Procedures

Question 1

Tx for septic joint

Answer 1

IV Abx and admit

Question 2

Tx subungual hematomas

Answer 2

Drain with 18 gauge needle or hot microcautery unit

Question 3

When is needle drainage of an abscess appropriate?

Answer 3

Facial abscesses

Question 4

Tx Bartholin’s cyst

Answer 4

Drain and place Word catheter

Question 5

What is the Cormack-Lehane scale?

Answer 5

Assessment of relative ease of visualization of laryngeal structures during laryngoscopy and intubation

Question 6

Miller and Macintosh are:

Answer 6

types of laryngoscope blades

Question 7

Induction agent of choice for patients with reactive airway disease:

Answer 7

Ketamine

–relaxes bronchial smooth muscle as well

Question 8

Primary induction agent for patients with decreased myocardial contractility

Answer 8

Etomidate

Question 9

Patients allergic to soy or eggs should not receive what induction agent:

Answer 9

Propofol

Question 10

Etomidate has been known to cause:

Answer 10

Transient adrenal suppression, therefore its use in septic patients is controversial

Question 11

Lidocaine characteristics

Answer 11

Low toxicity
Amide
Rapid onset
Average potency

Question 12

Bupivicaine characteristics

Answer 12

High potency
Intermediate onset
Amide
Longer-lasting than lidocaine

Question 13

Painless paraplegia;

dx?

Answer 13

Anterior spinal artery thrombus

Question 14

Progressive loss of nerve fx after a spinal epidural?

Answer 14

Adhesive arachnoiditis

Question 15

How should anesthesia be applied for procedures in the foot?

Answer 15

Regional block ie posterior tibial

Question 16

When is a sural nerve block used?

Answer 16

For anesthesia of the heel and lateral foot

Question 17

What is the only absolute contraindication to surgical cricothyroidotomy?

Answer 17

Age <5

Question 18

Never use combination lidocaine and epinephrine in what body parts?

Answer 18

Digits
Tip of the nose
Penis
Pinna

Question 19

Initial symptoms of local anesthetic toxicity

Answer 19

Lightheadedness/dizziness

after, peri-oral numbness, tinnitus, progressive CNS excitatory effects, tonic-clonic sezires, CNS depression…

Question 20

Why should you avoid topical skin adhesives i the palm?

Answer 20

Sweating –> dehiscence

Question 21

Reversal agent for fentanyl

Answer 21

Naloxone

Question 22

Reversal agent for ketamine

Answer 22

There is no reversal agent for ketamine

Question 23

Chest wall rigidity;
Glottic spasm;
Side effects of?

Answer 23

Rare SE of high dose IV fentanyl (>15mcg/kg)

Question 24

What is the Mallampati score?

Answer 24

Allows prediction of ease of laryngoscopy and intubation through visualization of posterior oropharynx

Question 25

T/F: Lying supine for up to six hours prevents post LP HA.

Answer 25

False - supine is better than sitting up, but no proven benefit for 6 hours

Question 26

What is a blood patch?

Answer 26

Injecting one's own blood at the LP site to form a clot around the meningeal puncture site to avoid further leakage

Question 27

What is the normal ration of CSF glucose to serum glucose?

Answer 27

0.6:1

Question 28

What is the normal range of CSF glucose?

Answer 28

50-80 mg/dL

Question 29

What size chest tube is appropriate for a patient with a potential hemothorax?

Answer 29

28 French or greater

Question 30

Tx for small paronychia

Answer 30

Remove cuticle and drain

Question 31

Tx for large paronychia

Answer 31

Abx | +/- remove part of nailbed;

Question 32

Tx for small paronychia

Answer 32

Remove cuticle and drain

Question 33

Tx for large paronychia

Answer 33

Abx | +/- remove part of nailbed;

Question 34

What solutions should be used to unclog a gastrostomy tube?

Answer 34

Warm water (found to be superior to colas) or pancreatic enzymes dissolved in a bicarbonate solution

Question 35

Labs not OK from IO

Answer 35

CBC will be inaccurate

Question 36

Size chest tube for PTX

Answer 36

24-28 French

Question 37

Size chest tube for blood and pus

Answer 37

32-40 French