Quiz Questions Flashcards
1) Methadone does what?
2) ECG, LP for CSF, CT
3) Generalized seizure treat with ____
3) Do not perform LP and use peripheral blood counts for consideration
4) If a patient is taking Coudmadin or warfarin or whatever, check INR (a derivative of prothrombin time)
5) Remember, if a head bleed use CT with NO contrast
6) Hemorrhagic stroke with CT follow up LP
7) If INR is between 5-9, then treat via holding 1 dose of coumadin and recheck INR in 24 hours
8) Bacterial infection is ___ PMN, ___ glucose, ____ protein, and _____ opening pressure and ___ WBC count
^** Viral would be opposite except PMNs would be 1-50% instead of 80% seen in bacterial
9) Acidosis exacerbation = ____ from MUDPILES
10) Strep = Gram + diplococci, Meningitis = Gram - diplococci, H inflenza = Gram - coccobacilli
In the questions, 2-12 years old with meningitis = ____
And admit to the PEDIATRIC ICU
1) Widens QT interval
2) Benzodiazepine
8) Increased, Decreased, Increased, Increased, Increased
9) Isoniazid
10) Strep Pneumonia
1) Balkan nephropathy can lead to ____
2) Dry mouth, back pain, fever, can’t pee = UTI = E. Coli (Gram negative rod)
3) Anti-GMB antibodies confirms Goodpastures syndrome
4) Beta Vulgaris (Beets) can also lead to red urine
5) Linear staining pattern with immunofluorescence on renal biopsy indicates _____ syndrome
6) If patient has goodpastures or some inflammatory condition treat with ____
7) Child with meningitis the most direct cause of decreased Na in serum and decreased urine output is due to ____
8) Perscribe ____ to help periorbital edema
9) Hyperkalemia, hypocalcemia, hyperphosphatemia and ____
1) Renal cell carcinomas
5) Goodpasturees
6) Steroids (like methylpredninsone)
7) SIADH
8) Ethacrynic acid
9) Metabolic acidosis
Dyspnea, Paroxysmal nocturnal dyspnea is seen with ____
Edema, JVD, hepatomegaly is seen with ____
Know the stages (A,B,C,D)
A = High risk, no defects (HTN, CAD, etc)
CHF use ACEI, Aldosterone antagonists, and BB
LHF
RHF
Dry cough, angioedema, and hyperkalemia can be due to ____ medication
ACEI
Severe alcohol withdrawal can result in ____ and treat with ____ and ___ to help _____ (due to the depletion of vitamin B stores)
^** Given via a banana bag
If pedal pulses are absent, think ____
Rheumatic fever = Increased ASOs and JONES criteria = Group A beta hemolytic strep
Delirium Tremens (DTs), thiamine (B1) and glucose, wernickes encephalopathy
Peripheral vascular disease
Know the difference between Stable Angina, Unstable angina, NSTEMI and STEMI
Stable = ST depression
Unstable = Inverted T waves with normal cardiac enzymes
Use ____ to treat these patients?
If STEMI or new LBB seen send to cath lab ASAP
Nitro + Sildenafil (viagra) = excess NO release = systemic vasodilation = hypotension = possible death
MONA-B
Morphine, O2, Nitroglycerine, Aspirin (ASA), BetaBlocker
Pericarditis has a sharp pain presentation that gets better when sitting up and leaning forward it has a pericardial ___ and EKG shows diffuse ____ segment ____ and ____ segment ____
You can give ___ and ___ for treatment
^** DO NOT use anticoagulation since you can cause cardiac tamponade
4 stages with treatment
1) ST elevated and PR depressed
2) ___ returns to normal
3) ____ becomes inverted
4) EKG becomes normal
Increased ____ is seen in pericarditis and can be used to measure treatment progression
Friction rub, ST elevation and PR depression
ASPIRIN AND COLCHICINE
2) ST
3) T
CRP
1) 3:1 BUN creatinine ratio
2) Aspirin can cause black stools
3) ____ can cause arrythmias
4) Laying supine = Viral
5) Nursing: High Fowler at 90 degrees
6) SLE = dsDNA autoantibodies
3) Digoxin
