A

fomepizol

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17
Q

antidote of isoniazid

A

vit B6

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18
Q

antidote of heparin

A

protamine sulfate

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19
Q

antidote of lead poisoning adults and children

A

adults - succimer

children: mod - succimer
severe - dimercaprol, CaNa2EDTA

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20
Q

antidote of arsenic

A

dimercaprol, succimer, penicillamine

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21
Q

antidote of organophosphates

A

atropine, pralidoxime

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22
Q

antidote of CO

A

100% O2

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23
Q

antidote of Copper

A

penicillamine

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24
Q

antidote of iron

A

deferoxamine

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25
Q

antidote of mercury

A

dimercaprol

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26
Q

antidote of tPA

A

aminocaprioc acid

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27
Q

overdose causing metabolic acidosis and retinal damage leading to blindness

A

methanol/ethylene glycol

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28
Q

presentation of aspirin overdose

A

tinnitus

resp alk –> mixed resp alk and met acidosis with incr anion gap

29
Q

tx for an MI due to cocaine overdose

A

benzo, CCB

30
Q

vasopressor used in high doses optimize the alpha1 vasoconstriction

31
Q

vasopressor used ADH analog

A

vasopressin

32
Q

vasopressor used best choice for anaphylactic shock

33
Q

vasopressor used best choice for septic shock

34
Q

vasopressor used best choice for cardiogenic shock

A

dobutamine

35
Q

vasopressor used cause vasoconstriction but with brady

A

phenylephrine

36
Q

side effects from theophylline overdose

A

seizure, increased temp, decreased BP, tachyarrhythmias

37
Q

next step with pelvic fracture and DPL shows blood in pelvis

A

emergent lap

38
Q

next step with pelvic fx and DPL shows urine in pelvis

A

urgent lap

39
Q

next step with pelvic fx and DPL shows nothing and hemodynamic instability

A

angio + embolization

40
Q

EKG finding associated with hypothermia

41
Q

hepatic disease lab findings preop

A

increased bili, decreased alb, increased PT/PTT, decreased platelets

42
Q

measures of how severe hypotension is in shock

A

urine output, mental status

43
Q

ER patient with blood in urethral meatus or high riding prostate makes you suspect…

A

urethral trauma or bladder rupture

44
Q

rejection treatable with immunosuppressive, mechanism of rejection, time frame

A

acute

antidonor T cell proliferation in recipient

6d - 1 year

45
Q

SE of cyclosporine

A

nephrotoxic

46
Q

SE of azathiprine

A

bone marrow suppression, leukopenia

47
Q

SE of tacrolimus

A

nephrotoxic

48
Q

SE of corticosteroids

A

cushingoid, osteoporosis, DM

49
Q

SE of murmonab

A

leukopenia

50
Q

SE of rapamycin

A

thrombocytopenia, hyperlipidemia

51
Q

SE of mycophenalate

A

leukopenia, lymphoma, teratogenic

52
Q

SE of antithymocyte globulin

A

deplete T cells

53
Q

SE of hydroxychloroquine

A

visual disturbance

54
Q

SE of thalidomide

A

phocomelia

55
Q

H causes of PEA

A

hypothermia, H+, hypoxemia, hyper/hypo K, hypoglycemia, hypovolemia

56
Q

T causes of PEA

A

trauma, tension pneumo, tamponade, toxins, thrombosis MI, thrombosis PE

57
Q

time frame to stop warfarin prior to surgery

58
Q

acceptable urine output in trauma patient

A

50 cc/hour

59
Q

acceptable urine output in normal patient

A

30 cc/hour

60
Q

radiographic study used to diagnose injury to urethra

A

retrograde cystourethrogram

61
Q

signs of basilar skull fracture

A

raccoon eyes

battle sign

blood behind TM

CSF from nose/ears

62
Q

initial treatment for a child presenting with acute asthma attack

A

beta2 agonist

IV steroids

63
Q

patient with Type 2 DM needs CT scan with IV contrast, what medication should be temporarily held?

64
Q

patient who recently received a bone marrow transplant develops a rash, nausea, vomiting, bleeding from gums after brushing teeth. What should be suspected in this patient?

A

graft vs host disease

65
Q

anatomic locations are options for immediate needle decompression of a tension pneumothorax?

A

2nd or 3rd space in mid clavicular line

4th or 5th space in mid axillary line

66
Q

treatment for febrile seizures?

A

supportive, acetaminophen, NSAID

67
Q

LUQ pain and referred left shoulder pain, signs and disease

A

kehr’s sign

splenic rupture

68
Q

Ecchymosis of the skin overlying the periumbilical area, signs and disease

A

cullen sign

pancreatitis

69
Q

Beck’s triad?

A

hypotension
distant heart sounds
distended neck veins

sign of cardiac tamponade

Step 2 CK (16 decks)

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