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PGY2 > Peer Prep > Flashcards

Peer Prep Flashcards

1
Q

MC finding of cyanide poisoning

A

lactic acidosis

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2
Q

benzocaine can cause

A

methyl hemoglobinemia; benzocaine found in teething gel

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3
Q

TX methyl hemoglobinemia

A

methylene blue

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4
Q

charcoal is usually used with what overdose?

A

acetylsalicylate acid

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5
Q

phases of iron toxicity

A
  1. vom/diarrhea
    2.recovery of phase 1
  2. acidosis, liver failure, shock, seizures
    4.pyloric stenosis
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6
Q

when to give digfab

A

ventricular tachycardia present

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7
Q

systemic fluoride poisoning electrolyte abnorms

A

hypo calcium and hypomagnesium

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8
Q

drug that can cause methemoglobinemia

A

chloroquine

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9
Q

strychnine

A

like tetanus

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10
Q

rationale for hyperbaric chamber for CO poisoning

A

decrease risk for delayed neuro sequela

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11
Q

medication best for opioid withdrawal symptoms

A

buprenorphine

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12
Q

water hemlock poisoning

A

GI sx, convulsions

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13
Q

poison hemlock poisoning

A

like nicotine; GI sx

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14
Q

oleander poisoning

A

GI sx; hyperkalemia and dysrhythmias

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15
Q

amanita mushroom poisoning

A

delayed GI sx; hepatic failure

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16
Q

if patient on SSRI and is intubated, what post intubation sedation medication should be avoided?

A

fentanyl

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17
Q

tx of topical hydrofluoric acid exposure

A

decontamination and topical magnesium or calcium

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18
Q

absolute contraindication for physostigmine for anticholinergic toxidrome

A

widen QRS

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19
Q

ciguatera

A

cold allodynia, CNS, GI

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20
Q

why does TCAs cause QT prolongation

A

sodium channel blockers

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21
Q

imipramine can cause what toxidrome

A

anticholinergic

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22
Q

diphenhydramine overdose s/sx

A

hallucinations, seizures, adn dilated pupils

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23
Q

substance that causes lactate gap

A

ethanol glycol

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24
Q

what local anesthetic causes allergic rxns

A

proparacaine, benzocaine

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25
Q

s/sx of large ingestion of ibuprofen

A

gi upset -> seizures, coma, AKI, ACS, upper GI bleed

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26
Q

strongest predictor of intimate partner homicide

A

access to firearms

27
Q

MC location of intimate partner violence

A

face

28
Q

electrolyte abnormality in anorexia

A

hypophos

29
Q

type pf vision loss in conversion disorder

A

circumferential

30
Q

metaphyseal chip fx assoc with

A

non accidental trauma

31
Q

MCC of PTSD

A

sex violence

32
Q

PTSG acute tx

A

propranolol

33
Q

absolute indication for hospitalization in anorexia

A

hypothermia

34
Q

most strongly assoc with PTSD

A

TBI

35
Q

patient with confusion, what findings suggest primary psych disorder

A

insidious onset

36
Q

delirium vs dementia

A

dementia: impaired ability to learn new information,

37
Q

symptoms expected in opioid withdrawal vs alcohol withdrawal

A

myalgias

38
Q

tx for acute opioid withdrawal

A

buprenorphine

39
Q

med contraindicated in preggo with opioid use disorder

A

clonidine

40
Q

clonidine MOA

A

alpha 1 agonist

41
Q

buprenorphine MOA

A

partial opioid agonist and weak antagonist

42
Q

what ingestion causes mixed acid base disturbance

A

asa

43
Q

tx for hypertensive emergency secondary to pheochromocytoma

A

phentolamine

44
Q

hypokalemia ekg findings

A

qt prolongation, flattened t waves, u wave after every t wave

45
Q

tx for hypercalcemia due to malignancy

A

zolendronic acid

46
Q

tx for hyperphos

A

selevamer

47
Q

behcet syndrome

A

stomatitis, uveitis, genital lesions

48
Q

adult epiglottitis associated with

A

diabetes

49
Q

tx iritis

A

cycloplegic eye drops

50
Q

tx acute angle closure glaucoma

A

timolol and acetazolamide

51
Q

abx for corneal abrasions

A

tobramycin 0.3% ophthalmic solution

52
Q

acetazolamide moa for mountain sickness

A

causes metabolic acidosis

53
Q

CRAO eye exam

A

retinal pallor adn cherry red macula

54
Q

what artery does an embolus originate that leads to CRAO

A

internal carotid artery

55
Q

MC complication of untreated traumatic hyphema

A

rebleeding

56
Q

tx hyphema

A

topical beta blockers, IV mannitol, topical alpha agonist, CA inhibitors, and topical steroids

57
Q

acetazolamide contraindicated in what kind of patients with hyphema

A

sickle cell; increase sickling

58
Q

lab value that increases with hemophilia A

A

PTT

59
Q

goodpasture main symptom systems

A

pulmonary and renal

60
Q

what is a possible consequence of uncontrolled bleeding in a patient with severe hemophilia A

A

compartment syndrome

61
Q

etanercept assoc with what

A

developing TB

62
Q

labs for kawasaki disease

A

CRp >3 and ESR >40
anemia
platelet >450,000
albumin <3
WBC >15,000
>10 wbc on UA

63
Q

what medication is contraindicated for vWF disease

A

ASA

64
Q

TTP

A

anemia, thrombocytopenia, AMS, fever
schistocytes

PGY2 (7 decks)

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