9/20/21

Question 1

The ___________ is the most commonly fractured part of the clavicle

Answer 1

middle third is the most commonly fractured part

*Medial third: possible vascular injury

Question 2

Management of acute chest syndrome:

Answer 2

hydration
O2 antibiotics
*exchange transfusion in moderately and severely affected patients.

Question 3

Radial Nerve Palsy (Saturday Night Palsy) treatment

Answer 3

Treatment is splinting the wrist, physical therapy, and pain management

Question 4

Q waves are considered pathological if:

Answer 4

> 40 ms (1 mm) wide
2 mm deep
25% of depth of QRS complex
Seen in leads V1-3

Question 5

Persistent ST elevation > 2 weeks following MI

Answer 5

Left Ventricular Aneurysm

Question 6

How long of a delay for percutaneous coronary intervention (PCI) should prompt the physician to use thrombolytics instead?

Answer 6

120 minutes.

Question 7

Strychnine poisoning can mimic what infectious disease

Answer 7

Tetanus

Question 8

Due to the risk of barotrauma, jet ventilation is recommended only for children ___________ (AGE) with a percutaneous needle cricothyrotomy.

Answer 8

5 years and older

Question 9

Can an MRI be used to identify intraocular foreign bodies?

Answer 9

If the foreign body is metallic, an MRI is contraindicated because it can dislodge the foreign body and damage surrounding tissue.

Question 10

When is the most appropriate time to attempt rust ring removal?

Answer 10

24 to 48 hours after development of the rust ring

At this time, the rust ring will be soft and easily removed in one solid plug.

Question 11

What is the treatment of atrial fibrillation with rapid ventricular response?

Answer 11

If stable, rate control via calcium channel blocker (e.g.) diltiazem or beta-blocker (e.g. metoprolol).

Question 12

What is the treatment for acute angle closure glaucoma?

Answer 12

Topical timolol or apraclonidine, topical prednisolone, and intravenous acetazolamide immediately followed one hour later with topical pilocarpine.

Question 13

Neisseria gonorrhoeae Conjunctivitis

Answer 13

• Newborns ≤ 5 days old, sexually active adults
• Hyperpurulent discharge
• Corneal ulceration or perforation
• Admission
• Topical + IV antibiotics

Question 14

Is the ototoxicity commonly seen in salicylate toxicity permanent?

Answer 14

No. The tinnitus, seen at salicylates levels > 20 mg/dL, is reversible.

Question 15

________________ are not indicated in the treatment of Guillain-Barré syndrome, and may in fact be harmful.

Answer 15

High-dose intravenous corticosteroids

Question 16

hat is the Guillain-Barré syndrome variant characterized by ophthalmoplegia, ataxia, and areflexia?

Answer 16

Miller-Fisher syndrome.

Question 17

In GBS If a patient’s FVC falls below ____________ it indicates severely impaired pulm function and is an indication for early intubation.

Answer 17

20 mL/kg