Prior

Question 1

When do Koplik spots occur in relation to the rash of measles?

Answer 1

prior to onset of rash

Question 2

Drugs with what mechanism of action should be avoided in patients with hypertrophic cardiomyopathy?

Answer 2

vasodilators, reduces preload and can worsen left ventricular outflow obstruction. Such drugs include nitroglycerin and dihydropyridine calcium channel blockers.

Question 3

What infectious organism is associated with intussusception?

Answer 3

rotavirus
airborne precaustions - TB, SARS, measles, varicella

Question 4

What defines a positive diagnostic peritoneal aspiration?

Answer 4

• > 10 mL frank blood aspirated

Question 5

In patients with a left bundle branch block, what criteria can aid in the diagnosis of ST elevation myocardial infarction?

Answer 5

• concordant STE > 1mm, discordant > 5mm, STD > 1mm in V1-3

Question 6

What is an objective method to distinguish low-flow from high-flow priapism?

Answer 6

• penile blood gasses

Question 7

What are three paraneoplastic syndromes associated with small cell lung cancer?

Answer 7

• cushing syndrome, SIADH, lambert eaton

Question 8

Spinal cord injuries above what level can result in neurogenic shock?

Answer 8

• at or above T5

Question 9

Which other medications may be used to treat torsades de pointes that does not respond to intravenous magnesium?

Answer 9

• isoproterenol, lidocaine, phenytoin

Question 10

What other clinical entity is associated with thiamine deficiency aside from Wernickes?

Answer 10

Wet beri-beri

Question 11

How long after successful methotrexate therapy will the beta-hCG reach 0?

Answer 11

• 2-3 months

Question 12

What cerebrospinal fluid (CSF) opening pressure is diagnostic for idiopathic intracranial hypertension?

Answer 12

• 250 mm H₂0 or 25 cm H₂0

Question 13

What is the primary treatment intervention for a patient with sickle cell anemia who presents to the emergency department with an acute ischemic stroke?

Answer 13

• transfusion therapy

Question 14

What is the most common cause of congenital hydrocephalus?

Answer 14

• aqueductal stenosis

Question 15

What is the dose of epinephrine for a pediatric patient in cardiac arrest?

Answer 15

• 0.1 mg/kg

Question 16

which meds can be delivered through ETT?

Answer 16

• naloxone, atropine, vasopressin (adult), epi, lidocaine

Question 17

How are views of the laryngeal structures classified during intubation?

Answer 17

• grade I view visualizes most of the vocal cords, grade II shows the posterior cords or the arytenoids, grade III visualizes only the epiglottis, and grade IV lacks any view of the laryngeal structures.

Question 18

In acute otitis media, what nerve function should be assessed due to its proximity to the tympanic membrane?

Answer 18

• facial nerve

Question 19

What helps clinically distinguish viral encephalitis from viral meningitis?

Answer 19

• AMS, focal weakness, sz

Question 20

Which type of humerus fracture is most common in children?

Answer 20

• supracondylar

Question 21

which immunizations are necessary in someone with splenectomy

Answer 21

• Vaccines for Streptococcus pneumoniae, Haemophilus influenzae type b, and Neisseria meningitidis.

Question 22

What organism is the most common cause of Fitz-Hugh-Curtis syndrome?

Answer 22

• chlamydia