2/05 Flashcards
(89 cards)
1
Q
Allergic reaction to blood product caused by
A
Iga deficiency
2
Q
OD on phenobarbital hx taking clonazepam to contraidicated
A
Flumazenil
Throw into withdrawal
3
Q
Sexual assault post exposure to
A
Azithro, cef, metronidazole, HIV post, hep B vaccine and immunoglobulin if unknown vaccine status
4
Q
Concern for obstructive uropathy with hydro next test
A
Ureterenoscopy
5
Q
Asymptomatic preg bacteria in urine tx
A
Amoxicillin or cephalexin
Nitro causes birth defects
6
Q
Cric position
A
Inferior to thyroid cartilage
7
Q
Thrombosed hemrhoids tx
A
Excision
Not incision
8
Q
Olioarticular juvenile arthritis ass sx and test
A
Uveitis Positive ANA (systemic is negative)
9
Q
Sensory ataxia, need eyes to walk, what physical exam finding be abnormal
A
Romberg
10
Q
Parrot pneumonia bug and tx
A
Chlamydia psitacci
Doxycycline
11
Q
Arm stuck up type of dislocation
A
Inferior shoulder dislocation
12
Q
Decorticate posture is arms and legs are
A
Arms in and legs extended
13
Q
Decerebrate posturing is
A
Arms and legs extended
14
Q
TRALI vs transfusion associated circulatory overload difference
A
TRALI high fever
15
Q
Botulism is most common in
A
Infants
16
Q
Cutting rings with
A
Ring cutter for soft metal
Dremel for hard metal
17
Q
Old lady syncope with crackles and murmur dx
A
Aortic stenosis
18
Q
Tx poison ivy
A
Prednisone taper 21 days
19
Q
Croup tx
A
Depends on severity Cough = PO decadron Cough with stridor/retractions = +epi \+ distress = same with admit \+ resp failure = same maybe tube
20
Q
Only time is mass cas you check dead person
A
Lightening strike
21
Q
Peripheral neuropathy side effect from tx for dz
A
TB
Isoniazid
22
Q
Axial load frx
A
C1 burst frx
23
Q
Aspiration pna abx
A
Ceftriaxone and azithromycin
Clinda only if abscess or empeyema
24
Q
Erythema nodosum tx
A
NSAIDS and potassium iodide
25
Acute anxiety and impeding doom tx
Benzos w
26
Tarry new born poop cause with vegan mom
Swallowed maternal
27
Orchitis, leg bruising, tender anterior shin nodules dx and tx
PAN
| Steroids and cyclophosphamide
28
Virus spread by droplets
Flu, adenovirus, RSV
29
Best indicator of occult hemorrhagic shock
Shock index= HR/SBP
30
Most common cause of death in autosomal dom polycystic kidney dz
CAD
31
Most common cause of dirrhea in AIDS
Cryptosporidium
32
Glyburide OD tx
Octeeotide
33
Vaginal birth see cord and a foot next step
Elevate presenting part to relive cord
34
Phimosis (can’t retract) next step
Urology follow up for sx control
| Dorsal skit is for paraphimosis
35
Diaphragm nerve roots
C3, C4, C5 keep the diaphragm alive
36
Exam for traumatic iritis
Cell flare
37
Seidel sign eye exam define
Concern for globe rupture, hole all the way through
38
Erythemarous papules on baby butt after URI sx, dx?
Popular acrodermatitis
39
Failed abx tx for UTI with trim-sulfa and Cipro next abx?
Fosfomycin
Nitrofuratoin
Pivmecillnam
IM/IV ertapenem once
40
Foreign body sensation, difficulty with fluids and solids, tx for GERD pecoiusly, dx?
Achalasia
| Schatzki ring difficulty with solids only
41
Hemolytic transfusion rxn associated with lab result?
Haptoglobin decreases
LDH and bilirubin increase
Positive direct Coombs test
42
Pregnant chest tube placement
3rd or 4th intercostal
| Diaphragm goes up
43
Blood disorder that cause venous and arterial clots, sole omega my and abnormal proliferation in all three myeloid cell lines
Polycythemia Vera
44
Factors that increase mortality in pancreatitis
```
Age>55,
WBC>16
Glucose >200
LDH>350
AST>250
```
Lipase not a factor
45
Choledocholithiasis US findings
CBD >=6
46
Tularemia most common presentation
Red tender papule or ulcer with lymphadenopathy
47
Ammonia into eye, when stop irrigation?
Ph of 7.0-7.2
Ammonia is alkaline
+ topical erythromycin
+ cycloplegic if defect or clouding
48
Drug side effect anaplastic anemia
Phenytoin
49
Side effect leukopenia
Clozapine -agranulocytosis
50
Pinworms, itchy butt to
Mebendazole or albendazole
| Pipe bends
51
Drugs ok for ET
NAVEL (adults) LANE (peds)
Naloxone, Atropine, Vasopressin, Epinephrine, Lidocaine
Lidocaine, Atropine, Naloxone, Epinephrine
52
Hx of systemic sclerosis
hypertensive, AKI, encelopathic
Dx
Scleroderma renal crisis = rapid renal decline and hypertensive encelopathy
53
Need to intubate Pt in c-collar how
Take off collar, maintain C-spike precautions and tube
54
Toddler ingested one flip oxide next step
Obs for 24hr
| Octreotide if symptomatic
55
AKI with FENa <1% cause
Hypovolemia
56
Toddler mouthful of house bleach next step
Obs and PO challenge before dc
| Household bleach very dilute
57
Active TB infection more sensitive infection
Mantoux test (PPD skin test)
58
Sepsis picture with extremely high WBC
| DX and next steps
Hyperleukocytosis
| IV abx, fluids, consult oncology for chemo, admit ICU
59
32 week preg SOB test consistent
Hyperventilating
| <7.4 with normal CO2
60
Swelling and red after ear piercing tx
Oral cipro 1 week fu ENT 24 hrs
61
Trauma with swollen and painful testicle tx
Urology consult for OR
| for traumatic testicle dislocation
62
Neck zones
Number 1-3 from clavicles up
| Zone 3 his mandible to base of skull
63
Come to ED with nothing really wrong with a bunch of different complaints dx
Somatic symptoms disorder
| Malingering has an end goal
64
Traumatic perforated ear drum tx
No intervention
| Abx only when infectious cause
65
Ebstein anomaly define
Big right atrium with inferior tricuspid
| Big brain Ebstein
66
Eisenmenger syndrome define
Atrial or ventral septal defect that reverse flow
| Syndrome, not a defect itself
67
Sickle cell hx, presented with joint pain and anemia dx and to
Parvo - aplastic anemia
| Droplet precautions, transfuse, admit time heme for more blood
68
High pressure paint gun finger injury no frx management
Radial guttedr splint, admit consult hand > debridment
69
Ankle arthrocentesis location
Between big toe ligaments and medial malleolus
70
Hypothermic and frostbite tx
Reward body before frostbite
71
Torsion next step
Urology consult
| Only manually when urology not available and it’s medial to lateral
72
Retroperitoneal organs bleeding that might not show on FAST
Kidneys
73
Max dose epi
4-5mg/kg
| Multiply by concert ration to get ml
74
Tx acute angle glaucoma
Topical beta blocker - timilol
Apraclonidine
Pilocarpine
75
12yo Migrating joint pain, fever rash
Penicillin allergy
Dx and tx
Acute rheumatic fever
| Erythromycin or cephalosporins
76
Breast feeding mastitis tax
Diclixacillin
| Cephalexin
77
Test determine difference bn iron def and thalassemia
Red blood cell distribution width
| Increase in iron def
78
HAPE tx besides decent
Portable hyperbaric
79
COPD intubate with respiratory acidosis how change vent
Increase tidal volume, they retain air
80
Inflamed erupting tooth dx
Pericorinitis
81
Best indicator of PPV in new born working
Increase HR
82
Inflamed blocked lacrimal duct dx and tx
Dacrocysitis
| Abx
83
Most common congenital
| Hear defect
Ventricular septal defect
84
Way to reduce SIDS
Pacifier and nap time and bedtime
85
Head impulse test result concern for cerebellar stroke
Eyes remain on target
86
Retropjaryngeal appears falsely enlarged on X-ray when
Body rotated
87
Male UTI tx
Ceftriaxone IM and doxy x7days
| Assume due to STI in males
88
Liver abscess manage
Consult IR for aspiration and drianage
89
Skin colored leasion for months no drainage or pustule dx
Epidermoid cyst/sebaceous cyst
