Rosh 26

Question 1

Surgical airway of choice in children < 10-12

Answer 1

Needle Cricothyrotomy
Oxygenation: adequate, ventilation: inadequate
Jet ventilation preferred to wall O2
Initial I:E ratio: 1:4

Question 2

Thoracotomy indications after chest tube

Answer 2

initial chest tube output of > 20 mL/kg or 1500 mL
or
subsequent output of > 200 mL/hour

Question 3

How do you calculate the anion gap?

Answer 3

Anion gap = Na - (Cl + HCO3).

Question 4

Indications for packing an abscess include

Answer 4

large size > 5 cm, pilonidal abscess, or abscess in patients with diabetes or who are immunocompromised.

Question 5

Methicillin-resistant Staphylococcus aureus is sensitive to which oral antibiotics?

Answer 5

Clindamycin
trimethoprim-sulfamethoxazole
doxycycline
linezolid 
minocycline.

Question 6

What small bowel diameter on radiographs indicates small bowel dilatation?

Answer 6

3 cm or more.

Question 7

Clonidine

Answer 7

Clonidine is an centrally-acting alpha-2 agonist that inhibits the release of peripheral catecholamines.

Question 8

Clonidine toxzicty

Answer 8

Toxicity would result in bradycardia, hypotension, and miosis (pinpoint pupils).

Question 9

__________ is a cholinergic antagonist that is used to treat clonidine toxicity.

Answer 9

Atropine

Question 10

Which toxidrome would jimsonweed ingestion cause?

Answer 10

Anticholinergic.

Question 11

Increased intraocular pressure can be managed by :

Answer 11

topical beta blockers, mannitol, and acetazolamide.

Question 12

What is the treatment for Legionella pneumonia?

Answer 12

Azithromycin or a fluoroquinolone for severe disease.