10/7/21

Question 1

pralidoxime

Answer 1

Organophosphate Rx

Question 2

Sarin gas is an ______________ nerve agent.

Answer 2

organophosphate

Question 3

Pt w/ ESRD after HD presenting with vomiting, hypertension, altered mental status, and seizures likely has?

Answer 3

cerebral edema
rx: hypertonic saline or mannitol

High solute removal during dialysis will cause lower osmolality in the blood compared to the brain, resulting in fluid shifting

Question 4

____________ is an infection caused by Chlamydia psittaci, and it is transmitted to humans predominantly from birds.

Answer 4

Psittacosis

Question 5

Mastitis rx that ISNT Dicloxacillin

Answer 5

cephalexin

WTF did they make me memorize Dicloxacillin when cephalexin is a choice?

Antibiotics: Dicloxacillin, cephalexin, TMP-SMX (MRSA), clindamycin (PCN allergic)

Question 6

What is the most commonly identified organism causing a peritonsillar abscess?

Answer 6

Group A Streptococcus.

Question 7

What is the most commonly associated complication of mitral valve stenosis?

Answer 7

Atrial fibrillation.

Question 8

Besides lifting the presenting part, what other maneuver should be taken in cord prolapse?

Answer 8

Place the patient in trendelenburg or a knee-chest position

Question 9

Retropharyngeal Abscess Neck X-ray will show

Answer 9

widened retropharyngeal space twice the size of the vertebral body

Question 10

What is the most common diving-related disorder?

Answer 10

Middle ear barotrauma (“ear squeeze”).

Question 11

What are the three types of decompression sickness

Answer 11

MSK: the bends
Respiratory: the chokes
CNS: the staggers

Rx: positioning in the left lateral decubitus position in mild Trendelenburg, oxygen, immediate hyperbaric chamber recompression

Question 12

The most common cause of generalized edema in children is ________________

Answer 12

nephrotic syndrome

Question 13

What is rubeola

Answer 13

measles

Question 14

What is Erythema infectiosum

Answer 14

• fifth disease
• caused by parvovirus B19.
• “slapped cheek” appearance followed by a maculopapular rash that extends to the trunk.
• As the rash fades, it develops a lacy appearance

Question 15

Central Cord Syndrome

Answer 15

Most common incomplete spinal cord syndrome
Hyperextension injury
Bilateral motor and sensory deficits
Upper extremity > lower extremity

Question 16

If a child under one year of age aspirates a foreign body and is choking, what is the appropriate management?

Answer 16

Holding the head lower than the feet, alternate five back blows with five chest thrusts.

Question 17

At what temperature can you stop resuscitation in severe hypothermia if still no ROSC?

Answer 17

Consideration should be given to terminating resuscitation if the patient remains asystolic following rewarming to > 32°C in the absence of other reversible causes of cardiac arrest.

Question 18

What ECG finding is most specific for hypothermia?

Answer 18

Osborn (J) wave.

Question 19

What vertebral level is responsible for the sensation of the big toe?

Answer 19

L5