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PGY2 > Rosh Mock > Flashcards

Rosh Mock Flashcards

1
Q
A

MAT

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2
Q

non-typical meds that can cause serotonin syndrome

A

Cocaine, 3,4-methylenedioxymethamphetamine, amphetamines, tramadol, meperidine, ondansetron, dextromethorphan, and tricyclic antidepressants

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3
Q

biggest risk factor for peptic ulcer disease

A

h pylori

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4
Q

most common site of implantation endometriosis

A

ovary; if having introitus pain then cervix

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5
Q
A

Arrhythmogenic right ventricular cardiomyopathy

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6
Q

LVAD pump thrombosis

A

high power; increased LDH

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7
Q

increased risk of pul aspiration with hydrocarbons

A

low viscosity and high volatility, low surface tension

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8
Q

RF for pneumomediastinum

A

asthma

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9
Q

first med for adrenal crisis

A

hydrocortisone

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10
Q

tx for non preggo vag bleeding

A

estrogen, OCPs, IUD

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11
Q

HIV PEP

A

Give within 72 hours; ideal is within 2 hours of exposure; Tenofovir + emtricitabine with raltegravir or dolutegravir for 28 days

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12
Q

tx priapism

A

aspiration (best if <4h onset) and then phenylephrine injections at 2 o clock or 10 o clock position

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13
Q

Meniere disease triad

A

hearing loss, episodic vertigo, and tinnitus

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14
Q

tx Meniere disease

A

lifestyle (salt restriction), thiazide diuretics

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15
Q

erysipelas description

A

Well-demarcated erythema with a raised border

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16
Q

barcode sign

A

pneumothorax

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17
Q

strawberry cervix

A

trichomonas (flagellated), green/yellow frothy discharge

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18
Q

Which of the following is the most common sequela of lightning injuries?

A

TM rupture

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19
Q

sacroiliitis

A

atraumatic lower back pain and stiffness that is worse in the morning and improves with activity.

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20
Q

de winter criteria

A

aVR: upsloping STE
precordial leads: ST depression and tall t waves

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21
Q

tx meningitis with rocephin allergy

A

moxifloxacin

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22
Q

Anomalous origin of the left coronary artery ekg

A

deep Q waves in leads I, aVL, V5, and V6

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23
Q

thoracotomy indications

A

initial chest tube output > 20 mL/kg (or 1,500 mL) or subsequent output of > 200 mL/hour over 3 hours

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24
Q

idiopathic intracranial htn eye palsies

A

lateral gaze palsy (CN VI)

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25
Q

congo red and apple green birefringence

A

amyloidosis

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26
Q
A

epiglottitis

27
Q

fracture of which bone is most often involved in acute compartment syndrome?

A

tibia

28
Q

biggest risk factor for developing septicemia from vibrio

A

cirrhosis

29
Q
A

erythema multiforme

30
Q

most common cause of erythema multiforme

A

herpes simplex virus
2nd: penicillins

31
Q

What is the most common radiographic finding in a child with bacterial tracheitis?

A

subglottic narrowing

32
Q

pacemaker placement causes

A

LBBB

33
Q

A chronic cough in younger children is most commonly attributed to

A

asthma, protracted bacterial bronchitis, and a nonspecific cough that resolves spontaneously.

34
Q

Mallet finger

A

inability to extend the DIP joint, which causes flexion to the DIP at rest.

35
Q

boutonnière deformity

A

Hyperflexion of the proximal interphalangeal joint with hyperextension of the distal interphalangeal joint

36
Q

most common and most important predisposing risk factor for aortic dissection

A

HTN

37
Q

Human-derived botulism immune globulin is used for

A

child <1 botulism

38
Q

Equine serum botulinum antitoxin is used for

A

adult botulism

39
Q

orchitis >50 yo

A

e.coli

40
Q

orchitis <50 yo

A

neisseria

41
Q

What is the first-line pharmacotherapy for treating a patient with bulimia nervosa?

A

fluoxetine

42
Q

drug that causes euglycemic DKA

A

sodium-glucose cotransporter 2 (SGLT2) inhibitors, such as empagliflozin and dapagliflozin
due to glucosuria

43
Q

anterior hip dislocation leg position

A

Extension, adduction, and external rotation

44
Q

posterior hip dislocation leg position

A

Flexion, adduction, and internal rotation

45
Q

tidal volume calculation

A

ideal body weight x 6-8ml/kg

46
Q

neutropenic fever requirements

A

fever 38.3 or higher or 38 for >1h
ANC <500

47
Q

TTP pentad

A

Fever
Anemia
Thrombocytopenia
Rash
Neuro s/sx

48
Q

TTP causes

A

preggo, AIDS, lupus, scleroderma, sjogren, cyclosporine, quinidine, tacrolimus

49
Q

tx TTP

A

plasmapheresis

50
Q

tx methanol tox

A

fomepizole (first line), folinic acid, bicarbonate, hemodialysis

51
Q

peritoneal dialysis peritonitis dx criteria

A

WBC >/=100 and PMNS >50%

52
Q

MC strangulation injury

A

hippocampal ischemia

53
Q

neurocysticercosis tx

A

albendazole +/- praziquantel

54
Q

diaphragmatic rupture can cause

A

bowel strangulation

55
Q

lithium toxicity tx

A

mild: normal saline
severe: hemodialysis

56
Q

radial head fx tx

A

sling and ortho f/u
can do posterior splint vs sugar tong for 24-48 h

57
Q

left ventricular aneurysm ekg findings

A

QS waves with persistent ST elevation in leads V2–V4

58
Q

what region does FAST not evaluate for

A

retroperitoneal

59
Q

scalpel size for I&D

A

11

60
Q

pinworm tx

A

Pyrantel pamoate

61
Q

what time period would a patient be at risk of developing poststreptococcal glomerulonephritis?

A

1-2 weeks

62
Q

auricular hematoma tx

A

i&d then pressure dressing

63
Q

What is the most common cause of gross hematuria in children presenting to the ED?

A

UTI

64
Q

tx scleroderma renal crisis

A

ACEI

PGY2 (9 decks)

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