Test 1 Flashcards

0
Q

VS thyroid

A

C4-6 T2

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1
Q

VS for oropharynx

A

T1-2

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2
Q

VS lung

A

T1-4 Ipsilateral

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3
Q

VS pancreas

A

T5-9 bilateral

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4
Q

Liver VS

A

T5-10 R

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5
Q

VS uterus

A

T9-L2 bilateral

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6
Q

Adrenals Vs

A

T8-10 Ipsilateral

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7
Q

VS spleen

A

T7-9 L

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8
Q

Prognostic burn index

A

Age + TBSA + 20% if inhalation injury

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9
Q

Nutrition for burn patient

A

25kcal/kg body weight + 40 kcal/%TBSA

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10
Q

Tylenol metabolism

A

> 95% liver ((20-46 sulfation, 40-67 glucuronidation)
<5% cytochrome p450
(Produces napqi, when glutathione below 30% causes hepatocellular death)

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11
Q

Tylenol toxicity level

A

140mg/kg single ingestion

7.5g/24 hours

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12
Q

Acute adult ASA OD findings

A
N/V
Tinnitus
Sweating
Hyperventilating
Respiratory alkalosis 
Metabolic acidosis
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13
Q

GI cocaine problems

A

Body stuffers - poorly packaged, may show Sx coke tox

Body packers - well packaged, tox if one breaks

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14
Q

Pinpoint pupil D/D

A

Opiate OD

Pontine stroke

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15
Q

Opiate OD triad

A

Miosis
Rspiratory deprression
Coma

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16
Q

Non cardiogenic pulmonary edema D/D

A

Opioid OD

Aspirin OD

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17
Q

Wernicke encephalopathy triad

A

Ataxia
Ophthalmoplegia
Encephalopathy

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18
Q

Korsakoff amnesia signs

A

Antero/retro amnesia
Confabulation
Apathy

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19
Q

Warfarin Reversal

A

Vitamin K but it’s slow

FFP has clotting factors

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20
Q

Heparin reversal

A

Protamine sulfate

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21
Q

Pradaxa or xarelto reversal

A

Doesn’t exist yet

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22
Q

Most common cause of pneumonia in all people (normal and HIV)

A

Pneumococcus or streptococcus

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23
Q

What can HIV patients get pneumonia from that non immunocompromised people do not?

A

Pneumocystic croni

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24
Q

Where is the trachea deviated in a pneumothorax?

A

Away from the pneumothorax side

Right pneumo thorax trachea will deviate left

25
Q

Chest pain wit stroke like Sx could e what

A

Dissection

26
Q

What is most likely for kid/old person with HA?

A

Kid cancer

Old stroke

27
Q

Internal carotid stroke

A

Unilateral hemo paresis, facial droop

28
Q

MCA stroke

A

Contralateral hemiparesis greater in arm and face than leg
Dysarthria, aphasia, homonymous hemianopsia
Talking and swallowing problems
Gaze preference toward stroking side

29
Q

ACA stroke

A

Contralateral hemiparesis greater in leg
Memory loss, confusion
Incontinence

30
Q

PCA

A

Hemiplegia
Pur Hemi sensory loss
Down and out eye/homonymous hemianopsia
Cortical blindness, visual agnosia, memory loss

31
Q

Vertebral artery stroke

A

Gait, ataxia, dysarthria, dysphagia, vertigo

32
Q

Basilar strike

A

Diplopia or vision loss

33
Q

Headss questionnaire

A
Home and enviro
Education and employment
Activities
Drugs
Sexuality 
Suicide or depression
35
Q

Difference between cytotoxic and vasogenic cerebral edema

A

Cytotoxic - intravellular, lactic acid

Vasogenic - interstitial, leaky bbb

36
Q

Lacunar stroke sign

A

asymp but can have pure senosry or motor loss contralateral

37
Q

Vertebrobasilar sichemia signs

A

dizzy, diplopia, ataxia, bilateral motor/sens, veritcal nystagmus

38
Q

basilar stroke

A

locked in syndrome. massive damage. bad.

39
Q

PCA stroke

A

contra hemiparesis and decrease proprioception leg
contra weakness
contra homonymous hemianopsia

40
Q

ASA Stroke

A

tongue deviates to same side as stroke

contra hemiparesis & decrease proprioception leg

41
Q

PICA/VA sroke

A

vomiting, vertigo, nystagmus, ataxia

Horners v Wallenberg

42
Q

AICA stroke

A

decreased taste and corneal reflex, Horners

43
Q

COnduction aphasia location of lesion?

A

arcuate fasciculus

44
Q

Which type of stroke has hyperdense sign?

A

MCA

45
Q

most common cause of IPH?

A

uncontrolled hypertension

46
Q

most common cause of SAH?

A

berry aneurysm rupture

47
Q

possible complication of SAH?

A

vasospasm & rebleed

48
Q

cause of venous thrombosis?

A

hypercoagulable state

49
Q

Charcot Bouchard aneurysm?

A

chronic HTN, small vessels in BG or thalamus

50
Q

Berry aneurysm location?

A

circule of willis - anterior communicating.

51
Q

Mycotic aneurysm

A

septic embolism, distal vessels @ cortical surface

52
Q

significant complication of Mycotic aneurysm

A

SAH

53
Q

gram neg cocci causing meningitits?

A

meningoccocci

54
Q

gram pos cocci causing meningitis?

A

strep pneumococcus

55
Q

gram neg rod causing meningitis?

A

h influenza

56
Q

gram pos rod causing meningitis?

A

listeria

57
Q

meningococcal meningitis distinguishing things?

A

purulent spinal fluid, purpuric rash

C5-9 deficiency (neisseria) GROUP B

58
Q

pneumococcal meningitis distinguishing things?

A

most common one in adults! test for HIV

no rash but purpura fulminans & overwhelming spesis

59
Q

listeria meningitis distinguishing things?

A

preceding GI illnes

HOdgkin, HIV, pregnancy

60
Q

cryptococaal meningitis distinguishing things?

A

pigeon droppings, construction worker