11/8/21

Question 1

Unstable Ventricular Tachycardia synchronized cardioversion energy level?

Answer 1

150−200 J biphasic

Question 2

For stable patients with ventricular tachycardia, medical therapy with __________ or _________ are both potential options.

Answer 2

amiodarone 150 mg IV

procainamide 18 mg/kg IV

Question 3

Pneumoconiosis- aerospace, fluorescent bulbs

Answer 3

Berylliosis

Question 4

Pneumoconiosis- foundries, sandblasting, mines

Answer 4

Silicosis

Question 5

What is the first step in management of hypercalcemia?

Answer 5

Hydration with normal saline.

Question 6

What medical therapy is recommended to lessen the severity and duration of pain associated with a peritonsillar abscess?

Answer 6

Single use of high-dose intravenous corticosteroid (e.g., methylprednisolone).

Question 7

What medical therapy is recommended to lessen the severity and duration of pain associated with a peritonsillar abscess?

Answer 7

Single use of high-dose intravenous corticosteroid (e.g., methylprednisolone).

Question 8

Tension PTX Rx

Answer 8

Management includes immediate needle decompression (18-gauge or larger) in the second or third midclavicular intercostal space (above the rib) followed by tube thoracostomy.

Question 9

If anal fissures are located ___________, search for pathologic etiologies

Answer 9

laterally

Question 10

Besides TOA, what are other indications for hospitalization in PID?

Answer 10

Pregnancy, immunosuppression, sepsis, intrauterine device, vomiting, or failed outpatient management.

Question 11

True or false: early onset of nausea and vomiting are indicative of severe radiation exposure.

Answer 11

True

Question 11

True or false: early onset of nausea and vomiting are indicative of severe radiation exposure.

Answer 11

True

Question 12

Transfusion Complications

most common complication, fever or chills

Answer 12

Febrile reaction

Question 13

Transfusion Complications

ABO incompatibility, immediate fever or chills, HA

Answer 13

Hemolytic reaction

Rx: stop transfusion, IVF, diuretics

Question 14

Transfusion Complications

immunocompromise, rash, pancytopenia, increased LFTs

Answer 14

GVHD

Prevention: irradiated blood products in immunocompromised

Question 15

Kaposi Sarcoma is most commonly caused by

Answer 15

human herpesvirus 8 (HHV-8) in pt with History of HIV infection

Question 16

What bacterial diarrheal organism can lead to TTP?

Answer 16

Shiga toxin-producing Escherichia coli.

Question 17

What is the dose of etomidate for rapid sequence intubation?

Answer 17

0.3 mg/kg IV

Question 18

Cyanocobalamin is?

Answer 18

vitamin B12

deficiency: megaloblastic anemia –> inadequate dietary intake, gastrectomy, pernicious anemia (intrinsic factor deficiency)
sx: weakness, paresthesias, or subacute combined degeneration, which is involvement of the posterior column elements of the spinal cord leading to ataxia and loss of vibratory sensation

Question 19

Colles Fracture

Answer 19

FOOSH
Dinner-fork deformity
fractures of the distal radius with dorsal angulation and comminution
Reduce, splint, orthopedic follow-up