Random Topics

Question 0

What is the mneumonic for uses of narcan?

Answer 0

ROCLAVA
R= reserpine
O = opioids 
Clonidine
Lomotil
Ace inhibitors, aldomet
Valproate acid
Zany flex

Question 1

What is the dosing for narcan?

Answer 1

0.4 mg

Question 2

What is the triad of opioid overdose?

Answer 2

Pinpoint pupils, hypo ventilation, hx of narc abuse

Question 3

How much dose 1 amp of glucose increase blood sugar by?

Answer 3

200

Question 4

What are the steps for treating altered mental status?

Answer 4

NGT
Naloxone
Glucose
Thiamine

Question 5

What is the triad for Wernicke’s?

Answer 5

Ataxia
Nystagmus
Encephalopathic

Question 6

How much thiamine do you give?

Answer 6

100 mg

Question 7

What can glucagon be used for?

Answer 7

As a vasopressor

Question 8

What is used to numb the eye?

Answer 8

Properacaine

Question 9

What med is used for hiccups?

Answer 9

Thorazine

Question 10

Where is the coin if it is facing you?

Answer 10

The esophagus

Question 11

Which objects need to be removed from the GI tract?

Answer 11

Magnets
Sharp objects
Battery

Question 12

At what point can the patient be sent home after swallowing a coin?

Answer 12

If it has passed the pylorus

Question 13

At what NIF should you consider elective intubation?

Answer 13

-20 to -30

Question 14

What paralytic do you use to intubated a patient with myasthenia gravis?

Answer 14

1/2 roc
Or double succinylcholine

Because have crappy unresponsive Ach receptors

Question 15

What is the treatment for myasthenia crisis?

Answer 15

IVIG or plasmapheresis

Question 16

What are the steps in looking at an BMP and figuring out acid/base disorders?

Answer 16

1. Look at the numbers
2. Do the anion gap
3. Rule of 15 (bicarb + 15 = what the PCO2 should be)
4. Calculate the difference between anion gap (anion gap -15) = what the bicarb will move by equally and oppositely

Question 17

What is the rule of 15?

Answer 17

Bicarb + 15 = what the PCO2 should be
If it is NOT, there is another primary process going on
If it is, it is a secondary compensatory progress

Question 18

What is the anion gap and bicarb rule?

Answer 18

The change in the anion gap from normalcy will create am equal and opposite reaction in bicarb. If not, there is another primary process going on

Question 19

What is the dosage of metronidazole for trichomonas?

Answer 19

2 g

Question 20

What are the three findings of PID that you only need one of to treat for PID?

Answer 20

Adnexal tenderness
Cervical motion tenderness
Abdominal tenderness

Question 21

What is the tx for chancroid?

Answer 21

Single shit of azithromycin or rocephin

Question 22

What is dose of ceftriaxone for gonorrhea?

Answer 22

250 mg IM

Question 23

What is the dose of azithromycin for chlamydia?

Answer 23

1 g

Question 24

What is the dose for syphilis?

Answer 24

Benzathine pen G, 2.4 million units

Question 25

What should you avoid in patients with hyphema?

Answer 25

ASA, NSAIDs, blood thinners
Keep head of bed up
Rest - no raising your bp

Question 26

What is something you should always do on physical exam with an eye problem?

Answer 26

Visual acuity

Question 27

What is normal IOP?

Answer 27

Less than 20

Question 28

What should be used in acute angle glaucoma?

Answer 28

Bb, anticholinergic, acetazolamide (check kidneys first)

Question 29

What should you limit in a patient with sub conjunctival hemorrhage?

Answer 29

ASA, NSAIDs

Question 30

What is the treatment for post-traumatic iritis?

Answer 30

Cycloplegics

Question 31

What should you NOT do if you suspect an open globe?

Answer 31

Check the IOP - may squeeze aqueous humor out

Question 32

What is the Go To pressor in shock?

Answer 32

Norepinephrine

Question 33

How much furosemide should you start someone on?

Answer 33

A vial more than what they’re on

Greater than or equal to their age