misc.

Question 1

neuro lyme disease, tx

Answer 1

rocephin

Question 1

repetitive cold exposure above freezing point

Answer 1

chilblains

Question 2

spinal cord terminates at what level in adults

Answer 2

L1-2

Question 3

phenytoin toxicity symptoms

Answer 3

nystagmus, drowsiness, ataxia, altered

Question 4

8 weeks after Fe tablet ingestion, could see this sequelea

Answer 4

gastric outlet obstruction

Question 5

anaphylaxis epi dose

Answer 5

0.01 mg/kg of 1:1000 solution

Question 6

commonly seen injury in patients struck by lightening

Answer 6

paralysis of the lower extremities which are blue and mottled

Question 7

antidote for serotonin syndrome

Answer 7

cyproheptadine

Question 8

NMS antidote

Answer 8

dantrolene

Question 9

in younger pts, superior mesenteric artery syndrome is common after

Answer 9

surgical correction of scoliosis

Question 10

AIDS pt with herpes zoster - what kind of precautions?

Answer 10

airborne with contact precautions

Question 11

poison of coral snakes

Answer 11

neuromuscular weakness with respiratory depression

Question 12

most sensitive lab for aceteminophen OD hepatotoxicity

Answer 12

AST

Question 13

acute tetanus presentation tx

Answer 13

local and IM IG and abx

Question 14

boutonniere deformity splint

Answer 14

PIP in extension, DIP and MCP with full ROM

Question 15

indications for methylene blue in methemoglobinemia

Answer 15

symptomatic pt or methemoglobin >25%

Question 16

UTI tx of enterococcus faecalis and E faecium

Answer 16

amoxicillin

Question 17

how much blood can be missed in supine chest XR?

Answer 17

up to 1000cc

Question 18

determine type of heart failure in CKD pt

Answer 18

occlude fistula - reflex bradycardia and increased arterial pressure = high output heart failure

Question 19

add steroids to PCP pna when

Answer 19

PO2<70 or Aa gradient >35

Question 20

MCC of hemoptysis world wide

Answer 20

TB

Question 21

MC symptom of hemorrhoids

Answer 21

bleeding with defecation

Question 22

MC type of tumor in the heart

Answer 22

metastatic disease

Question 23

grossly bloody diarrhea, fevers, invasion and breakdown of intestinal epithelium

Answer 23

inflammatory diarrhea - campylobacter etc

Question 24

transfusion reaction of recipient antibodies attacking donor leukocytes

Answer 24

febrile nonhemolytic transfusion reaction

Question 25

loss of pain and temp, loss of motor below lesion, retain proprioception

Answer 25

anterior cord syndrome

Question 26

salivary gland most frequently affected by sialolithiasis

Answer 26

submandibular

Question 27

dx and what causes

Answer 27

erythema multiforme, HSV and mycoplasma pneumoniae

Question 28

nontender nodule on upper lid margin

Answer 28

chalazion

Question 29

most likely to occur with acute lightening injury

Answer 29

cardiac arrest, asystole

Question 30

treatment of cryptococcus neoformans meningitis

Answer 30

flucytosine and amphotercin B

Question 31

trastuzumab side effect

Answer 31

heart failure, dilated cardiomyopathy

Question 32

carboplatin and cisplatin side effects

Answer 32

ototoxicity and nephrotoxicity

Question 33

balanitis tx

Answer 33

topical clotrimazole

Question 34

heat stroke lab change

Answer 34

transaminits

Question 35

how does campylobacter cause lower extremity weakness

Answer 35

GBS

Question 36

CSF with mononuclear predominance, dx and tx

Answer 36

cryptococcal, amphotercin B

Question 37

cranial nerve IV palsy, look?

Answer 37

inability to look laterally with affected eye, ipsilateral

Question 38

most specific representation of viral encephalitis in children?

Answer 38

AMS

Question 39

what level do you perform infant LP at

Answer 39

L4-5

Question 40

side effect of fentayl not reversed by naloxone

Answer 40

chest wall rigidity

Question 41

where do you enter for ankle arthrocentesis

Answer 41

medial to tibialis anterior tendon, aiming to anterior aspect of medial mal

Question 42

pediatric dose of epi for anaphylaxis

Answer 42

epi 1 mg/ml, 0.01 ml/kg

Question 43

what differentiates SAH from traumatic tap

Answer 43

SAH will be xanthochromic

Question 44

spinal cord injury 1 month prior, dont give what paralytic

Answer 44

succ

Question 45

ST depression and tall prominent upsloping T waves in precordial leads

Answer 45

de Winters, LAD occlusion

Question 46

where is the cricothyroid membrane

Answer 46

inferior to thyroid cartilage

Question 47

perimortem c section, breech presentation encountered, next step?

Answer 47

deliver buttocks first, then legs

Question 48

inaccurate studies from IO line?

Answer 48

WBC, K, ionized Ca, AST/ALT, blood oxygenation

Question 49

US finding 100% sensitive for pericardial tamponade

Answer 49

plethoric vena cava

Question 50

dont give ketamine to a patient with hx of

Answer 50

schizophrenia

Question 51

vent setting for asthma

Answer 51

low normal (8-12)

Question 52

how long do symptoms have to be for dx of MDD

Answer 52

2 weeks

Question 53

what is a side effect of targeted temp managment?

Answer 53

hyperglycemia, insulin resistance

Question 54

MCC of low flow/ischemic priapism

Answer 54

penile injections, alprostadil

Question 55

abnormal labs in tylenol OD

Answer 55

hypokalemia and metabolic acidosis

Question 56

hyperextension neck injury can cause

Answer 56

central cord syndrome

Question 57

flexion teardrop fracture is associated with what cord syndrome

Answer 57

anterior cord syndrome

Question 58

cassava root and stone fruits can cause

Answer 58

cyanide toxicity

Question 59

spontaneous ICH occurs where

Answer 59

cerebellum

Question 60

where will a diaphragm rupture from trauma

Answer 60

left hemidiaphragm

Question 61

can permethrin be used in pregnancy

Answer 61

yes

Question 62

MCC of intrinsic renal failure

Answer 62

tubular

Question 63

phenytoin can cause what side effect cell line change

Answer 63

aplastic anemia - pancytopenia

Question 64

fascia iliaca compartment block location

Answer 64

between iliacus and sartorius muscles

Question 65

lateral canthotomy, cut the (inferior/superior) crus first

Answer 65

inferior

Question 66

hypercapnia vent setting

Answer 66

decrease respiratory rate and increase tidal volume

Question 67

lowest possible spot for thoracentesis

Answer 67

between 8th and 9th ribs

Question 68

when do you want NS over LR

Answer 68

TBI

Question 69

NIPPV applied in COPD pt will cause

Answer 69

increase in tidal volume

Question 70

inferior alveolar nerve block complication, injection into carotid sheath

Answer 70

horner syndrome

Question 71

push dose epi concentration

Answer 71

1:10,000 - 100 mcg/10ml

Question 72

in capacity consideration appreciation v reasoning

Answer 72

appreciation - applies to oneself; reasoning - infer possible outcomes

Question 73

suspect intussusception, normal US, next step

Answer 73

contrast enema

Question 74

side effect of massive transfusion

Answer 74

hypoCa, hypoMg, thrombocytopenia, DIC, hypothermia, metabolic acidosis

Question 75

epididymitis plus BPH tx

Answer 75

rocephin and levofloxacin

Question 76

85% oxygen after UTI, not improving with supplementation

Answer 76

methemoglobinemia from phenazopyridine

Question 77

mahi mahi can cause what toxicity

Answer 77

histamine

Question 78

toxic diffuse goiter v multinodular goiter

Answer 78

diffuse = Graves, younger pt, severe symptoms; multinodular = older pt, milder symptoms

Question 79

use adult pads for kids weighing ...

Answer 79

>10 kg

Question 80

niesseria meningitis requires what kind of precautions

Answer 80

airborne

Question 81

highest risk of limb ischemia with arterial line placement where?

Answer 81

brachial artery

Question 82

electrical path through the heart

Answer 82

SA, AV, bundle of His, branches, purkinje

Question 83

tx of opiate induced constipation

Answer 83

methylnaltrexone

Question 84

neurogenic shock, brady hypotensive, meds?

Answer 84

levophed, atropine

Question 85

pulse temp dissociation

Answer 85

typhoid, legionella, mycoplasma

Question 86

relative contraindication for targeted temp management

Answer 86

active noncompressible bleeding

Question 87

clinically significant VSDs occur in what portion?

Answer 87

membranous

Question 88

anion gap equation

Answer 88

Na - (Cl+ bicarb)

Question 89

MC risk factor for AAA

Answer 89

older age

Question 90

Blocks the oxidation of iodine in the thyroid gland

Answer 90

methimazole

Question 90

subtypes of thyroid carcinoma is associated with multiple endocrine neoplasia?

Answer 90

medullary

Question 91

most common reentrant dysrhythmia in patients with Wolff-Parkinson-White syndrome

Answer 91

orthodromic AV reciprocating tachycardia

Question 92

suture technique in poor circulation areas or necrosis concerns

Answer 92

horizontal mattress

Question 93

definitive dx of esophageal perforation

Answer 93

esophagram with water soluble contrast

Question 94

transient synovitis kid will hold leg in

Answer 94

flexion, abduction, external ro

Question 95

most sensitive exam test for ACL tear

Answer 95

lachman test

Question 96

follow two similar groups and compare outcomes

Answer 96

prospective study

Question 97

positive disease and look backward through time

Answer 97

retrospective study

Question 98

MCC of erythema nodosum

Answer 98

strep infection

Question 99

hypermagnesemia tx

Answer 99

fluids

Question 100

poorest prognosis with aortic stenosis

Answer 100

CHF

Question 101

hyponatremia with high urine sodium

Answer 101

acute or chronic kidney disease

Question 102

MC presentation of hodgkin lymphoma

Answer 102

painless cervical lymphadenopathy

Question 103

Raltegravir acts by inhibiting

Answer 103

integrase

Question 104

incubation period for ebola

Answer 104

3-12 days

Question 105

kid with hemarthrosis

Answer 105

hemophilia A

Question 106

mild to moderate crohn disease tx

Answer 106

budesonide