Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Oral Boards > Oral Boards Study Facts > Flashcards

Oral Boards Study Facts Flashcards

1
Q

Tx Acute Angle Closure Glaucoma

A

“STAMP”

  1. Supine Position
  2. Timolol Drops
  3. Azetazolamide (IV or PO)*
  4. Mannitol
  5. Pilocarpine

*Don’t give with Sickle Cell

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Boerrhaave Abx

A

Imipenem/Cilastin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Pyloric Stenosis Measurement

A

Thickness > 3mm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

RAO vs RVO

A

RVO - Less serious, no tx (ophtho f/u).

RAO - Serious. Occular Massage, Ophtho, Decrease IOP

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Cyanide Indicator

A

Lactate > 8

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Awake Intubation Technique

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Transcutaneous Pacing Technique

A
  • Pads on patient (Ant Post ideal)
  • Defibrillator in Pace Mode
  • Settings
    • Brady
      • Set rate to 70
      • Non-arrest - Current at minimum, increase slowly until capture
      • Unstable - Set current at max, decrease until capture loss, then increase back to capture
    • Tachy
      • Set rate to 40 over current HR
      • Increase amp until capture,
      • Apply brief trains of 10 beats
  • Capture achieved when:
    • See pacing spikes prior to each QRS
    • QRS wide
    • Rate matches set rate
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Transvenous Pacing Technique

A
  • Introduce sheath introducer (Rt IJ)
  • Assistant plugs connecting cable into device
  • Check balloon
  • Place sleeve over cable
  • Monitor with US if possible
  • Also watch lead II
  • Insert wire with curve towards heart
  • Advance 20 cm
  • Plug in wire
  • Device turned on
  • Set to 80 BPM, 5 mA
  • Advance to 30 cm and inflate balloon
  • Float balloon into RV
  • Capture = STEMI pattern on monitor with pacer spike
  • Check pulse to verify mechanical capture
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Gullain Barre Syndrome Work Up and Tx

A
  • Work Up
    • LP - High protein (nml = 25)
    • FVC will be below normal
    • NIF will be below normal
  • Tx = IVIG or plasma exchange
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Normal LP Numbers

A
  • Opening Pressure < 20
  • Protein 25
  • Glucose 2/3 Serum
  • WBC 5
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Bacterial LP

A
  • Opening Pressure: High (Nml = 20)
  • Protein: High (Nml = 25)
  • Glucose Low (Nml = 2/3 serum)
  • WBC 1000s (Nml = 5)

Remember to give decadron

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Viral LP

A
  • Opening Pressure: Nml (Nml = 20)
  • Protein: Nml or mildly high (Nml = 25)
  • Glucose Nml (Nml = 2/3 serum)
  • WBC 10s-100s (Nml = 5)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Anti-hypertensive for Cocaine

A

Phentolamine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Labs for DKA

A

Glucose > 250

Bicarb < 15

pH < 7.3

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Kawasaki Tx

A

ASA + IVIG

Peds Rheumatology Consult

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Synovial Fluid results suggestive of septic joint

A

WBC > 50K

PMN > 80%

17
Q

Gram Pos Cocci

A

Strep and Staph

18
Q

Gram Neg Cocci

A

N. men and N. gon

Neg = N

19
Q

RMSF Pres

A

Rash from palms/soles to trunk

Elevated LFTs

HypoNa

Fever/Flu-like Sx

20
Q

Retic Count in SCD

A

Normal for these patients is 4-15%

Lower than 4 with anemia (drop of HgB > 2 from baseline) suggests aplastic crisis

21
Q

HACE Treatment

A

Immediate Descent or Hyperbaric

O2

Decadron

Acetazolamide

22
Q

HAPE Tx

A

Immediate Descent or Hyperbaric

O2

Nifedipine

23
Q

Kayexelate Replacement

A

Lokelma

24
Q

HISTORY

A

SAMPLE + OPQRST

+ SOCIAL

+SEXUAL

+/- TRAVEL

25
Q

Physical

A

Gen

Head

EENT

Neck

Chest

Abdomen

Rectal

Pelvis

Extremities

Back

Neuro

Skin

Lymph

26
Q

Intusus Man

A

Barium enema (ther and diag)

27
Q

CURB 65

A
  1. Confusion
  2. bUn > 19 mg/dl
  3. RR > 30
  4. BP < 90 SBP, or < 60 DBP
  5. Age > 65

Approximate 30-day mortalities and Tx considerations

  • +1 –> 3%, outpt tx
  • +2 –>7%, inpt, possible outpt
  • +3 –> 14% inpt, possible ICU
  • +4-5 –> 30% ICU
28
Q

Pressor for Neurogenic Shock

A

Norepi

29
Q

Thyrotoxicosis Tx

A

Propanalol

PTU

1 hr later –> Iodine

30
Q

Mesenteric Ischemia Tx

A

Fluid Resus

Broad Spectrum Abx (Zosyn)

Pressors tricky - Dobutamine

Early Surgical Consult

Discuss Heparin with Sx

Oral Boards (13 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions