11/1/21 Bonus

Question 1

What is the ankle-brachial index?

Answer 1

The ratio of the systolic blood pressure at the ankle compared to the systolic brachial pressure. An ABI of < 0.9 is considered abnormal.

Question 2

Cannabis may be detected in a urine drug test up to how many days after use?

Answer 2

2–8 days with short-term use or 14–42 days in patients with chronic cannabis use.

Question 3

Endotracheal Tube Drug Administration- Adult

Answer 3

NAVEL: naloxone, atropine, vasopressin, epinephrine, lidocaine

Question 4

Endotracheal Tube Drug Administration- Peds

Answer 4

LANE (pediatrics): lidocaine, atropine, naloxone, epinephrine

Question 5

___________ increases urinary electrolyte excretion and is paramount for the acute treatment of tumor lysis syndrome.

Answer 5

Aggressive intravenous fluid therapy

Question 6

Guillain-Barré Syndrome Rx

Answer 6

Treatment is supportive, plasmapheresis, or IVIG

Question 7

What is reversal agent for benzodiazepines?

Answer 7

Flumazenil.

Question 8

What is the normal range of tidal volume?

Answer 8

5–8 mL/kg.

Question 9

Pediatric Pneumonia Most Common Pathogens by Age

Answer 9

0–3 weeks: GBS
3 weeks to 3 months: C. trachomatis
1 month to 5 years: RSV
6–8 years: M. pneumoniae

Question 10

How to determine Successful placement of TransVenous Cardiac Pacing

Answer 10

Successful placement = placed into right ventricle

Monitor= left bundle branch block with left axis deviation

This occurs at a depth of at least 20 cm.

Question 11

Transvenous Cardiac Pacing

Answer 11

Right IJ vein, left subclavian vein
Electrocardiographic guidance if patient has cardiac activity
Attach ECG machine V lead to pacer wire negative electrode
Wire in right atrium: large, biphasic P waves
Successful placement in right ventricle: left bundle branch block with left axis deviation
Good positioning of leads: capture with < 1 mA

Question 12

Central Cord Syndrome

Answer 12

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

Question 13

• hyperflexion injury or laceration of the anterior spinal artery
• loss of motor and sensory function below the level of injury
• preservation of the posterior column (position, touch, vibration)

Answer 13

Anterior cord syndrome

Question 14

Isolated pubic ramus fractures rx

Answer 14

These injuries are typically managed conservatively with pain control, crutches, appropriate weight-bearing instructions and outpatient orthopedic follow-up.

appropriate to be discharged with weightbearing as tolerated.

Question 15

Superficial Thrombophlebitis is limited to

Answer 15

Limited to the accessory veins or tributary veins

Question 16

What is the only FDA approved treatment of hiccups?

Answer 16

Chlorpromazine.

Question 17

Trimethoprim-sulfamethoxazole in cerebral toxoplasmosis

Answer 17

Trimethoprim-sulfamethoxazole is generally used for prophylaxis, and while it can be used for treatment, it is not considered first line.

Question 18

Hearing Loss Conductive test

Answer 18

Weber: localizes to affected ear
Rinne: abnormal (BC > AC)
Most commonly caused by otitis media, serous otitis, and cerumen impaction

Question 19

Hearing Loss Sensorineural tests

Answer 19

Weber: localizes to unaffected ear
Rinne: normal (AC > BC)
Most commonly caused by excessive noise exposure, drugs, and normal aging

Question 20

What is the recommended treatment of choice of sudden onset sensorineural hearing loss?

Answer 20

Prednisone 1 mg/kg/day (up to 60 mg) for 10–14 days.