Inservice Flashcards

1
Q

Kussmaul breathing

A

Deep respirations 2/2 metabolic acidosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Treatment of fat embolus

A

steroids

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

When to give steroids for PCP

A

pA02 <70

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Gram + paired lancets

A

Strep pneumoniae

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Gram + cocci in clusters

A

Staph aureus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Small gram neg pleomorphic coccobaccilli

A

H flu

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Gram negative diplococci

A

N meningitides

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Mononuclear cells, no bacteria

A

Mycoplasma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

RBC casts

A

glomerulonephritis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Hypermagnesia treatment

A

calcium

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Tumor lysis metabolic derangement

A

Hyperkalemia, hyperuricemia, HYPOcalcemia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Smells like garlic

A

organophosphates

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Smells like bitter almonds

A

Cyanide

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Smells like pear

A

Choral hydrate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Smells like moth balls

A

Naphthalene or camphor

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Nonanion gap acidosis

A

HARDUP (hyperalimentations/hyperventiliation, acetazolamide, RTA, diarrhea, ureteral diversion, pancreatiic fistula)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Causes of methemoglobinemia

A

Dapsone, Nitrates, Antimalarials, and local anesthetics

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Osmolar gap with acidosis

A

Isopropyl alcohol

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Toxins cleared by HD

A

I STUMBLE (Isopropyl alcohol, Ethylene, Glycol, Methanol, Uremia, Salicylate, Lithium, Theophylline, Barbiturates/Beta blockers)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Tetanus mimicker

A

Strycchine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Yellow visual disturbance

A

Dig toxicity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Toxins causing hypoglycemia

A

ETOH and salicylates

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Rotary Nystagmus

A

PCP

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Tx of serotonin syndrome

A

BZD, cyproeptadine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Indications of Digibind

A

K >5, brady and unresponsive to conventional therapy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

Spider bite and abdominal pain

A

Black widow

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

Intra-abdominal blunt trauma injury

A

spleen

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

Intraabdominal penetrating injury

A

Liver

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

Common cardiac champed injury penetrating trauma

A

Right ventricle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

Bicycle handlebar injury

A

Duodenal hematoma or isolated pancreatic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

Lap belt sign

A

Intestinal or mesenteric injury w/ lumbar spine fractures

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

Battle sign

A

Basilar skull fracture– mastiod ecchymosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

Interpret DPL

A

> 10 CC blood initially, >100,000 RBC

34
Q

Cough and widened mediastinum

A

Pulmonary anthrax

35
Q

Narrow pulse pressure

A

Aortic stenosis or HOCM

36
Q

Wide pulse pressure

A

Aortic regurg, PDA

37
Q

Increase murmur in HOCM

A

Valsalva or Standing after squating

38
Q

Reversal for tPA

A

Aminocaprioc acid and cryo

39
Q

Torsades de pointes tx

A

Mg (1-2 gm q 5-15)

40
Q

Rapid wide complex atrial fibrillation

A

WPW

41
Q

Thromboxane A2 production inhibitor

A

ASA

42
Q

Irreversible ADP receptor blockade

A

Plavix

43
Q

What to avoid if give dig or and hyperkalemia

A

Avoid calcium

44
Q

Centripetal rash (extremities inward)

A

Rocky Mtn (give chlorampheniol, tetracycline), varicella

45
Q

Trunk–>outward

A

Small pox (tx: unproven cidovir, vaccine immune globulin)

46
Q

Erythema nodosum

A

Cancer, IBD, sarcoid, mycoplasma, sulfa, EBV

47
Q

Nikosky sign

A

Staph scalded skin, TEN

48
Q

Abdominal distension in marathon runner

A

Cecal volvulus

49
Q

Peppery tasting fish

A

Scromboid toxicity (tx: antihistamines)

50
Q

Bullous myringitis

A

Mycoplasma (diag: blistering ™)

51
Q

Hutchinson sign

A

Zoster tip on nose indicative of eye involvement

52
Q

Ramsey Hunt Triad

A

Facial paralysis, ear pain, vesicles auditory canal/auricle

53
Q

Teardrop pupil

A

Globe rupture

54
Q

Seidel sign

A

Globe rupture, forescien streaming

55
Q

Cherry red spot

A

CRAO (globe massage)

56
Q

Blood and thunder retina

A

CRVO

57
Q

Floaters, flashing lights, descending curtains

A

Retinal detachment

58
Q

Cat bite

A

Pasteurella

59
Q

Human bite

A

Eiknella corrodens (augmening, levaquin, doxy)

60
Q

Rubella

A

German measles, LAD, forscheimer spots (soft palate petechiae)

61
Q

Rubeola

A

Measles, koplik spots (tx: vitamin A, ribavarin)

62
Q

Painful genital lesion

A

Syphilus, granuloma inguinale

63
Q

Painless genital lesion

A

LGV

64
Q

Rose thorn infection

A

Sporotrichosis (tx: itracaonazole)

65
Q

Sundown eyes– pt unable to look up

A

VP shunt obstruction

66
Q

Ascending weakness

A

GBS, Tick paralysis, diphtheria

67
Q

Port wine stain, seizures

A

Sturge Weber

68
Q

nerve inj mid/dist humerus

A

radial nerve

69
Q

nerve inj prox humerus

A

axillary nerve

70
Q

Vascular injury supracondylar fracture

A

Brachial artery

71
Q

Chance fracture

A

Transverse fracture of vertebral body associated w blunt bowl injury

72
Q

Gamekeeper fracture

A

Ulnar collateral ligament of thumb

73
Q

Lisfranc fx

A

Fracture base of second metatarsal

74
Q

Nerve and artery injury in knee dislocation

A

Peroneal nerve and popliteal artery

75
Q

Perioral burn after biting electrical cord

A

Delayed labial artery bleed in 7-10 days

76
Q

Neonatal conjunctivitis DOL 1

A

Chemical

77
Q

Neonatal conjunctivitis DOL 14

A

Chlamydia

78
Q

Bilious vomiting first week of life

A

Malrotation

79
Q

Non-bilious vomiting first week of life

A

Pyloric stenosis

80
Q

Bilious vomiting first year of life

A

Intussusception

81
Q

Double bubble sign

A

Malrotation/midgut volvulus vs duodenal atresia

82
Q

Age group to avoid verapamil

A

<2 years can cause hypotension and asystole