In Service Review Flashcards by Mary Slome

Diff btwn left ventricular aneurysm and MI

No reciprocal changes on EKG

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PR in WPW

Short

<120ms

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pseudo RBBB in V1-V2 w/ J point elevation

Brugada syndrome

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Mgmt AAA 4-5cm

Screen every 6 months

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Antihypertensive for aortic dissection

Labetalol

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Why not use cardene in aortic dissection?

Tachycardia

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Coughing/sneezing type of incontinence

Urethral hypermobility

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Best lab correlation with placental abruption

Fibrinogen levels

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Add what vitamin in the tx of hyperemesis gravidarum

Thiamine

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Tx mag tox

Calcium

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Loss of patellar reflexes
Respiratory depression
dx?

Mag tox

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New onset HTN in <20 weeks pregnancy,

concern?

Molar pregnancy

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Most common cause of uterine bleeding

Leiomyoma

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Type of cell involved in acute radiation damade

Lymphocytes

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Most common bacteria in dogbite

Pasturella

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Cutoff for perimortem c-section

> 24.0 weeks

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Common cause of acquired methemoglobinemia

Recent chloroquine use

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Pathophys of transudative effusion

Increase in hydrostatic pressure

Decrease in oncotic pressure

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Pathophys of exudative effusion

Increase in pleural permeability

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Pertussis tx <1m

Azithromycin

Older than 1m, erythromycin

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Bat appearance CXR

dx?

PJP PNA

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Tx laryngeotracheitis

Dexamethasone

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Tx stridor w laryngeotracheitis

Racemic epi

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Tx tetanus

Metronidazole 10-14 days

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Nosebleeds Telangectasias Intraparenchymal hemorrhage dx?

Osler Weber Rendu

Staccato cough | Type of PNA

Chlamydia | tx oral azithro

Glucose dose neonates

10% 5ml/kg (Rule of 50s)

Populations to avoid verapamil in

<1 year Peds with CHF WPW Wide QRS

Peds dose adenosine

0.1 mg/kg

Pruritis after warm bath Jak2 mutation H/H elevated dx?

Polycythemia vera

Locations of primary blast injury

Lungs Auditory system GI tract

Enamel damage dental fx | dx

Ellis I

Enamel and dentin dental fx | Dx

Ellis II | Tx calcium paste

Enamel/dentin/pulp dental fx | Dx

Ellis III | Tx Dental consult, pulpectomy

Small, reactive pupils HA Contralateral leg paralysis type of herniation

Subfalcine/cingulate herniation

1 blown pupil Contralateral hemiparesis Decerebrate posturing Type of herniation

Uncal herniation

Cheyne Stokes breathing Early coma Decorticate posturing Type of hernation

Central herniation

Most common type of hip dislocation

Posterior

Ipsilateral loss of motor, vibratory sensation Contralateral loss of P&T Penetrating trauma dx

Brown-Sequard | good prognosis

``` Upper extremities more affected than lower extremities Sensory and motor deficits Medium prognosis Forced hyperextension injury dx ```

Central Cord syndrome

``` Flexion or vascular injury Poor prognosis Complete loss of motor, P&T below injury Retention of proprioception, vibratory sensation Dx ```

Anterior Cord Syndrome

Normal ABI

>0.9

CPP

MAP - ICP

QT prolongation T flattening Bradycardia dx

Lithium tox | >4 acute OR >2.5 w/ sxs --> hemodialysis

Two txs cyanide tox

Hydroxycobalamin; | Amyl nitrite, Sodium thiosulfate

Local analgesic tox tx

Lipid emulsion IV

Metallic taste in mouth Peiroral sensations Ventricular dysrythmia dx

Local analgesic tox

Hyperglycemia Hypotension Bradycardia dx?

CCB tox | tx: Ca, glucagon, norepi, high dose insulin + glucose

Cutoffs for hyperbaric O2 therapy in CO poisoning

>25% carboxyhemoglobin healthy adult | >15% pregnancy

Tx hydrogen sulfide inhalation

Amyl nitrite

Iron tox 3-6 weeks later complication

Bowel obstruction

Cutoff for deferoxamine tx in Iron OD

>350 mg/dl

Tx NMS

Dantrolene or benzos

Ketosis w/o acidosis | tox dx

Isopropyl alcohol ingestion

Drugs that increase lithium levels

HCTZ ACEi ARBs NSAIDs

N/V, blurred vision Hypercoagulable state HA dx

Cerebral venous thrombosis

Add what medication for meningitis in alcoholics

Ampicillin (to ceftriaxone, vanco)

Normal opening pressure

Less than or equal to 20 cmH2O

``` Diplopia w/ lateral gaze CN VI palsy Loss of peripheral visual fields Vitamin A tox, OCPs, steroids, tetracycline use Papilledema dx ```

Pseudotumor cerebri

Down and out eye | dx

PCA stroke

Fundal height at pubic symphysis | How far along

12 weeks

Most common presenting symptom of aortic stenosis

Dyspnea

Pathophys of octreotide

Vasocontriction of splanchnic circulation

AV fistula, Hyperthyroisism, Beriberi, Paget's, Pregnancy, Anemia Causes of:

High output CHF

What med improves mortality in pts with hepatorenal syndrome?

albumin

Two most common causes of pericarditis

Idiopathic | Coxsackie

MOA Phenylephrine

Pure alpha-1 agonist

Most common presentation of HOCUM

dyspnea

Tx HOCUM

Lifelong BB

Proximal LAD stenosis Biphasic or deeply inverted T waves in precordial leads w/o serum marker abnormalities Hx of angina dx

Wellen's syndrome

Where is the accessory pathway in WPW?

Bundle of Kent

Cutoff for hypertensive emergency

>180/120

Tx TOA

IV cefoxatin/cefotetan + PO doxy

Consider what tx in status epilepticus if hx lung disease

Pyridoxine (for INH tox)

Cutoff for toxic dose NSAIDs

100 mg/kg

HR 4-6 years

100

SBP Neonate

SBP 6 months to 4 years

Severe jaundice at birth, lethargy, poor feeding, dx?

ABO incompatibility | Phototherapy required

Breast fed baby who feeds vigorously w/ concomittant delays in establishment of gut flora; dx?

Breast milk jaundice

Reduced coagulation of bilirubin by immature liver, neonate; | dx?

Physiologic jaundice

When not to give verapamil in SVT

<1 year WPW Peds w/ HF Wide QRS

Pediatric dose of adenosine

0.1 mg/kg | Try vagal maneuvers first

Bone broken in inferior orbital wall fracture

Maxillary

``` Encephalopathy Ocular motor dysfunction Ataxia Alcoholic dx? ```

Wernicke Encephalopathy

Next step with mgmt of urethral injury

Suprapubic catheterization

Administer what in pt overdue for dialysis w/ junctional brady?

Calcium

Cardiac complication of Lyme disease

First degree AV block

Most common nerve injury with posterior hip dislocation

Sciatic nerve

Ipsilateral loss of motor, vibratory sensation, proprioception Contralateral loss of P&T dx?

Brown Sequard

Upper worse than lower sxs Sensory and Motor Forced hyperextension injury dx?

Central cord syndrome

Flexion or vascular injury Complete loss of motor, P&T Below injury, only proprioception remains dx?

Anterior cord syndrome

Normal ABI

>0.9

CPP equation

MAP-ICP

QT prolongation, T flattening, bradycardia | tox dx?

Lithium tox | HD for 2.5 chronic, 4 acute

Hyperglycemia Bradycardia Hypotension tox dx?

CCB

Area of reactivation TB

Apical segments of upper lobes, or superior segment of the lower lobe

What antibiotic has high potency to cause serotonin syndrome?

Linezolid

Virchow's triad

Venous stasis Hypercoagulable state Trauma or inciting event

Tx methemoglobinemia

Methylene blue

pH in SBP

<7.34

``` Ptosis Mydriasis Down and out eye Double vision dx? ```

Oculomotor Nerve Palsy (CN III) | -PCA aneurysm/CVA

Descending flaccid paralysis | dx?

Botulism

What is a common feared complication of a perilunate dislocation?

Median nerve palsy

Ketosis w/ no wide anion gap metabolic acidosis | dx?

Isopropyl alcohol tox

Cholinergic tox, wet or dry | tx

Wet | Tx atropine, pralidoxime

Anticholinergic tox, wet or dry | tx

Dry | Physostigmine

Tx hydrogen sulfide inhalation

Amyl nitrite

Normal opening pressure LP

5-20

Tx jellyfish sting

Acetic acid Hot water immersion Antivenom

Most common physical exam finding in AAA

Pulsatile mass

Most common presenting symptom of aortic stenosis

Dyspnea | Same with HOCUM

Murmur in AS

Crescendo decrescendo Harsh, systolic Same with HOCUM

Examples of high output CHF

``` AV fistula Hyperthyroidism Pregnancy Beriberi Paget's Anemia ```

Mid-systolic click | dx?

MVP

Proximal LAD stenosis (V1-V2) No serum marker abnormalities dx

Wellen's syndrome

In status refractory to benzos, try

Pyridoxine (INH tox)

Finger flexion at rest Pain w/ passive motion dx?

Flexor tenosynovitis

Fx of nimodipine in SAH

Prevents vasospasm

What is contraindicated in tx of thyroid storm?

ASA | Displaces T4 binding

Transfusion of FFP or plts SOB, hypoxemia, tachypnea Bilateral diffuse pulmonary infiltrates dx?

TRALI

Glyburide | Glipizide

Sulfonureas

Parkland formula, give first half when?

8 hours | 2nd half over 16 hours

Hawkins-Kennedy test for

Shoulder pain | Pain in AC joint with internal rotation

Thompson test for

Achilles tendon rupture

Obstructed lacrimal duct | dx/tx

Dacrocystitis | Clinda

Deep sulcus sign | dx

PTX | Deepened costophrenic angle on CXR

Giant cell arteritis, when to give IV steroids

If vision loss is present

``` Constitutional sxs HA Jaw claudication Transient vision loss dx? ```

Giant cell arteritis

Another name for kawasaki disease

Mucocutaneous lymph node syndrome

Well demarcated borders Fever dx and tx

Erysipelas - B heme strep | tx amox, cephalexin

Location of sores w/ aphthous ulcers

Anterior mouth

Location of ulcers w/ herpangina

Posterior mouth

``` Hypertension Hyperlipidemia Hypoalbuminemia Hyponatremia dx ```

Nephrotic Syndrome

Tx Minimal change disease

Prednisone

Acute transplant rejection cells

CD8

Actinic keratosis, precursor for

Squamous cell carcinoma

Reed-Sternberg cells seen in

Hodgkin's lymphoma

Cough Coryza Conjuctivitis dx?

Measles | Koplick spots on buccal mucosa pathognomonic finding

Tx pityriasis Rosea

Antihistamines | Steroids

IgA immune deposits in target organs | dx

HSP | *normal plt count*

Heme pos stool Elevated BUN:Cr Periarticular disease of knees and ankles dx?

HSP

Polycythemia vera buzzword

plethora - ruddy complexion

fatigue, pruritis, facial plethora, engorged retinal veind, thrombosis, gouty arthritis, erythromelalgia dx?

Polycythemia Vera | Jak2 mutation

Tx PV

hydroxyurea phlebotomy asa

Hyponatremia tx - patients with neuro sxs

3% hypertonic saline

EKG finding hypomagnesemia

QT prolongation

Most sensitive test for SLE

ANA

Rash sparing intraoral mucus membranes; Nikolsky + dx

SSSS

Indications for gastric lavage

Lithium Anticholinergic ASA Iron

Tx tracheitis

broad spectrum abx

Electrolyte abnormality in Myxedema coma

Hyponatremia

Eye drops to cover psuedomonas

Tobramycin

Complication of labyrinthitis

Meningitis

``` Vertigo Tinnitus Gait instability Hearing loss N/V Recent viral syndrome dx? ```

Labyrinthitis

Complication of septal hematoma

Saddle nose deformity

When to HD for ASA tox

>100mg/dL

Contraindication to lateral canthotomy

globe rupture

Leukopenia Thrombocytopenia AST/ALT elevated tick borne, dx?

Erlichiosis

Tx tick bite w/o clinical sxs of Lyme

Doxy 200x1

Pathognomonic for Lyme disease

Bilateral facial palsy

Tx balanoposthitis

clotrimazole

Timing of acute transplant rejection

1-12 weeks

Cells involved in chronic transplant rejection

CD4

Dose of Factor VIII with trauma or head trauma

50 iu/kg

Most serious complication of Kawasaki

coronary artery aneurysm

What is the most common cause of infectious primary adrenal insufficiency worldwide?

DKA Insulin dose

0.1 units/kg/hr until anion gap closed

Indirect inguinal hernia medial border

Inferior epigastric vessels | goes into scrotum

Direct inguinal hernia lateral border

Inferior epigastric vessels | does not go into scrotum

What effect do digoxin and beta-blockers have on potassium levels?

They cause Hyperkalemia

Rash w/ central dark papule surrounded by pale area and halo of erythema dx?

Erythema Multiforme association mycoplasma most common cause is HSV

How long for molluscum to resolve

Months to years

What acquired immunodeficiency syndrome-defining illness resembles molluscum contagiosum with widespread centrally umbilicated skin lesions?

Disseminated cryptococcosis

Glucose in HHS

>600

Glucose in DKA

>250

Bicarb in HHS

>18

``` Classic pentad: Thrombocytopenia Fever MAHA Renal pathology CNS dysfx dx? ```

TTP - thrombotic thrombocytopenic purpura | ADAMSt13

Causes of TTP

``` Pregnancy AIDS Scleroderma Sjogrens Lupus Tacrolimus Cyclosporin Quinidine ```

Give what for TTP

Plasmapheresis

Itchy, scaly rash on arms, flexor surfaces Worse in winter dx?

Atopic dermatitis | topical steroids

Anti-cyclic citrullinated peptide antibodies | dx?

Tx herpes keratitis

Topical trifluridine

False + for PCP

dextromethorphan

Tx scabies

permethrin

Rash w/ linear burrowing

Scabies

Tx pinworm

Mebendazole

Otolani | Barlow

Tests for developmental hip dysplasia

Herald patch | dx

Pityriasis Rosea

Tx TTP

Plasma exchange

Excision type for thrombosed hemorrhoid

Elliptical

PNA and hyponatremia | dx

Legionella

Tx intractable hiccups

Chlorpromazine

No EOM pain or proptosis Infection does not involve orbit dx?

Preseptal cellulitis CT orbit to r/o septal cellulitis tx clinda, strep coverage

Tx hypothermia

Warm air

Tx sulfonurea tox

Octreotide, glucose

Heparin reversal

Protamine

Tx HF acid tox

Calcium gluconate

Tx methanol or ethylene glycol tox

Fomepizole | Ethanol

Flu like prodrome Urethritis Cutaneous lesions dx?

SJS

How to get abdominal breathing from unstable cervical spine injury?

Phrenic nerve injury C3-C5

Tx refractory anaphylaxis resistant to epinephrine

Glucagon

Tx anaphylaxis kids IM

IM epi 0.01 mg/kg

Tx anaphylaxis kids IV

IV epi 0.1-0.3 mcg/kg/min

Where to perform cricothyrotomy

Below thyroid cartilage

Tx heat stroke

Cool water immersion

Protein <0.5 | T or E?

Transudative

LDH <0.5 | T or E?

Transudative

First line tx pancreatitis

Fluid resus

Kind of lesions in Crohn's disease

Full thickness

``` Dyspnea Flaccid paralysis Weakness Seizures Diplopia bite rxn? ```

Coral snake bite

Coral snake belongs to what family

Elapidae

Best diagnostics for suspected pancreatitis

Necrosis w/ alkali poisoning

Liquefactive

Necrosis w/ acid poisoning

Coagulation

Most common cause dysphagia

Schatzki ring

Cutoff measurement for appendicitis

>6mm

Middle ear diving injury location

Eustachian tube

Tx for pain in severe pharyngitis

Dexamethasone

Anterior superior iliac spine avulsion - damage to

Lateral femoral cutaneous nerve

Timolol for

glaucoma | reduces aqueous humor production

MOA Norepi

alpha-1 and beta-1

Newborn RR

6 months RR

12 months RR

24 months RR

Dose epi peds resus

0.1 ml/kg

Tx for recurrence of pericarditis

Steroids (after NSAIDs, colchicine)

Mgmt isolated distal DVT

Serial imaging for 2 weeks

Tx Prinzmetal's angina

CCBs | Nitrates

MOA nitrates

reduce preload and afterload

Do not give in HOCM:

Inotropes, nitrates

>2 weeks post MI Persistent STE Q, QS waves dx?

Left ventricular aneurysm

Definitive tx for WPW

Ablation

Toxicity with nitroprusside

Cyanide tox

Echo finding in massive PE

RV dilation

Goal of HTN change in first hour of hypertensive emergency

Drop 20-25%

TRansient paralysis of the lower extremities caused by vasospasm after lightening strike

Keraunoparalysis

Pressor for use in infants

Epi

Stages of pertussis

1. catarrhal 1-2 wks 2 paroxysmal 2-3 months 3. convalescent 1-2 wks

When is fetal pole typically first seen?

6-7 wks

Nerve damaged in anterior shoulder dislocation

Axillary

Classic XR finding on posterior shoulder dislocation

Light bulb sign

Tx for suspected pelvic hemorrhage

Angiography and embolization

Hard signs for aerodigestive and neurovascular injury in zone II

``` expanding hematoma vascular bruit or thrill fluid nonresponsive shock Decreased or absent radial pulse cerebral ischemia airway obstruction/stridor severe, acute bleeding ```

Target pH chemical burn to eye

7-7.2

Destot's sign for pelvic fx

Hematoma above inguinal ligament

Nerve damaged in glenohumoral dislocation

Axillary nerve

Nerve damaged in posterior elbow dislocation

Median

Nerve damage in humeral shaft fx

Radial

Nerve damage after anterior elbow dislocation

Ulnar

Vessels involved in subdural hematoma

Bridging veins

Tb drug side effects: | Isonaizid

Hepatitis

Tb drug side effects: | Ethambutol

Optic neuritis | Red-green color blindness

Tb drug side effects: | Pyrazinamide

Hepatitis | Arthritis

Tb drug side effects: | Pyrazinamide

Hyperuricemia

HIV drug side effects: | Indinavir

Nephrolithiasis Hyperbilirubinemia Dyslipidemia Hepatitis

HIV drug side effects: | Abacavir

SJS | Hypersensitivity reactions

HIV drug side effects: | Efavirenz

``` Depression SI Psychosis Vivid dreams HA Rash ```

HIV drug side effects: | Zidovudine

Bone marrow suppression

HIV drug side effects: | Dadanosine

Pancreatitis | Neuropathy

HIV drug side effects: | Lopinavir

N/V/D | Hepatitis

HIV drug side effects: | Ritonavir

Parasthesias

HIV drug side effects: | NRTIs

Lactic acidosis

Night vision loss, dry skin, growth retardation, bitot spots on conjunctiva, dx?

Vit A deficiency

Alcoholism, malnutrition, Wernicke-Korsakoff syndrome, dx?

B1 thiamine deficiency

Cheilosis, corneal vascularization, dx?

B2 riboflavin deficiency

Dermatitis, dementia, diarrhea, dx?

Pellagra | Niacin defciency

Sideroblastic anemia, convulsions, peripheral neuropathy, INH use, dx?

B6 pyridoxine deficiency

Most commonly injured nerve in Colles fx

Median nerve

Most common cause of hyperviscosity syndrome

Waldenstrom macroglobulinemia (increased IgM)

Most common leukemia in adults

AML (Auer rods)

Most common leukemia in children

ALL

Tx Myasthenia Gravis

Plasmapheresis | IVIG

Overuse injury involving median aspect of knee seen in runners

Anserine bursitis

Overuse injury where patella attaches to tibia

Patellar tendinitis

More common hernia in elderly females

Obdurator hernia

Most common hernia in women

Femoral

Vomiting and diarrhea after eating at a seafood restaurant, myalgias, paresthesias, and feeling like teeth are loose; dx?

Ciguatera | Hot-cold reversal

facial flushing, nausea, vomiting, and headache after seafood; dx?

Scombroid

MOA albuterol

Increase cAMP

Commotio cordis risk window

Upstroke of t wave

Side effect Bleomycin

Pulmonary fibrosis

Side effect Doxorubicin, Traztuzamab

Cardiotoxic

Side effect Methotrexate, 5FU, 6MP

Myelosuppression

Side effect Vincristine, Vinblastine

Peripheral Neuropathy

Side effect Cyclophosphamide

Hemorrhagic cystitis

Side effect Cisplatin, Carboplatin

Nephrotoxicity, Ototoxicity

Most common source of brain mets

Lung, melanoma, breast, colorectal

Most common primary brain tumor

Meningioma | Glioma

Most common cause of acute arterial occlusion

Afib

Most common presenting sx of aortic dissection

Chest pain

Most common cause of tricuspid and mitral valve stenosis

Rheumatic heart disease

Most common primary cardiac tumor

Myxoma

Most common invasive cardiac tumor

Primary cardiac sarcoma

Most common physical exam finding in infective endocarditis

Heart murmur

Most common location for visceral artery aneurysm

Splenic artery

Most common lead point in pediatric intussusception

Peyer's patches

Most common cause of viral gastroenteritis

Norovirus

Most common extra-articular manifestation of ankylosing spondylitis

Uveitis

Most common complication of midshaft humeral fracture

Radial nerve injury

Most common finding in cauda equina

Urinary retention

Most common source of compartment syndrome

Tibial fracture

Most common GSW location in abdomen

Small intestine

Most common bacteria in Lemierre's

Fusobacterium necrophorum

Most common site oral cancer

tongue

Most common rhythm in pediatric arrest

Asystole

Most common infectious organism causing SJS and TEN

Mycoplasma

Most common viral cause of rhabdo

Flu A

Most common infection tramsmitted in blood transfusion

Heb B

Most common dysrhythmia in WPW

SVT

Most common cause of blepharitis

Staph epidermidis

Most common transfusion reaction

Febrile transfusion

Most common risk factor for AAA

Smoking

Most common carrier of rabies in the US

Bats

Most common side effect of NAC

Anaphylactoid reaction

Most common location for peptic ulcer

Anterior wall of duodenum

Most common GI complication of HSP

Intussusception (ileoilial)

Most common bacteria in erysipelas

Strep pyogenes

Most common location of clavicle fracture

Middle third

Max dose lidocaine

5 mg/kg

Max dose lido with epi

7 mg/kg

Methanol; kind of anion gap

Increased

Uremia; kind of gap

Increased

Paraldehyde; kind of gap

Increased

Iron, INH; kind of gap

Increased

Cyanide, CO; kind of gap

Increased (lactic acidosis)

Ethylene glycol; kind of gap

Increased

Salicylates; kind of gap

Increased

STUMBLE for ingestions treated with hemodialysis

``` Salicylates Theophylline Uremia Methanol Barbiturates Lithium Ethylene glycol ```

Toxic dose of apap

140 mg/kg or 7.5g

Numbness groin; dermatology compression?

Numbness Upper thigh, detmatome?

Mid thigh, medial knee, dermatome

Lower anterior thigh, anterior knee: medial foot, dermatome?

Lateral lower leg, first interdigital web space, dorsal foot, dermatome?

Posterolateral calf, lateral foot, dermatome

What is contained in FFP?

All coagulation factors except platelets | Typical dose 4 units for adults and 15 ml/kg for peds

Minimum MAP goal in neurogenic shock/spinal cord injury

85 mmHg

a thrombotic microangiopathy associated with reduced activity of von Willebrand factor-cleaving protease (ADAMTS13) dx?

TTP | MAHA ans thrombocytopenia

How can thrombotic thrombocytopenic purpura (TTP) be distinguished from DIC?

DIC has abnormal coags

Decreased hemoglobin, MCV, MCH, MCHC, reticulocyte count, and ferritin and an increased TIBC, transferrin, and RDW dx?

Iron deficiency anemia

Decreased MCV means

Microcytosis

Decreased MCH and MCHC means

Hypochromia

What is the most common cause of vitamin B12 deficiency?

Chronic malabpsortion ie pernicious anemia

What antibiotic is best known for causing aplastic anemia?

Chloramphenicol

Known complication of acute hepatitis 6-12 weeks out

Aplastic crisis

Normocytic or microcytic red cells with evidence of hemolysis, elevated reticulocyte count, and normal to increased ferritin levels; dx?

Lead poisoning

Chronic, hypochromic, microcytic anemia, as evidenced by low mean corpuscular volume, normal retic count; dx?

Alpha thalassemia

Most common SCD presentation in peds

Dactylitis

Cryoprecipitate should be administered for

Fibrinogen < 150–200 mg/dL

Thrombocytopenia, decreased fibrinogen, increased fibrin split products, and increased BT, PT, and PTT dx?

DIC

Febrile nonhemolytic transfusion reactions occur secondary to

Recipient antibodies against donor leukocytes as well as the release of cytokines by the donor leukocytes during storage

Factor VIII is unavailable. Which of the following is the next best treatment option for Hem A?

Cryo and desmopressin

IV rasburicase is the treatment for

Severe tumor lysis syndrome

What common bile duct diameter is considered dilated in a patient who still has a gallbladder?

8mm

Positive electrocardiographic deflection after the QRS segment in leads V1–V3 aka epsilon wave; dx?

Arrhythmogenic right ventricular cardiomyopathy

Dabigatran reversal

Idarucizumab

Toxin in brown recluse bites

Sphingomyelinase D | phospholipases

Toxin in black widow bites

Alpha-latrotoxin

Most common monoclonal immunoglobulin found in multiple myeloma

IgG

Why should patients with posterior nasal packs be admitted to a monitored bed?

Posterior packing can cause vagal stimulation with resulting bradycardia and bronchoconstriction.

Most common cause of acute hepatic encephalopathy

GIB

Most common location for pediatric pseudosubluxation

C2-C3

What is the most common ligamentous injury of the knee?

ACL tear

Most common extracranial tumor in childhood

Neuroblastoma

What nerve travels through the Guyon canal?

Ulnar

What is the appropriate dose of intramuscular epinephrine for a pediatric patient with anaphylaxis?

1 mg/mL concentration (1:1,000), 0.01 mL/kg or 0.01 mg/kg

Jimsonweed toxin

Anticholinergic

Foxglove toxin

Digoxin like

The laboratory finding most sensitive for peritonitis is a white blood cell count greater than

100 WBC/mcL

What part of the face is movable in a LeFort I fracture?

Maxilla

Most common bacterial zoonotic infection worldwide

Leptospirosis | Primary vector is the dog