Inservice Deck 5 - rapid board review 4

Question 1

what should you think of with joint pain, neuro sx like stroke, and resp sx like PE? tx?

Answer 1

barotrauma

100% oxygen

Question 2

what are signs of hypothermia? tx?

Answer 2

dysrhythmias and j waves

tx: atropine, epi, dopa, may need to defib

Question 3

what is a bad sign of radiation exosure?

Answer 3

Abs lymph count < 500

Question 4

dx of dark meat fish, facial flushing, headache, headache, peppery taste?

Answer 4

scomboid poisoning

Question 5

dx of reef fish, paresthesias, brady, GI upset

Answer 5

ciguatera poisoning

Question 6

dx of puffer fish, paresthesias, resp paralysis

Answer 6

tetrodoxin

Question 7

most common cause of osteomyelitis?

Answer 7

staph aureus

Question 8

sickle cell disease and osteomyelitis?

Answer 8

salmonella

Question 9

foot puncture wounds and osteomyelitis?

Answer 9

pseudomonoas

Question 10

dog/cat bites and osteomyelitis?

Answer 10

pasteurella

Question 11

pediatrics and osteomyelitis?

Answer 11

kingella kingae

Question 12

most common infective agent in septic arthritis?

Answer 12

staph aureus

Question 13

Most common fx carpal bone?

Answer 13

scaphoid bone

Question 14

migratory septic arthritis?

Answer 14

gonorrhea

Question 15

oligoarticular arthritis?

Answer 15

lyme disease, gonorrhea, reiter’s syndrome

Question 16

polyarteritis association?

Answer 16

lupus, viral infection, RA

Question 17

difference between galeazzi and monteggia?

Answer 17

GRUM

galeazzi fx is fx of radius
monteggia is fx of ulnar

Question 18

how do you treat radial head subluxation of child?

Answer 18

forearm hyperpronation or forearm supination with elbow flexion

Question 19

avascular necrosis of femoral head in child?

Answer 19

legge-calve-perthes

Question 20

chronic alcohol use, order of tx?

Answer 20

thiamine before glucose

Question 21

difference between delirium and dementia?

Answer 21

delirium is sudden onset, fluctuating course, altered level of consciousness, hallucinations

Question 22

suicide risk factors?

Answer 22

SAD PERSONS

male sex
older age
depresison
previous attempt
ethanol abuse
rational thinking loss
social supports lacking
organized plan
no spouse
sickness

Question 23

most common cause of intrinsic renal failure?

Answer 23

acute tubular necrosis

Question 24

child with HTN, edema, proteinuria, and hematuria?

Answer 24

think post-strep glomerulonephritis

Question 25

most common organism causing UTI

Answer 25

e coli

Question 26

indications for dialysis?

Answer 26

metabolic acidosis
hyperkalemia
pericarditis
uremic encephalopathy
volume overload
acute tox from dialyzable agents

Question 27

gold standard for urolithiasis dx?

Answer 27

non con spiral CT

Question 28

organism with acute epididymitis with men younger than 35

Answer 28

c trach, n gonorrhea

Question 29

organism with acute epididymitis with men older than 35

Answer 29

e coli

Question 30

cause of fournier’s gangrene?

Answer 30

polymicrobial

Question 31

tx of priapism?

Answer 31

external compression
subcutaneous terbutaline
intracavernous injection of dilute phenylephrine

Question 32

blue dot sign on testes?

Answer 32

torsion of testuclar appendage

Question 33

what type of hypersensitivity reaction is contact dermatitis? how do you treat?

Answer 33

type IV, cell-mediated or delayed

2-3 week prednisone taper

Question 34

sexually active patient with tenosynovitis, arthralgias, dermatitis, dx? tx?

Answer 34

disseminated gonorrhea

3rd gen cephalosporin

Question 35

non-blanching, raised, brown-black nodules, dx? associated with?

Answer 35

kaposi’s sarcoma

associated with AIDS

Question 36

boggy indurated plaque on scalp, dx? Cause?, tx?

Answer 36

kerion

severe tinea capitis

tx oral griseofulvin

Question 37

small irreglar spots that are bright red with bluish white centers in the oral mucosa, dx? name?

Answer 37

koplik spots

measles

Question 38

POS nikolsky’s sign?

Answer 38

sloughing off of normal skin with lateral pressure

diagnostic of pemphigus vulgaris or TEN

Question 39

large initial herald patch and christmas tree pattern, dx? tx?

Answer 39

pityriasis rosea

no tx