Misc

Question 1

When do you give K in DKA

Answer 1

Hold insulin until 3.3

Supplement 3.3-5.2

Question 2

Courvosier sign

Answer 2

Nontender palpable gallbladder in pancreatic cancer

Question 3

Virchow node

Answer 3

Palpable left supraclavicular lymph node in abdominal cancers

Question 4

Medication contraindicated in thyroid storm

Answer 4

Aspirin; displaces T4 from binding proteins

Question 5

NS causes hyperchloremic metabolic acidosis

Answer 5

Preferred in TBI

Question 6

Best XR to see free air

Answer 6

Upright lateral > upright chest

Question 7

Order to give meds in thyroid storm

Answer 7

BB, PTU, iodine, steroid

Question 8

First line for ETOH use disorder

Answer 8

Naltrexone

Question 9

Epi dosing

Answer 9

1: 1000 anaphylaxis
1: 10,000 cardiac arrest

Question 10

How much blood can be missed on supine XR?

Answer 10

1L

Question 11

Primary adrenal insufficiency

Answer 11

HypoNa, HyperK

Question 12

1 surgical emergency in elderly

Answer 12

Cholecystitis

Question 13

Best suture for poor perfusion

Answer 13

Horizontal mattress

Question 14

Metabolic causes of hiccups

Answer 14

Hyponatremia and hypocalcemia

Question 15

Ranson score

Answer 15

WBC >16
Age >55
Glucose >200
AST >250
LDH >350

Question 16

Paralytic in myasthenia gravis

Answer 16

Higher dose of succ (2.5)

Lower dose of roc (0.5)

Question 17

Beta thalassemia

Answer 17

Mild microcytic anemia
More common in Mediterranean/Middle East/African
Target cells

Question 18

Reed Sternburg cells

Answer 18

Hodgkin lymphoma

B-symptoms

Question 19

HELLP

Answer 19

Don’t forget about it

Mg and induction

Question 20

Most common cause of death in SCD?

Answer 20

Acute chest syndrome

Question 21

Predicting severity of acute pancreatitis

Answer 21

SIRS > RANSON

Question 22

What is legally determined?

Answer 22

Competency

Question 23

Sequela of lightening strike

Answer 23

TM rupture
Cataracts within days
Asystole

Question 24

Blocks telease of stored thyroid

Answer 24

Iodine

Question 25

Risk factors for ectopic pregnancy

Answer 25

Tobacco, PID, previous ectopic, tubal surgery

Question 26

Target temp for induced hypothermia

Answer 26

32-36 C

Question 27

Cardinal movements of delivery

Answer 27

Every day fine infants exit eager and excited

Question 28

Indications for dialysis in hyperCa

Answer 28

> 18
Neuro sx
CHF
ARF

Question 29

Persistent, painless peripheral lymphadenopathy

Answer 29

Lymphoma - B symptoms
Increased risk with HIV+

Question 30

Peak for neutropenic fever

Answer 30

6-10 after last chemo

Question 31

Addison changes

Answer 31

Hypotension, hypoglycemia, high potassium, low sodium