10/11/21 bonus

Question 1

What are two sites to perform needle decompression for tension pneumothorax?

Answer 1

Second intercostal space in the midclavicular line, and fourth or fifth intercostal space in the anterior axillary line.

Question 2

What is the most common physeal fracture?

Answer 2

Salter-Harris Type II.

Question 3

What is the role of dexamethasone in a child presenting with a high-risk for H. influenzae meningitis?

Answer 3

Treatment with dexamethasone has been shown to decrease hearing loss associated with H. influenzae meningitis in children.

Question 4

What is the initial treatment for a patient diagnosed with a sigmoid volvulus?

Answer 4

Sigmoidoscopy.

Question 5

Treatment for cecal volvulus is _____________

Answer 5

primarily surgical

Question 6

Odontoid Fracture types

Answer 6

Type I: Avulsion of the tip (usually stable)
Type II: Fracture at base of dens (most common, unstable fracture)
Type III: Fracture at junction of odontoid and body of C2 (unstable fracture)
Careful neuro exam

Question 7

Normal Pressure Hydrocephalus LP opening pressure

Answer 7

LP: normal opening pressure

Question 8

In patients diagnosed with proctitis, what other testing is recommended?

Answer 8

HIV and syphilis.

Question 9

What is the treatment for an aplastic crisis?

Answer 9

Red blood cell transfusion if hemoglobin is less than 6 g/dL; no further treatment required.

Question 10

Best way to calculate absolute neutrophil count

Answer 10

ANC= Total WBC x %percent total neutrophils

you can skip that whole band bs

Question 11

Neutropenic Fever definition

Answer 11

1 oral temperature of ≥ 38.3°C or ≥ 38°C for ≥ 1 hour + ANC < 500

Leading cause of cancer death: infection
most common pathogen, Staphylococcus epidermidis.

Question 12

What are the most common organisms to cause bacterial meningitis in adults?

Answer 12

Streptococcus pneumoniae, Neisseria meningitidis, and Haemophilus influenzae

Question 13

What are the muscles that comprise the rotator cuff?

Answer 13

Subscapularis, supraspinatus, infraspinatus, and teres minor.

Question 14

What class of diuretic agents is contraindicated in the setting of hypercalcemia?

Answer 14

Thiazides (they are calcium sparing and can increase serum calcium levels).

Question 15

_____________ is the cornerstone of pancreatitis treatment and reduces morbidity and mortality

Answer 15

Early aggressive hydration

Question 16

Which muscle is most commonly involved with rotator cuff injuries?

Answer 16

Supraspinatus

Question 17

How frequently should a patient with scabies use topical permethrin?

Answer 17

Permethrin will not kill unhatched mites so they must apply it twice, one to two weeks apart.

Question 18

___________________ commonly presents with facial edema, skin tenderness, lymphadenopathy, fever, and rash 2 weeks after starting a new med

Answer 18

Drug-induced hypersensitivity syndrome

Question 19

Thyroid Storm Treatment Order

Answer 19

Treatment is:

1) beta blocker (propranolol)
2) thionamide (propylthiouracil or methimazole)
3) iodine solution
4) glucocorticoids
5) empiric antibiotics if infection is suspected