ERdeck2

Question 1

at what hcg, is a gestational sac present?

Answer 1

typically 1500

Question 2

Most common cause of acute nausea and vomiting?

Answer 2

viral gastroenteritis.

Question 3

most common organism causing diarrhea

Answer 3

enterotoxigenic Escherichia coli (ETEC)

Question 4

tx of travelers diarrhea?

Answer 4

loperamide, BRAT and fluids

Question 5

how do you treat Crohn’s exacerbations?

Answer 5

Steroids. Possibly antibiotics if infectious

Question 6

Does ulcerative colitis typically present with bloody diarrhea?

Answer 6

Yes

Question 7

An ill appearing patient has a distended tender and Tympanic abdomen

Answer 7

Toxic megacolon

Question 8

How do you treat a hypokalemic patient with EKG changes?

Answer 8

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

Question 9

How do you treat a hypokalemic patient without EKG changes?

Answer 9

10 IV insulin and 10 of IV dextrose

Question 10

At what hemoglobin would you transfuse?

Answer 10

Nine

Question 11

What is the most common cause of pancreatitis?

Answer 11

ETOH

Question 12

How do you treat pancreatitis?

Answer 12

if mild - supportive

Otherwise IVF, NPO

Question 13

What is Ranson’s criteria for?

Answer 13

It can assess for pancreatitis severity

Question 14

What is the treatment for cholangitis?

Answer 14

Broad-spectrum antibiotics!! Volume replacement and emergent consult

Question 15

What is the first line therapy for symptomatic gallstones?

Answer 15

Laparoscopic cholecystectomy

Question 16

When is ERCP used?

Answer 16

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

Question 17

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

Answer 17

Elevated ammonia levels secondary to chronic hepatitis. lactulose.

Question 18

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

Answer 18

Spontaneous bacterial peritonitis

Question 19

what is the mcc of SBO?

Answer 19

adhesions

Question 20

What is the MCC of LBO?

Answer 20

malignancy

Question 21

Which hernia: impairment of blood flow and exquisite pain.

Answer 21

strangulated

Question 22

What imaging do you need for an anorectal abscess?

Answer 22

CT or ultra sound can differentiate it deeper or complicated

Question 23

clue cells/ fishy odor

Answer 23

BV

Question 24

frothy, malodorous discharge

Answer 24

trich

Question 25

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

Answer 25

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.

Question 26

MCC of rhabdo

Answer 26

alcohol and drugs followed by meds(statin)

Question 27

pt presents with dark brown urine.

Answer 27

rhabdo. check CK. Give IVF

Question 28

mcc of hematuria?

Answer 28

infections, nephrolithiasis and neoplasms

Question 29

mcc of urinary retention?

Answer 29

BPH

Question 30

What is Fournier's gangrene?

Answer 30

necrotizing infection/gangrene usually of perineum

Question 31

absent cremaster reflex?

Answer 31

testicular torsion. also negative prehns sign

Question 32

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

Answer 32

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

Question 33

which is painful? preseptal or orbital cellulitis?

Answer 33

orbital cellulitis!!

Question 34

preauricular adenopathy with conjunctivitis?

Answer 34

viral

Question 35

flair cells in anterior chamber?

Answer 35

iritis

Question 36

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

Answer 36

corneal abrasion

Question 37

tear drop pupil?

Answer 37

globe rupture

Question 38

steamy cornea?

Answer 38

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

Question 39

Tx for mastoiditis?

Answer 39

vanco or nafcillin

Question 40

hot potato voice

Answer 40

peritonsillar abcess

Question 41

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

Answer 41

should include Pseudomonas coverage.

Question 42

What is important about Cyanoacrylate Tissue Adhesives

Answer 42

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

Question 43

When should intraoral lacerations be sutured?

Answer 43

if they're more than 2 cm

Question 44

Is flexor tendon laceration urgent?

Answer 44

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

Question 45

Name some thing that are not visible on film?

Answer 45

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

Question 46

Name some thing that are visible on film?

Answer 46

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

Question 47

When do myoglobin rise? CK-MB? troponin?

Answer 47

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

Question 48

What is contraindicated in cocaine associated chest pain?

Answer 48

beta blockers

Question 49

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

Answer 49

Dressler's syndrome

Question 50

MCC of acute right sided heart failure?

Answer 50

PE

Question 51

Most common valve in IVDA?

Answer 51

tricuspid by staph

Question 52

endocarditis tx?

Answer 52

pen g or ceftriaxone +- vanco if MRSA suspected

Question 53

tachycardia out of proportion to temperature?

Answer 53

myocarditis

Question 54

Becks Triad

Answer 54

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

Question 55

“gold standard” for PE diagnosis?

Answer 55

pulmonary angiography

Question 56

papilledema

Answer 56

malignant HTN

Question 57

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

Answer 57

mesentaric ischemia

Question 58

Virchow's Triad

Answer 58

Thrombosis is thought to be caused by Virchow's Triad which is 1) stasis of blood flow 2) endothelial injury 3) hypercoagulability

Question 59

Tx for Pts. with acute DVT without PE

Answer 59

can be outpatient with Lovenox bridging with a Coumadin

Question 60

T/F Corticosteroids and loop diuretics are commonly used | for SVC syndrome

Answer 60

True

Question 61

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

Answer 61

neuro or psychogenic

Question 62

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

Answer 62

cardiogenic

Question 63

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

Answer 63

temporal arteritis

Question 64

MCC of A fib

Answer 64

HTN, valve disease

Question 65

CHADS2 of what score get anticoag?

Answer 65

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

Question 66

Wide tachy QRS

Answer 66

VT