ER-Jamie's

Question 1

localize dz by finding ?

Answer 1

max area of tenderness

Question 2

boardlike abdomen

Answer 2

perforated viscous

Question 3

special instructions for inhaled steriods

Answer 3

use spacer, rinse mouth after (s/e = thrush)

Question 4

1 bacteria in bronchitis, esp over 55

Answer 4

H flu

Question 5

MCC of secondary PTX

Answer 5

rupture of bleb

Question 6

MC sx of PTX

Answer 6

CP

Question 7

absent breath sounds/hyperresonant percussion- ? sign

Answer 7

Laennec

Question 8

PE: #1 Sx and sign?

Answer 8

dyspnea, tachypnea

Question 9

strongest RF for recurrence of PE

Answer 9

Hx of DVT/PE

Question 10

alveolar arterial gradient should be ? in young and ? in eldery

Answer 10

<20

Question 11

most imp dx modality in ER

Answer 11

VQ perfusion scan

Question 12

most reliable test for PE

Answer 12

pulm angiography (+ = 100%)

Question 13

MC bladder rupture? result of ? 2

Answer 13

extraperitoneal; shearing, pelvic Fx

Question 14

? may be only presenting sx in malignant htn

Answer 14

olguria

Question 15

positive mirror test in V1-3, expect?

Answer 15

acute posterior MI

Question 16

? can cause stricture or SCC

Answer 16

caustics/corrosives

Question 17

lithium hemodialysis if levels ? or ?

Answer 17

> 4 or >2 & Sx

Question 18

responsible for aging

Answer 18

UV-A

Question 19

hallmark of acute mtn sickness

Answer 19

fluid retention

Question 20

5 tissue layers of head?

Answer 20

SCALP: Skin, subCutaneous, Aponeurosis, Loose aerolar tissue, Pericranium

Question 21

hypoxia, hypotension, and intoxication can falsely ?

Answer 21

lower the GCS scale

Question 22

admit if moderate head trauma?

Answer 22

yes- ALL

Question 23

duration of amnesia for severe head injury?

Answer 23

1-7 days

Question 24

if volume of 1 compartment increases, another’s volume must decrease

Answer 24

Monroe-Kelley Doctrine

Question 25

hernia: lateral midline fossa or temporal lobe lesion? can lead to?

Answer 25

uncal (MC), ipsilateral pupil change, contralateral motor weakness

Question 26

DAI- MCC

Answer 26

deceleration trauma

Question 27

homogeneous appearance on CT, caused be shearing, tensile forces?

Answer 27

ICH

Question 28

hemotympanum, CSF otorrhea- signs of ?

Answer 28

basilar skull Fx

Question 29

mandatory ? exam on all pts w/ facial trauma

Answer 29

fundoscopic

Question 30

MC symptom of orbital fx?

? sign?

Answer 30

vertical diplopia

hanging drop sign

Question 31

trismus and diplopia are two serious sx of ?

Answer 31

zygomatic fx

Question 32

if damaged from frontal head injury, evaluate ? and assume ? and admit

Answer 32

posterior wall, dural tear

Question 33

SCI: secondary injury often from ? reactions

Answer 33

free-radical induced lipid peroxidation

Question 34

spinal shock sx- ? followed by ?

Answer 34

htn followed by hypotension

Question 35

two major risk factors for septic shock?

Answer 35

diabetes, nasal packing

Question 36

adrenal shock = sepsis - ?

Answer 36

infection aka NO INFECTION