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J's ClinMed Deck > ERdeck2 > Flashcards

ERdeck2 Flashcards

1
Q

at what hcg, is a gestational sac present?

A

typically 1500

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2
Q

Most common cause of acute nausea and vomiting?

A

viral gastroenteritis.

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3
Q

most common organism causing diarrhea

A

enterotoxigenic Escherichia coli (ETEC)

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4
Q

tx of travelers diarrhea?

A

loperamide, BRAT and fluids

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5
Q

how do you treat Crohn’s exacerbations?

A

Steroids. Possibly antibiotics if infectious

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6
Q

Does ulcerative colitis typically present with bloody diarrhea?

A

Yes

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7
Q

An ill appearing patient has a distended tender and Tympanic abdomen

A

Toxic megacolon

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8
Q

How do you treat a hypokalemic patient with EKG changes?

A

An ampule of calcium gluconate, 10 IV regular insulin and iv dextrose

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9
Q

How do you treat a hypokalemic patient without EKG changes?

A

10 IV insulin and 10 of IV dextrose

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10
Q

At what hemoglobin would you transfuse?

A

Nine

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11
Q

What is the most common cause of pancreatitis?

A

ETOH

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12
Q

How do you treat pancreatitis?

A

if mild - supportive

Otherwise IVF, NPO

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13
Q

What is Ranson’s criteria for?

A

It can assess for pancreatitis severity

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14
Q

What is the treatment for cholangitis?

A

Broad-spectrum antibiotics!! Volume replacement and emergent consult

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15
Q

What is the first line therapy for symptomatic gallstones?

A

Laparoscopic cholecystectomy

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16
Q

When is ERCP used?

A

For patients with common bile duct stones or dilated common bile ducts

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17
Q

What is the cause of hepatic encephalopathy? What is the treatment?

A

Elevated ammonia levels secondary to chronic hepatitis. lactulose.

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18
Q

If you’re working up a patient with known liver disease with ascites And they have abdominal pain and fever what should you consider

A

Spontaneous bacterial peritonitis

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19
Q

what is the mcc of SBO?

A

adhesions

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20
Q

What is the MCC of LBO?

A

malignancy

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21
Q

Which hernia: impairment of blood flow and exquisite pain.

A

strangulated

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22
Q

What imaging do you need for an anorectal abscess?

A

CT or ultra sound can differentiate it deeper or complicated

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23
Q

clue cells/ fishy odor

A

BV

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24
Q

frothy, malodorous discharge

A

trich

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25
Q

Before giving IV contrast, why are you looking at BUN:creatinine ratio

A

if greater than 1.2, it can cause ARF. Radiocontrast-induced nephropathy is a common cause of in-hospital ARF and can be provoked by imaging with an IV contrast agent in the ED.

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26
Q

MCC of rhabdo

A

alcohol and drugs followed by meds(statin)

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27
Q

pt presents with dark brown urine.

A

rhabdo. check CK. Give IVF

28
Q

mcc of hematuria?

A

infections, nephrolithiasis and neoplasms

29
Q

mcc of urinary retention?

A

BPH

30
Q

What is Fournier’s gangrene?

A

necrotizing infection/gangrene usually of perineum

31
Q

absent cremaster reflex?

A

testicular torsion. also negative prehns sign

32
Q

Is preseptal cellulitis painful or non eye movements? and what are visual acuities like?

A

painless ocular movements, good visual acuity. typically from URI. tx PO augmentin

33
Q

which is painful? preseptal or orbital cellulitis?

A

orbital cellulitis!!

34
Q

preauricular adenopathy with conjunctivitis?

A

viral

35
Q

flair cells in anterior chamber?

A

iritis

36
Q

What condition should you Never give topical anesthetics to pt because it delays healing

A

corneal abrasion

37
Q

tear drop pupil?

A

globe rupture

38
Q

steamy cornea?

A

acute angle closure glaucoma. pressure 60-80 (normal 10-20)

39
Q

Tx for mastoiditis?

A

vanco or nafcillin

40
Q

hot potato voice

A

peritonsillar abcess

41
Q

Wounds contaminated by fresh water and plantar puncture wounds through athletic shoes

A

should include Pseudomonas coverage.

42
Q

What is important about Cyanoacrylate Tissue Adhesives

A

The adhesive should cover the entire wound and extend 5 to 10 mm on either side of the wound edges.

43
Q

When should intraoral lacerations be sutured?

A

if they’re more than 2 cm

44
Q

Is flexor tendon laceration urgent?

A

Urgent repair is important, as postinjury scarring and tendon retraction make flexor tendon repairs more difficult after 10 to 14 days.

45
Q

Name some thing that are not visible on film?

A

Many common or highly reactive materials, such as wood, thorns, cactus spines, some fish bones, other organic matter, and most plastics

46
Q

Name some thing that are visible on film?

A

Metal, mammalian bone, some types of fish bones (cod, haddock, grey mullet, red snapper, and sole), teeth, pencil graphite, certain plastics, glass, gravel, sand, and aluminum

47
Q

When do myoglobin rise? CK-MB? troponin?

A

myoglobin - 1-2 h
CK-MB - 3-4 h
troponin - 3-6 h

48
Q

What is contraindicated in cocaine associated chest pain?

A

beta blockers

49
Q

from 1 to 6 weeks after myocardial infarction and consists of fever, pleuropericardial pain, malaise, and evidence of pleural and pericardial effusions.

A

Dressler’s syndrome

50
Q

MCC of acute right sided heart failure?

A

PE

51
Q

Most common valve in IVDA?

A

tricuspid by staph

52
Q

endocarditis tx?

A

pen g or ceftriaxone +- vanco if MRSA suspected

53
Q

tachycardia out of proportion to temperature?

A

myocarditis

54
Q

Becks Triad

A

Cardiac tamponade….hypotension, Kussmals sign (JVD with inspiration), and Pulsus paradoxis (drop in pulse with inspiration)

55
Q

“gold standard” for PE diagnosis?

A

pulmonary angiography

56
Q

papilledema

A

malignant HTN

57
Q

acute severe abdominal pain 30-60 min after eating, N/V/D may be present and this may all precede a presyncopal or syncopal episode, usually comes after a hypotensive episode

A

mesentaric ischemia

58
Q

Virchow’s Triad

A

Thrombosis is thought to be caused by Virchow’s Triad which is

1) stasis of blood flow
2) endothelial injury
3) hypercoagulability

59
Q

Tx for Pts. with acute DVT without PE

A

can be outpatient with Lovenox bridging with a Coumadin

60
Q

T/F Corticosteroids and loop diuretics are commonly used

for SVC syndrome

A

True

61
Q

pt has prodrome before syncope, what is the likely cause?

A

neuro or psychogenic

62
Q

pt has no prodrome before syncope, what is the likely cause?

A

cardiogenic

63
Q

women over 50, ESR over 50, unilateral sharp stabbing pain and temporal

A

temporal arteritis

64
Q

MCC of A fib

A

HTN, valve disease

65
Q

CHADS2 of what score get anticoag?

A

2 or greater. if 1 ASA or anticoag based on clinical judgement.

66
Q

Wide tachy QRS

A

VT

J's ClinMed Deck (12 decks)

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