Rosh 12

Question 1

IV phenytoin is contraindicated in patients with what heart condition

Answer 1

sinus bradycardia, sinoatrial block, 2nd and 3rd degree heart blocks

Question 2

Auricular Hematoma rx

Answer 2

I/D

needle aspiration allows for re-accumulation of hematoma

Question 3

Childhood lead level posining rx

Answer 3

BLL > 70 µg/dL should be admitted for chelation with dimercaprol followed by CaNa2EDTA

BLL of 45-69 µg/dL can be treated as an outpatient with oral 2,3-dimercaptosuccinic acid (DMSA).

Question 4

Parkland formula:

Answer 4

4 x surface area x weight

50% given in first 8 hours, remainder over 16 hours

Question 5

Alcoholic hepatitis labs

Answer 5

moderate transaminase elevation, AST > ALT (2:1)

*Alcoholic hepatitis can cause fever

Question 6

Heat stroke is characterized by severe what 2 things

Answer 6

hyperthermia (≥ 40°C) and neurologic dysfunction

RX: Rapid cooling to 39º: evaporative or cold water immersion
Avoid antipyretics

Question 7

Elliptical incision and thrombus removal is appropriate management of severe and painful external hemorrhoids when?

Answer 7

do not respond to initial conservative therapy with topical lidocaine and hydrocortisone cream or who present within 48 to 72 hours of onset.

Question 8

Spontaneous pneumomediastinum is generally a benign, self-limited condition that usually does not require hospital admission.

Answer 8

just terryfyingly true

Secondary causes of pneumomediastinum such as Boerhaave’s syndrome are more serious, and treatment is aimed at the underlying disorder.

Question 9

Boerhaave Syndrome diagnositc test

Answer 9

esophogram with water-soluble oral contrast

Question 10

peds ET size calculation

Answer 10

(age/4) + 4

subtract .5 for cuff