FARR Emergency Medicine

Question 1

Class of drugs that may cause syndrome of muscle rigidity, hyperthermia, autonomic instability, and extrapyramidal symptoms.

Answer 1

Antipsychotics (neuroleptic malignant syndrome).

Question 2

Side effects of corticosteroids.

Answer 2

Acute mania, immunosuppression, thin skin, osteoporosis, easy bruising, myopathies.

Question 3

Treatment for DTs.(Delirium tremens)

Answer 3

Benzodiazepines.

Question 4

Treatment for acetaminophen overdose.

Answer 4

N-acetylcysteine.

Question 5

Treatment for opioid overdose.

Answer 5

Naloxone.

Question 6

Treatment for benzodiazepine overdose.

Answer 6

Flumazenil.

Question 7

Treatment for neuroleptic malignant syndrome and malignant hyperthermia.

Answer 7

Dantrolene.

Question 8

Treatment for malignant hypertension.

Answer 8

Nitroprusside.

Question 9

Treatment of atrial fibrillation.

Answer 9

Rate control, rhythm conversion, and anticoagulation.

Question 10

Treatment of supraventricular tachycardia.

Answer 10

If stable, rate control with carotid massage or other vagal stimulation; if unsuccessful, consider adenosine.

Question 11

Causes of drug-induced SLE.

Answer 11

INH, penicillamine, hydralazine, procainamide, chlorpromazine, methyldopa, quinidine.

Question 12

Macrocytic, megaloblastic anemia with neurologic symptoms.

Answer 12

B12 deficiency.

Question 13

Macrocytic, megaloblastic anemia without neurologic symptoms.

Answer 13

Folate deficiency.

Question 14

A burn patient presents with cherry-red flushed skin and coma. SaO2 is normal, but carboxyhemoglobin is elevated. Treatment?

Answer 14

Treat CO poisoning with 100% O2 or with hyperbaric O2 if poisoning is severe or the patient is pregnant.

Question 15

Blood in the urethral meatus or high-riding prostate.

Answer 15

Bladder rupture or urethral injury.

Question 16

Test to rule out urethral injury.

Answer 16

Retrograde cystourethrogram.

Question 17

Radiographic evidence of aortic disruption or dissection.

Answer 17

Widened mediastinum (> 8 cm), loss of aortic knob, pleural cap, tracheal deviation to the right, depression of left main stem bronchus.

Question 18

Radiographic indications for surgery in patients with acute abdomen.

Answer 18

Free air under the diaphragm, extravasation of contrast, severe bowel distention, space-occupying lesion (CT), mesenteric occlusion (angiography).

Question 19

The most common organism in burn-related infections.

Answer 19

Pseudomonas.

Question 20

Method of calculating fluid repletion in burn patients.

Answer 20

Parkland formula.

Question 21

Acceptable urine output in a trauma patient.

Answer 21

50 cc/hr.

Question 22

Acceptable urine output in a stable patient.

Answer 22

30 cc/hr.

Question 23

Cannon “a” waves.

Answer 23

Third-degree heart block.

Question 24

Signs of neurogenic shock.

Answer 24

Hypotension and bradycardia.

Question 25

Signs of ↑ ICP (Cushing’s triad).

Answer 25

Hypertension, bradycardia, and abnormal respirations.

Question 26

↓ CO, ↓ pulmonary capillary wedge pressure (PCWP), ↑ peripheral vascular resistance (PVR).

Answer 26

Hypovolemic shock.

Question 27

↓ CO, ↑ PCWP, ↑ PVR.

Answer 27

Cardiogenic (or obstructive) shock.

Question 28

↑ CO, ↓ PCWP, ↓ PVR.

Answer 28

Septic or anaphylactic shock.

Question 29

Treatment of septic shock.

Answer 29

Fluids and antibiotics.

Question 30

Treatment of cardiogenic shock.

Answer 30

Identify cause; pressors (e.g., dopamine).

Question 31

Treatment of hypovolemic shock.

Answer 31

Identify cause; fluid and blood repletion.

Question 32

Treatment of anaphylactic shock.

Answer 32

Diphenhydramine or epinephrine 1:1000.

Question 33

Supportive treatment for ARDS.

Answer 33

Continuous positive airway pressure.

Question 34

Signs of air embolism.

Answer 34

A patient with chest trauma who was previously stable suddenly dies.

Question 35

Trauma series.

Answer 35

AP chest, AP/lateral C-spine, AP pelvis