general medical

Question 1

What is Trousseau’s sign

Answer 1

place BP cuff on upper arm, pump up and keep inflated for 3 min. the hand will withdrawal up and spasm due to hypocalcemia

Question 2

What is McBurney’s point

Answer 2

Rebound tenderness in RLQ with deep palpation. caused by appendicitis

Question 3

what is Kehr’s sign

Answer 3

referred left shoulder pain. caused by splenic injury

Question 4

what is Kernig’s sign

Answer 4

Inability to completely extend the leg when sitting or lying due to meningitis

Question 5

what is Grey-Turner sign

Answer 5

bruising of the flank due to retroperitoneal bleeding. Often seen in pancreatitis.

Question 6

what is Cullen sign

Answer 6

bluish discoloration around the umbilicus associated with intraperitoneal hemorrhage

Question 7

what is Chvostek sign

Answer 7

spasm of fascial muscles elicited by tapping the facial nerve. caused by hypocalcemia.

Question 9

Parkland Burn Formula

Answer 9

4 ml/kg x TBSA%
1st half administered during first 8 hrs from incident with the remainder administered over the following 16 hrs

Question 10

Rule of 9’s

Answer 10

Adult
head-9%
chest-18%
back- 18%
arm- 9%
leg- 18%
groin- 1%

Question 11

What are the 5 toxidromes

Answer 11

-sympathomimetic
-opiate
-anticholinergic
-cholinergic
-sedative hypnotic

Question 12

what is the goal when dealing with a DKA/HHS patient

Answer 12

-drop the blood sugar 50-100 mg/dl/hr
-if dropping to fast continue the insulin drip at the same rate and add a dextrose drip to maintain 50-100 mg/dl/hr

Question 13

what is the treatment of SIADH

Answer 13

-correct sodium levels
-correction of underlying abnormalities such as hypothyroidism or pulmonary or CNS infections
-Lasix

Question 14

What is syndrome of inappropriate antidiuretic hormone secretion (SIADH)

Answer 14

unsuppressed release of antidiuretic hormone from the pituitiary gland or nonpituitary sources or its continued action on vasopressor receptors.