oral boards

Question 1

aspirin for stemi

Answer 1

325 oral or 300 rectal

Question 2

NSTEMI AC

Answer 2

heparin 60u/kg then 12u/kg/h

Question 3

Dissection goals and drugs

Answer 3

HR <80, SBP <120, labetalol and nicardipine

Question 4

meningitis antibiotics

Answer 4

1.5g vanc, 2g ceftriaxone, ampicillin,

acyclovir

Question 5

CSF meningitis

Answer 5

WBC over 100
protein over 50
glucose < 40

Question 6

open fracture antibiotics

Answer 6

cefazolin (ancef) 1g, vanc 1.5 g

Question 7

torsades treatment

Answer 7

2g magnesium, check K, Ca,

pace if needed - epi/adrenalin

Question 8

procainamide for stable vtach

Answer 8

100mg q 5 min until hypotensive or 10mg/kg over 20 min

Question 9

adrenal crisis

Answer 9

hyper K, hypo Na, hypotension,

hydrocortisone 100mg IV

Question 10

glucagon dose

Answer 10

1mg IM

Question 11

thyroid storm treatment

Answer 11

betablockers (metoprolol for asthmatics)
PTU or methimazole
endocrine help

Question 12

ITP treatment

Answer 12

transfuse platelets under 30
steroids
IVIG for platelets under 10

Question 13

hemophilia

Answer 13

consult pharmacy, but VIII is A, 1u/kg raises by 1%

Question 14

HUS treatment

Answer 14

dont give platelets
dont give antibiotics
shiga toxin

Question 15

AC reversal
Warfarin - 
Heparin -
Xa - Xarelto, RivaroXaban 
Dabigatran

Answer 15

Warfarin - Vit X and PCC
Heparin - promatime
Xa - Xarelto, RivaroXaban = AdeneXanet
Da big Dare - Dabigatran - Idarucizumab
PCC for all

Question 16

vit K works in ______ time

Answer 16

6-12 hours

Question 17

hemorrhagic stroke tx

Answer 17

<140 systolic, anti epileptics

Question 18

MG or GBS tx

Answer 18

IVIG, intubation, steroids

Question 19

eclampsia treatment

Answer 19

6g Mag, labetalol

Question 20

post partum hemorrhage treatment

Answer 20

oxytocin 10u IM or 15u in 250ml saline
TXA
uterine message
cervical foley catheter

Question 21

sick patient PE treatment

Answer 21

inpatient -
enoxaparin 1mg/kg subCut BID
unstable gets TPA 10mg push then 90mg over 2 hours
dead gets 50mg pushes x2

Question 22

PALS Meds
Epinephrine
Amiodarone
Joules
Magnesium
adenosine

Answer 22

0.01mg/kg IV of 1:10,000 - max 1mg
5mg/kg IV amio - max 300
2J/Kg to start, then 4
Mag = 50mg/kg
adenosine = 0.1mg/kg IV

Question 23

glucose rule of 50

Answer 23

5ml/kg of 10% dextrose

50% dextrose is 1ml/kg

Question 24

Two providers before airway established cpr

Answer 24

15: 2 in kids, 30:2 in adults.
30: 2 in kids if one person

Question 25

child anaphylaxis

Answer 25

solumedrol (methylprednisolone) 2mg/kg
epi 0.01mg/kg IM to max 0.3mg
diphenhydramine 1mg/kg po or IV

Question 26

post rabies exposure treatment

Answer 26

n high-risk bites, rabies immunoglobulin should be administered as soon as feasibly possible, followed by vaccination on days 0, 3, 7, and 14

Question 27

kawasaki disease

Answer 27

5 days of fever
IVIG and aspirin are treatments
eyes, lips hands feet and strawberry tongue

Question 28

what is a low risk brue and what is parental advice

Answer 28

older than 2 months
less than 1 minute
otherwise healthy

share decision going home, not risk for sids,
is risk for child abuse