Rosh 17

Question 1

The ability to make a “thumbs up” sign tests ___________

Answer 1

the motor function of the radial nerve.

Question 2

Sensation to the index finger tests .

Answer 2

function of the median nerve

Question 3

The ulnar nerve supplies sensation to (hand)

Answer 3

the little finger and the adjacent half of the ring finger.

Question 4

What are the most common causes of meningitis in infants older than 28 days of age?

Answer 4

Streptococcus pneumoniae and Neisseria meningitidis (the same as immunocompetent adults).

Question 5

rabies rx in pt w/o prior immunization

Answer 5

First dose of human diploid cell vaccine and human rabies immunoglobulin

Question 6

abx choice in septic neonate

Answer 6

Ampicillin, gentamicin, and acyclovir

Question 7

this abx should be avoided in septic neonate

Answer 7

Ceftriaxone should be avoided in neonates due to the risk of kernicterus.

Question 8

How long should divers wait to fly home after a dive?

Answer 8

A minimum of 12 to 24 hours.

Question 9

What are the two most common causes of transudative pleural effusions?

Answer 9

Heart failure and cirrhosis.

Question 10

Fomepizole

Answer 10

blocks alcohol dehydrogenase to prevent the formation of toxic metabolites in patients who ingest methanol and ethylene glycol.

Question 11

Impetigo rx

Answer 11

Limited number of lesions: topical mupirocin

Numerous lesions or involvement of more than one area: oral antibiotics (cephalexin or dicloxacillin)

Question 12

Galeazzi/Monteggia Fracture of the forarm

Answer 12

Mnemonic: GRUesome MURder
–Galeazzi R: radius fracture U: ulna (radioulnar joint) dislocation
– Monteggia U: ulna fracture R: radial head dislocation
orthopedic emergencys