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Spring ER > Final Reviewish > Flashcards

Final Reviewish Flashcards

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1
Q

What kind of axis deviation is expected in prego

A

LAD

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2
Q

quickening expected at

A

16-20wks

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3
Q

fetal heart motion seen

A

6wks on transvaginal US

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4
Q

vaginal bleeding and cervical os is open

A

inevitable miscarriage

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5
Q

failure to see fetal heart activity in a fetus at least 5mm crown-rump length

A

First or second trimester death

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6
Q

what reflex is lost if magnesium sulfate is too high?

A

Patellar reflex lost at 8-12. Want 5-8mg/dl

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7
Q

Treatment for third trimester pregnant lady with jaundice and nocturnal pruritis

A

Cholestyramine, low cholesterol/fat diet

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8
Q

Leading cause fo fetal mortality

A

thromboembolic events

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9
Q

Tx uti or asym bacteruria in pregnant

A

Macrobid, Cephalexin, (Bactrim in first 2 trimesters)

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10
Q

Tx acute pylenophritis in pregnant

A

Amp + Gentamycin of Cefotan +Gentamycin

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11
Q

groove sign

A

lymphogranulma venereum

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12
Q

tx lymphogranulma venereum

A

Doxy or Erthromycin

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13
Q

tx chancroid

A

Azithro, Cef, or Erythromycin

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14
Q

tx trichomoniasis

A

metronidazole

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15
Q

what coagulopathies are assoc with vaginal bleeding

A

Leukemia, TTP, vWF dis, Aplastic anemia

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16
Q

velamentous insertion of the umbilical cord into the lower uterine segment

A

vasa previa

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17
Q

Sudden onset of severe unilat lower abd pain, out or proportion. Usually right side

A

Adnexal Torsion, dx with US doppler, tx sx

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18
Q

Tx of PID

A

IV: Cefoxitin + doxy OR Clindamycin +Gent

PO Cef + doxy +/- metronidazole

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19
Q

crescent shape hematoma that cross suture lines

A

subdural hematoma

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20
Q

biconvex hematoma

A

epidural hematoma

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21
Q

with epidural hematoma suspect

A

fx of temporal bone- middle meningeal artery location

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22
Q

axial load => lateral masses of C1 move laterally apart ? seen on open mouth odontoid view

A

Jefferson fx

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23
Q

unilat facet dislocation

A

displaced <50% width

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24
Q

bilat facet dislocation

A

body displaced>50% width

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25
Q

bradycardia with warm dry skin

A

neurogenic shock= spinal trauma, tx IVF

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26
Q

if penetrating spinal injury do not use

A

steroids

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27
Q

mc injured organ in blunt trauma of abd

A

spleen

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28
Q

gold standard for eval of blunt trauma to abdomen

A

CT Iv contrast and sometimes oral

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29
Q

gold standard for GSW abdomen

A

laparotomy

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30
Q

gold standard to dx bladder rupture

A

retrograde cystogram

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31
Q

adult parkland formula

A

LR 4ml x kgx BSA burned over 24hrs

half over first 8hr

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32
Q

ABI 0.5-0.9

A

injury to single arterial segment

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33
Q

ABI <0.5

A

severe arterial injury or multiple arterial segments

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34
Q

wrist extension nerve

A

radial C5-C8

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35
Q

wrist flexion, thumb abduction

A

median C6-T

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36
Q

finger abduction

A

ulnar c7-T1

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37
Q

what kind of hand tendon injuries MAY be repaired in ED

A

extensor

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38
Q

detachment of extensor tendon from distal phalynx. DIP pain, cannot fully extend

A

mallet finger

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39
Q

extension of MCP and DIP joints

A

boutoniiere deformity

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40
Q

disruption of ulnar collateral ligament of thumb MCP. Weak pincer function, point tenderness at ligament

A

Gamekeeper’s thumb

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41
Q

thumb metacarpal intraarticular fracture with subluxation or dislocation at CMC

A

Bennet fx

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42
Q

MC injured wrist ligament

A

schapolunate ligament

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43
Q

mc carpal dislocation

A

lunate dislocation

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44
Q

tx schaphoid fx

A

short arm thumb spica splint

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45
Q

distal radius fracture with dorsal displacement

A

colles fx

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46
Q

fracture of proximal third of ulna with radial head dislocation at the elbow
dx and tx

A

Monteggia ORIF

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47
Q

compression fracture of humeral head

A

Hill-Sachs lesion

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48
Q

gold standard to w/o pelvic injury /fx

A

CT

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49
Q

if unstable with pelvic fx and no ther sources of bleeding

A

angiography

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50
Q

xray knee if

A 
age>55
tenderness at head of fibula
isolated tenderness of patella
inability to flex 90 deg
inability to transfer wt 4 steps immed or in ED
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51
Q

what test is used to asses achilles tendon rupture?

A

Thompson test

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52
Q

What compartment pressures are thought to be toxic?

A

> 30-50

look at diff between DBP and tissue P

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53
Q

Afib drug to control rate

A

diltiazem

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54
Q

PSVT drug

A

adenosine

55
Q

PEA tx

A

CPR

56
Q

palpable radial pulse is atleast SBP

A

80

57
Q

diffuse t wave peaking

A

hyperkalemia

58
Q

arterial ischemia and cyanosis

A

phlegmasia cerulea dolen

59
Q

pale, cool limb ileofemoral thrombosis

A

phlegmasia alba dolen

60
Q

COPD PEv1/FVC ratio

A

<0.7

61
Q

dendritic eye

A

herples simplex keratitis

62
Q

hearing loss, tinutis, vertigo. Acute onset vertigo

A

meniere’s

63
Q

acute vertigo, no hearing loss, maybe URI

A

vestibular neuritis

64
Q

acetaminophen toxic dose

A

150mg/kg

65
Q

ASA toxic dose

A

160mg/kg

66
Q

“stepping out into a snowstorm”

A

methanol OD txadh enzyme block, folinic acid, dialysis

67
Q

What kind of axis deviation is expected in prego

A

LAD

68
Q

quickening expected at

A

16-20wks

69
Q

fetal heart motion seen

A

6wks on transvaginal US

70
Q

vaginal bleeding and cervical os is open

A

inevitable miscarriage

71
Q

failure to see fetal heart activity in a fetus at least 5mm crown-rump length

A

First or second trimester death

72
Q

what reflex is lost if magnesium sulfate is too high?

A

Patellar reflex lost at 8-12. Want 5-8mg/dl

73
Q

Treatment for third trimester pregnant lady with jaundice and nocturnal pruritis

A

Cholestyramine, low cholesterol/fat diet

74
Q

Leading cause fo fetal mortality

A

thromboembolic events

75
Q

Tx uti or asym bacteruria in pregnant

A

Macrobid, Cephalexin, (Bactrim in first 2 trimesters)

76
Q

Tx acute pylenophritis in pregnant

A

Amp + Gentamycin of Cefotan +Gentamycin

77
Q

groove sign

A

lymphogranulma venereum

78
Q

tx lymphogranulma venereum

A

Doxy or Erthromycin

79
Q

tx chancroid

A

Azithro, Cef, or Erythromycin

80
Q

tx trichomoniasis

A

metronidazole

81
Q

what coagulopathies are assoc with vaginal bleeding

A

Leukemia, TTP, vWF dis, Aplastic anemia

82
Q

velamentous insertion of the umbilical cord into the lower uterine segment

A

vasa previa

83
Q

Sudden onset of severe unilat lower abd pain, out or proportion. Usually right side

A

Adnexal Torsion, dx with US doppler, tx sx

84
Q

Tx of PID

A

IV: Cefoxitin + doxy OR Clindamycin +Gent

PO Cef + doxy +/- metronidazole

85
Q

crescent shape hematoma that cross suture lines

A

subdural hematoma

86
Q

biconvex hematoma

A

epidural hematoma

87
Q

with epidural hematoma suspect

A

fx of temporal bone- middle meningeal artery location

88
Q

axial load => lateral masses of C1 move laterally apart ? seen on open mouth odontoid view

A

Jefferson fx

89
Q

unilat facet dislocation

A

displaced <50% width

90
Q

bilat facet dislocation

A

body displaced>50% width

91
Q

bradycardia with warm dry skin

A

neurogenic shock= spinal trauma, tx IVF

92
Q

if penetrating spinal injury do not use

A

steroids

93
Q

mc injured organ in blunt trauma of abd

A

spleen

94
Q

gold standard for eval of blunt trauma to abdomen

A

CT Iv contrast and sometimes oral

95
Q

gold standard for GSW abdomen

A

laparotomy

96
Q

gold standard to dx bladder rupture

A

retrograde cystogram

97
Q

adult parkland formula

A

LR 4ml x kgx BSA burned over 24hrs

half over first 8hr

98
Q

ABI 0.5-0.9

A

injury to single arterial segment

99
Q

ABI <0.5

A

severe arterial injury or multiple arterial segments

100
Q

Pg 1790-1796

A

see book

101
Q

wrist extension nerve

A

radial C5-C8

102
Q

wrist flexion, thumb abduction

A

median C6-T

103
Q

finger abduction

A

ulnar c7-T1

104
Q

what kind of hand tendon injuries MAY be repaired in ED

A

extensor

105
Q

detachment of extensor tendon from distal phalynx. DIP pain, cannot fully extend

A

mallet finger

106
Q

extension of MCP and DIP joints

A

boutoniiere deformity

107
Q

disruption of ulnar collateral ligament of thumb MCP. Weak pincer function, point tenderness at ligament

A

Gamekeeper’s thumb

108
Q

thumb metacarpal intraarticular fracture with subluxation or dislocation at CMC

A

Bennet fx

109
Q

MC injured wrist ligament

A

schapolunate ligament

110
Q

mc carpal dislocation

A

lunate dislocation

111
Q

tx schaphoid fx

A

short arm thumb spica splint

112
Q

distal radius fracture with dorsal displacement

A

colles fx

113
Q

fracture of proximal third of ulna with radial head dislocation at the elbow
dx and tx

A

Monteggia ORIF

114
Q

compression fracture of humeral head

A

Hill-Sachs lesion

115
Q

gold standard to w/o pelvic injury /fx

A

CT

116
Q

if unstable with pelvic fx and no ther sources of bleeding

A

angiography

117
Q

xray knee if

A 
age>55
tenderness at head of fibula
isolated tenderness of patella
inability to flex 90 deg
inability to transfer wt 4 steps immed or in ED
118
Q

what test is used to asses achilles tendon rupture?

A

Thompson test

119
Q

What compartment pressures are thought to be toxic?

A

> 30-50

look at diff between DBP and tissue P

120
Q

Afib drug to control rate

A

diltiazem

121
Q

PSVT drug

A

adenosine

122
Q

PEA tx

A

CPR

123
Q

palpable radial pulse is atleast SBP

A

80

124
Q

diffuse t wave peaking

A

hyperkalemia

125
Q

arterial ischemia and cyanosis

A

phlegmasia cerulea dolen

126
Q

pale, cool limb ileofemoral thrombosis

A

phlegmasia alba dolen

127
Q

COPD PEv1/FVC ratio

A

<0.7

128
Q

dendritic eye

A

herples simplex keratitis

129
Q

hearing loss, tinutis, vertigo. Acute onset vertigo

A

meniere’s

130
Q

acute vertigo, no hearing loss, maybe URI

A

vestibular neuritis

131
Q

acetaminophen toxic dose

A

150mg/kg

132
Q

ASA toxic dose

A

160mg/kg

133
Q

“stepping out into a snowstorm”

A

methanol OD txadh enzyme block, folinic acid, dialysis

Spring ER (10 decks)

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