Rapid Review: EM Flashcards

1
Q

Class of drugs that may cause syndrome of muscle rigidity, hyperthermia, autonomic instability, and extrapyramidal symptoms

A

Antipsychotics (neuroleptic malignant syndrome)

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2
Q

Side effects of corticosteroids

A

Acute mania, immunosuppression, thin skin, osteoporosis, easy bruising, myopathies

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3
Q

Treatment for DTs

A

Benzos (lorazepam if cirrhotic)

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4
Q

Treatment for acetaminophen overdose

A

N-acetylcysteine

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5
Q

Treatment for opioid overdose

A

Naloxone

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6
Q

Treatment for benzo overdose

A

Flumazenil

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7
Q

Treatment for neuroleptic malignant syndrome and malignant hyperthermia

A

Dantrolene

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8
Q

Treatment for malignant hypertension

A

Nitroprusside

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9
Q

Treatment of A fib

A

Rate control, rhythm conversion, and anticoagulation

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10
Q

Treatment of SVT

A

If stable, rate control with carotid massage or other vagal stimulation; if unsuccessful, consider adenosine

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11
Q

Causes of drug-induced SLE

A

INH, penicillamine, hydralazine, procainamide, chlorpromazine, methyldopa, quinidine

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12
Q

Macrocytic, megaloblastic anemia with neurologic symptoms

A

B12 deficiency

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13
Q

Macrocytic, megaloblastic anemia without neurologic symptoms

A

Folate deficiency

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14
Q

A burn patient presents with cherry-red flushed skin and coma. SaO2 is normal, but carboxyhemoglobin is elevated. Treatment?

A

Treat CO poisoning with 100% O2 or with hyperbaric O2 if poisoning is severe or the patient is pregnant.

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15
Q

Blood in the urethral meatus or high-riding prostate

A

Bladder rupture or urethral injury

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16
Q

Test to rule out urethral injury

A

Retrograde cystourethrogram

17
Q

Radiographic evidence of aortic disruption or dissection

A

Widened mediastinum (>8cm), loss of aortic knob, pleural cap, tracheal deviation to the right, depression of left main stem bronchus

18
Q

Radiographic indications for surgery in patients with acute abdomen

A

Free air under the diaphragm, extravasation of contrast, severe bowel distension, space-occupying lesion (CT), mesenteric occlusion (angiography)

19
Q

The most common organism in burn related infections

A

Psuedomonas

20
Q

Method of calculating fluid repletion in burn patients

A

Parkland forumla: 24 hour fluids=4xkgx%BSA

21
Q

Acceptable urine output in a stable patient

A

30 cc/hour

22
Q

Acceptable urine output in a trauma patient

A

50 cc/hour

23
Q

Signs of neurogenic shock

A

Hypotension and bradycardia

24
Q

Signs of increased ICP (Cushing’s triad)

A

Hypertension, bradycardia, and abnormal respirations

25
Decreased CO, decreased PCWP, increased PVR
Hypovolemic shock
26
Decreased CO, increased PCWP, increased PVR
Cardiogenic (or obstructive) shock
27
Increased CO, decreased PCWP, decreased PVR
Septic or anaphylactic shock
28
Treatment of septic shock
Fluids and antibiotics
29
Treatment of cardiogenic shock
Identify cause; pressors (eg dopamine)
30
Treatment of hypovolemic shock
Identify cause; fluid and blood repletion
31
Treatment of anaphyalctic shock
Diphenhydramine or epinephrine 1:1000
32
Supportive treatment for ARDS
CPAP
33
Signs of air embolism
A patient with chest trauma who was previously stable suddenly dies
34
Signs of cardiac tamponade
Distended neck veins, hypotension, diminished heart signs (Beck's triad); pulsus paradoxus
35
Absent breath sounds, dullness to percussion, shock, flat neck veins
Massive hemothorax
36
Absent breath sounds, tracheal deviation, shock, distended neck veins
Tension pneumothorax
37
Treatment for blunt or penetrating abdominal trauma in hemodynamically unstable patients
Immediate exploratory laparotomy
38
Increased ICP in alcoholics or the elderly following head trauma. Can be acute or chronic; crescent shape on CT
Subdural hematoma
39
Head trauma with immediate loss of consciousness followed by a lucid interval and then rapid deterioration. Convex shape on CT
Epidural hematoma (needs surgery)