R1 Memorization

Question 1

Amoxicillin for OM (child)

Answer 1

40-50mg/kg/day (normal)

80-90mg/kg/day (common d/t daycare or has hx of infections)

Question 2

Amoxicillin for OM (adult)

Answer 2

1g PO BID x 5-10days

Question 3

Cefdinir (Omnicef) for OM (child)

Answer 3

14 mg/kg/day BID x 5-10days

Question 4

Cefdinir (Omnicef) for OM (adult)

Answer 4

300mg PO BID x 5-10 days

Question 5

Trimethoprim-sulfamethoxazole (Bactrim) for OM (child)

Answer 5

8-10mg/kg/day BID

Question 6

Trimethoprim-sulfamethoxazole (Bactrim) for OM & UTI (adult)

Answer 6

800/160mg BID x 10 days

Question 7

Ceftriaxone (Rocephin) for Sepsis (child)

Answer 7

50-100mg/kg q12-24h

Question 8

Ceftriaxone (Rocephin) for pneumonia (adult)

Answer 8

1gram IV daily (up to 4g/day)

Question 9

Azithromycin (Azithromax) for pneumonia (child)

Answer 9

10mg/kg PO on day 1, then 5mg/kg daily x 4 days

Question 10

Azithromycin (Azithromax) for pneumonia (adult)

Answer 10

500mg PO on day 1, then 250mg PO daily x 4 days

Question 11

Cefotaxime for pneumonia in an infant

Answer 11

50mg/kg/day q8h

Question 12

Piperacillin-Tazobactam (Zosyn) for sepsis (adult)

Answer 12

3.375g IV q6h

Question 13

Piperacillin-Tazobactam (Zosyn) for pneumonia (adult)

Answer 13

4.5 grams IV q6h for 7-10days

Question 14

Doxycycline (adult)

Answer 14

100mg PO BID

Question 15

Doxycycline (child >8yo)

Answer 15

2.2 mg/kg/dose BID

Question 16

Doxycycline (Preventing Lyme disease if tick attached long)

Answer 16

200mg once

Question 17

Acetaminophen for fever (child)

Answer 17

10-15mg/kg PO q3-4h

Question 18

Acetaminophen for fever (adult)

Answer 18

500-650mg PO q6h

Question 19

Motrin for fever (child)

Answer 19

5-10mg/kg q6-8h

Question 20

Motrin for fever (adult)

Answer 20

400-800mg q6-8h, NO longer than 10 days

Question 21

Promethazine (Phenergan) for nausea (child)

Answer 21

0.25-1mg/kg q4-6h

Question 22

Promethazine (Phenergan) for nausea (adult)

Answer 22

25mg q6h PO
or
12.5mg q6h IV

Question 23

Ondansetron (Zofran) for nausea (child)

Answer 23

0.15mg/kg IV
or
4mg PO

Question 24

Ondansetron (Zofran) for nausea (adult)

Answer 24

4-8mg PO q6h

Question 25

Myocardial Infarction (MONA)

Answer 25

Morphine, Oxygen, Nitroglycerin, Aspirin

Question 26

Unconscious Adult (Non-Trauma)— DONT

Answer 26

Dextrose, Oxygen, Narcan, Thiamine

Question 27

Presentation Format

Answer 27

CC
HPI
PMHx
Surgical Hx
Family Hx
Social Hx
Allergies
Medication
ROS
Physical Exam
Labs/Imaging
Assessment & Plan—if sx/don’t know dx, then plan includes diagnostics; if know the dx, then plan includes treatment

Question 28

Colon Cancer Screening

Answer 28

Age 50 (grade A rec USPSTF)
Age 45 (grade B rec USPSTF)

Question 29

Eligibility for Pneumovax Vaccine

Answer 29

Age 65

Question 30

Mammogram Screening

Answer 30

Start @ 50yo, stop @ 75yo

Question 31

Newborn—Normal HR

Answer 31

110-160bpm

Question 32

Newborn—Normal RR

Answer 32

30-60 breaths/min

Question 33

Normal Fetal HR

Answer 33

110-160 bpm

Question 34

Pre-Eclampsia

Answer 34

New onset of HTN (>140 SBP) + Proteinuria (>300mg) or End-Organ dysfunction after 20wks of gestation in previously NORMOTENSIVE woman