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ACCS EM > Part B 09 > Flashcards

Part B 09 Flashcards

1
Q

Position and path of internal jugular vein

A

Earlobe down to sternoclavicular joint

Lateral to carotid

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2
Q

DVLA time off driving

PCI
CABG
TIA

A

PCI - 1 week off driving
CABG - 4 week’s off
TIA - 4 weeks

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3
Q

Form to evidence period in hospital

A

Med 10

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4
Q

Work >6h
Working time directive
Prescribed break = xmins

A

20 mins

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5
Q

Schedule 3 drugs

A

Prescription only

Do not require a register

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6
Q

CN 6 aka

A

Abducens

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7
Q

Ptosis
Muscles involved

Horners syndrome
V
CN3 palsy

A 
Horners syndrome
— superior tarsal muscle 
V
CN3 palsy
— levator palpebrae
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8
Q

Holmes - adie pupil

Describe

A

Dilated
slow to respond to light
Normal accommodation

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9
Q

Holmes adie pupil

Cause

A

?viral infection

Causing damage to parasympathetic innervation

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10
Q

Report required diseases to …

And in what time frame

A

Consultant communicable disease control
24h urgent
72h non urgent

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11
Q

Bell’s palsy

Causes by

A

Swelling facial nerve
W/i Petrous temporal bone
?2* HSV/VZV

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12
Q

Septal haematoma

Tx

A

Needle aspiration
Packed
Co amoxiclav

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13
Q

Incomplete miscarriage

Implies

A

Retained products of conception

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14
Q

Incomplete miscarriage

Comp

A

Endometritis
Myometritis
Septic shock
DIC

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15
Q

Incomplete miscarriage

Ix

A

USS

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16
Q

Incomplete miscarriage

Tx

A

Medically managed
- misoprostol

Surgically
- ERPC

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17
Q

ERPC

Stands for

A

Evacuation of retained products of conception

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18
Q

Bacterial vaginosis

Pathogen

A

Gardnerella vaginalis

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19
Q

Bacterial vaginosis

Dx

A 
Pos whiff test 
- fishy smell
Clue cells 
- stippled epithelium 
pH >4.5
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20
Q

Winging scapula

Effected muscle

A

Serratus anterior

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21
Q

Lisfranc #

Description

A

Tarso metatarsal # dislocation

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22
Q

Aciclovir
Dose
Oral
IV

A

Oral - 400mg 5x/d
IV - 5mg/kg TDS
5 days Tx

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23
Q

Pancreatitis

Late comp

A

Pseudo cyst
Pancreatic abscess
IDDM
Chronic pancreatitis

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24
Q

Pancreatitis

Early comp

A 
Shock
AKI
DIC
ARDS
Pancreatic encephalopathy
Multi organ failure
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25
Q

Acute appendicitis sign

Flx hip causes pain

A

Psoas sign

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26
Q

Duodenal ulcer causing
+++ bleeding
Vessel

A

Gastroduodenal artery

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27
Q

Biphasic anaphylactic reaction

Time after event
% anaphylactic pt

A

4-6h

20% biphasic

28
Q

IO access

Comp

A


Infection

Compartment syndrome
Failure

29
Q

Etomidate

SE

A

Adrenocorticoid suppression

30
Q

Line sepsis

Tx

A

1st: vancomycin
Immunocomprimised
- taz or meropenem

31
Q

Allen’s test

Colour should return within

A

5-15sec

32
Q

TCA

OD Tx

A 
Na bicarbonate 
Lidocaine IV 
Mg sulphate 
Glucagon 
Adrenaline - hypoTN
Benzos - seizures
33
Q

Cardiogenic oscillations
On capnography

Seen in

A

Physiological
Small Pt
Low tidal volume
Low RR

34
Q

ARDS

Ventilator settings

A

Low volume ventilation
6ml/kg
Reduces VALI

35
Q

VALI

Stands for

A

Ventilator associated lung injury

36
Q

ARDS

Defined

A

Widespread

Alveolar Capillary membrane injury

37
Q

ARDS

Diagnosis

A

Non cardiogenic p edema
+ acute resp failure

Severe hypoxaemia refractory to O2

Requires assured ventilation

38
Q

Discharge criteria post sedation

A
  • Pt at baseline
  • Vital signs normal
  • Pain and discomfort addressed
39
Q

Digoxin toxicity

Levels above

A

> 2nmol/L

40
Q

Acute lithium poisoning

Predominately x Sx

A

GI Sx

41
Q

Chronic lithium poisoning

Predominately x Sx

A

Neuro Sx

42
Q

Lyme disease

Pathogen

A

Borrelia burgdorferi

43
Q

Transfusion transmitted bacterial infection

Sx

A

Soon after transfusion started
Fever. Chills, rigors
N+V
Shock

44
Q

Guidewire embolus

A

X

45
Q

Obstetric Cholestasis

Sx

A

Itchy palms, soles, abdomen

46
Q

Galeazzi #

Description

A 
# distal third radius
Dislocation distal radio ulnar joint
47
Q

Nexus criteria
C spine
XR if any of the following

A 
Focal neuro deficit 
Midline tenderness
Altered level consciousness 
Intoxication 
Distracting injury
48
Q

Offensive yellow frothy PV discharge
Strawberry cervix
Itchy

A

Trichomoniasis

49
Q

Test for severity of radiation exposure

A

48h absolute lymphocyte count

50
Q

Symptomatic hyponatraemia Tx

A

100ml 3% NaCl up to 3x

Aim 5mmol increase

51
Q

Normal anion gap acidosis is from

A

Decreased acid excretion or loss of bicarbonate

52
Q

Cyanide poisoning; Tx

A

Amyl nitrate, dicobolt edetate

Or Hydroxycobalamin

53
Q

Serotonin syndrome Tx

A

Cyprohepatdine or chlorpromazine

54
Q

Cholinergic toxicity Tx

A

Atropine, pralodoxime

55
Q

Pemphigoid;

A

itchy blisters (intact)

56
Q

Thompsons test;

A

positive is Achilles’ tendon rupture (aka simmonds)

57
Q

fractured penis: what injured

A

Ruptured tunica albunginea

58
Q

Sulfonylurea toxin Tx

A

Octreotide

59
Q

VBG finding pyloric stenosis

A

Stomach acid: HCl

Loss = hypochloraemic alkalosis 2nd low K

60
Q

Actions heparin and NOACs

A

Heparin stimulate antithtombin 3
Xa or X in name Xa inhibitor
Dabigatran = Thrombin inhibitor

61
Q

FIB obs

A

5,10,15,30mins

62
Q

Osmolar gap

A

Oslmolar gap: Nax2 + glucose + urea (<10)

High ?ethylene glycol or methanol

63
Q

Rhabdomyolysis Dx

A

Rhabdo = 5x upper limit CK

64
Q

Sections and time able to detain

A 
Section 2= 28d (assess)
Section 3= 6m (treat)
Section 4= 72h admission (rare)
Section 5= 72h holding
S136= 24h
65
Q

LA and toxicity levels

A

Bupivicaine 2mg/kg
Lidocaine 3mg/kg
Prilocaine 6mg/kg

66
Q

SMART aim

A

Specific, measurable, achievable, relevant, time specific

ACCS EM (11 decks)

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