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..EM Board Review > misc. > Flashcards

misc. Flashcards

1
Q

neuro lyme disease, tx

A

rocephin

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1
Q

repetitive cold exposure above freezing point

A

chilblains

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2
Q

spinal cord terminates at what level in adults

A

L1-2

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3
Q

phenytoin toxicity symptoms

A

nystagmus, drowsiness, ataxia, altered

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4
Q

8 weeks after Fe tablet ingestion, could see this sequelea

A

gastric outlet obstruction

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5
Q

anaphylaxis epi dose

A

0.01 mg/kg of 1:1000 solution

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6
Q

commonly seen injury in patients struck by lightening

A

paralysis of the lower extremities which are blue and mottled

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7
Q

antidote for serotonin syndrome

A

cyproheptadine

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8
Q

NMS antidote

A

dantrolene

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9
Q

in younger pts, superior mesenteric artery syndrome is common after

A

surgical correction of scoliosis

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10
Q

AIDS pt with herpes zoster - what kind of precautions?

A

airborne with contact precautions

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11
Q

poison of coral snakes

A

neuromuscular weakness with respiratory depression

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12
Q

most sensitive lab for aceteminophen OD hepatotoxicity

A

AST

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13
Q

acute tetanus presentation tx

A

local and IM IG and abx

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14
Q

boutonniere deformity splint

A

PIP in extension, DIP and MCP with full ROM

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15
Q

indications for methylene blue in methemoglobinemia

A

symptomatic pt or methemoglobin >25%

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16
Q

UTI tx of enterococcus faecalis and E faecium

A

amoxicillin

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17
Q

how much blood can be missed in supine chest XR?

A

up to 1000cc

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18
Q

determine type of heart failure in CKD pt

A

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

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19
Q

add steroids to PCP pna when

A

PO2<70 or Aa gradient >35

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20
Q

MCC of hemoptysis world wide

A

TB

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21
Q

MC symptom of hemorrhoids

A

bleeding with defecation

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22
Q

MC type of tumor in the heart

A

metastatic disease

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23
Q

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

A

inflammatory diarrhea - campylobacter etc

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24
Q

transfusion reaction of recipient antibodies attacking donor leukocytes

A

febrile nonhemolytic transfusion reaction

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25
Q

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

A

anterior cord syndrome

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26
Q

salivary gland most frequently affected by sialolithiasis

A

submandibular

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27
Q

dx and what causes

A

erythema multiforme, HSV and mycoplasma pneumoniae

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28
Q

nontender nodule on upper lid margin

A

chalazion

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29
Q

most likely to occur with acute lightening injury

A

cardiac arrest, asystole

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30
Q

treatment of cryptococcus neoformans meningitis

A

flucytosine and amphotercin B

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31
Q

trastuzumab side effect

A

heart failure, dilated cardiomyopathy

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32
Q

carboplatin and cisplatin side effects

A

ototoxicity and nephrotoxicity

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33
Q

balanitis tx

A

topical clotrimazole

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34
Q

heat stroke lab change

A

transaminits

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35
Q

how does campylobacter cause lower extremity weakness

A

GBS

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36
Q

CSF with mononuclear predominance, dx and tx

A

cryptococcal, amphotercin B

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37
Q

cranial nerve IV palsy, look?

A

inability to look laterally with affected eye, ipsilateral

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38
Q

most specific representation of viral encephalitis in children?

A

AMS

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39
Q

what level do you perform infant LP at

A

L4-5

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40
Q

side effect of fentayl not reversed by naloxone

A

chest wall rigidity

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41
Q

where do you enter for ankle arthrocentesis

A

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

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42
Q

pediatric dose of epi for anaphylaxis

A

epi 1 mg/ml, 0.01 ml/kg

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43
Q

what differentiates SAH from traumatic tap

A

SAH will be xanthochromic

44
Q

spinal cord injury 1 month prior, dont give what paralytic

A

succ

45
Q

ST depression and tall prominent upsloping T waves in precordial leads

A

de Winters, LAD occlusion

46
Q

where is the cricothyroid membrane

A

inferior to thyroid cartilage

47
Q

perimortem c section, breech presentation encountered, next step?

A

deliver buttocks first, then legs

48
Q

inaccurate studies from IO line?

A

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

49
Q

US finding 100% sensitive for pericardial tamponade

A

plethoric vena cava

50
Q

dont give ketamine to a patient with hx of

A

schizophrenia

51
Q

vent setting for asthma

A

low normal (8-12)

52
Q

how long do symptoms have to be for dx of MDD

A

2 weeks

53
Q

what is a side effect of targeted temp managment?

A

hyperglycemia, insulin resistance

54
Q

MCC of low flow/ischemic priapism

A

penile injections, alprostadil

55
Q

abnormal labs in tylenol OD

A

hypokalemia and metabolic acidosis

56
Q

hyperextension neck injury can cause

A

central cord syndrome

57
Q

flexion teardrop fracture is associated with what cord syndrome

A

anterior cord syndrome

58
Q

cassava root and stone fruits can cause

A

cyanide toxicity

59
Q

spontaneous ICH occurs where

A

cerebellum

60
Q

where will a diaphragm rupture from trauma

A

left hemidiaphragm

61
Q

can permethrin be used in pregnancy

A

yes

62
Q

MCC of intrinsic renal failure

A

tubular

63
Q

phenytoin can cause what side effect cell line change

A

aplastic anemia - pancytopenia

64
Q

fascia iliaca compartment block location

A

between iliacus and sartorius muscles

65
Q

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

A

inferior

66
Q

hypercapnia vent setting

A

decrease respiratory rate and increase tidal volume

67
Q

lowest possible spot for thoracentesis

A

between 8th and 9th ribs

68
Q

when do you want NS over LR

A

TBI

69
Q

NIPPV applied in COPD pt will cause

A

increase in tidal volume

70
Q

inferior alveolar nerve block complication, injection into carotid sheath

A

horner syndrome

71
Q

push dose epi concentration

A

1:10,000 - 100 mcg/10ml

72
Q

in capacity consideration appreciation v reasoning

A

appreciation - applies to oneself; reasoning - infer possible outcomes

73
Q

suspect intussusception, normal US, next step

A

contrast enema

74
Q

side effect of massive transfusion

A

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

75
Q

epididymitis plus BPH tx

A

rocephin and levofloxacin

76
Q

85% oxygen after UTI, not improving with supplementation

A

methemoglobinemia from phenazopyridine

77
Q

mahi mahi can cause what toxicity

A

histamine

78
Q

toxic diffuse goiter v multinodular goiter

A

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

79
Q

use adult pads for kids weighing …

A

> 10 kg

80
Q

niesseria meningitis requires what kind of precautions

A

airborne

81
Q

highest risk of limb ischemia with arterial line placement where?

A

brachial artery

82
Q

electrical path through the heart

A

SA, AV, bundle of His, branches, purkinje

83
Q

tx of opiate induced constipation

A

methylnaltrexone

84
Q

neurogenic shock, brady hypotensive, meds?

A

levophed, atropine

85
Q

pulse temp dissociation

A

typhoid, legionella, mycoplasma

86
Q

relative contraindication for targeted temp management

A

active noncompressible bleeding

87
Q

clinically significant VSDs occur in what portion?

A

membranous

88
Q

anion gap equation

A

Na - (Cl+ bicarb)

89
Q

MC risk factor for AAA

A

older age

90
Q

Blocks the oxidation of iodine in the thyroid gland

A

methimazole

90
Q

subtypes of thyroid carcinoma is associated with multiple endocrine neoplasia?

A

medullary

91
Q

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

A

orthodromic AV reciprocating tachycardia

92
Q

suture technique in poor circulation areas or necrosis concerns

A

horizontal mattress

93
Q

definitive dx of esophageal perforation

A

esophagram with water soluble contrast

94
Q

transient synovitis kid will hold leg in

A

flexion, abduction, external ro

95
Q

most sensitive exam test for ACL tear

A

lachman test

96
Q

follow two similar groups and compare outcomes

A

prospective study

97
Q

positive disease and look backward through time

A

retrospective study

98
Q

MCC of erythema nodosum

A

strep infection

99
Q

hypermagnesemia tx

A

fluids

100
Q

poorest prognosis with aortic stenosis

A

CHF

101
Q

hyponatremia with high urine sodium

A

acute or chronic kidney disease

102
Q

MC presentation of hodgkin lymphoma

A

painless cervical lymphadenopathy

103
Q

Raltegravir acts by inhibiting

A

integrase

104
Q

incubation period for ebola

A

3-12 days

105
Q

kid with hemarthrosis

A

hemophilia A

106
Q

mild to moderate crohn disease tx

A

budesonide

..EM Board Review (15 decks)

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