Peds

Question 0

Elevated ion gap (MUDPILES)

Answer 0

Methanol
Uremia
DKA
Propylene glycol
Iron
Lactic acidosis
Ethylene glycol 
Salicylates

Question 1

Elevated osmolar gap (ME DIE)

Answer 1

Methanol
Ethylene glycol

Diuretics (osmotic mannitol)
Isopropyl alcohol
Ethanol EtOH

Question 2

Cyanide poisoning

Answer 2

Hydroxocobalamin

Question 3

Iron overdose

Answer 3

Deferoxamine

Question 4

Beta blocker or CCB induced hypotension

Answer 4

Glucagon incress cAMP

Question 5

Sulfonylurea induced hypoglycemia

Answer 5

Octreotide

Question 6

Benzodiazepine toxicity

Answer 6

Flumazenil

Question 7

Opioid toxicity

Answer 7

Naloxone

Question 8

Sympathomimetic symptoms

Seizures, tachycardia, hypertension, agitation

Answer 8

Lorazepam
Diazepam

Avoid haloperidol for agitation

Question 9

Systemic Lupus Erythrmatosus

Answer 9

More prevalent in girls
prepubescent children
African American, Puerto Rican

10 year survival 86%

Abnormal Tcell, Bcell

Antinuclear antibody testing
Anti-DS DNA

Question 10

Eating disorder

Answer 10

Genetics
Serotonin 2A receptor

Comorbid psych condition
Male homosexual
Perfectionist, athlete, society
Family abuse

Hospitalize if weight loss >20%
HR<60

Question 11

Anorexia

Answer 11

Olanzapine weight gain antipsych

BZD for anxiety before meals

Metoclopramide to increase GI motility I

Question 12

Bulimia

Answer 12

Fluoxetine 60mg

BZD for meal anxiety

Ondansetron, naltrexone to reduce binging