Page

Question 1

Labs for CHF

Answer 1

Bmp, trop, cbc, cxr, ekg

Question 2

What modality in a mod-high risk for PE/

Answer 2

CT for PE

Question 3

Pregnancy D-Dimer levels?

Answer 3

Doubles

Question 4

Epidural hematoma

Answer 4

Arterial blood
Direct trauma
Period of lucidity and rapid decline

Question 5

Proximal humeral fx

Answer 5

Proximal causes axillary problems

Question 6

COPD

Answer 6

Duoneb x3, O2 levels at 95% or below

Watch out for blebs- can become pneumothorax

Question 7

Asthma

Answer 7

-duoneb, decardon, cpap and bipap, mag if its bad

Question 8

Viral meningitis

Answer 8

-enterovirus

Question 9

MI vessels

Answer 9

LISA L
Lateral is circumflex
Inferior is RCA
S/A is LAD

Question 10

SAH

Answer 10

-

Question 11

Snake bites

Answer 11

-if local then relax
If swelling then use
Systemic invenomation gets antivenom,
Dry bites are 25%

Question 12

Brown sequard

Answer 12

-propioception and vibration on same side below and pain/movement on opposite side

Question 13

Chance fracture

Answer 13

-Seat belts, extension injury

Question 14

CHF

Answer 14

Ekg,cxr, IV NITRO!!, lasix. Lasix IV is 2x efficient

Give em cpap or bipap if need bee.

Question 15

TM ruptures

Answer 15

Posterior superior side- leading to chaines

Question 16

Bugs in ear

Answer 16

Lidocaine or mineral oil

Question 17

Seizures?

Answer 17

Benzos

Question 18

MI? Whats definitive treatment

Answer 18

PCI within 120 mins

Question 19

HOTN and AAA signs?

Answer 19

US or CT,

Unstable? NO CT

Question 20

Temporal arteritits

Answer 20

-ESR, 50+, biopsy

Question 21

WHen someone has syncope what do you need?

Answer 21

EKG

Question 22

Murphy’s sige?

Answer 22

RUQ US, and ceftriaxone 2gms

Question 23

MC kidney stone etiology

Answer 23

Calcium oxalate stone

Beer, wheat germ, and spinach are high in oxlate

Question 24

US testicular torsion?

Answer 24

Phren sign doesn’t relieve pain.
Absent cremaster reflex
Urology constuls

Question 25

Dendritic lesions on eye?

Answer 25

HSV
Trifluridine
Viroptic

Question 26

Chem in eyes?

Answer 26

Wash out to 7.4 pH

Recheck pH in 30 mins

Question 27

Base vs acids?

Answer 27

Bases make necrosis, acids make coags

Question 28

Nasal fx

Answer 28

Saddle deformtitiy- decongestants, no nose bloweing, pain meds

Question 29

Trench foot

Answer 29

First stage is numbness.
Birght red at right
Usually painless

Question 30

EKG changes in pericarditis?

Answer 30

-

Question 31

BNP numbers?

Answer 31

Number is under 100, raided is 100-400. High is over 400.