6/01 Week

Question 1

Open fracture

Answer 1

Any fracture with cuts or punctures near the skin

Question 2

Initial tx for open fracture neuro vascularly intact

Answer 2

Abx (don’t delay more than 3 hours) - initial choice cephalosporin

Question 3

Entamoeba histolytica dz name

Answer 3

Amebiasis

Question 4

Entamoeba histolytica clinic presentation

Answer 4

Diarrhea and liver abscess

Question 5

Aortic dissection, hypotensive and with evidence of Tamponade next tx

Answer 5

Immediate percardiocenticis

Question 6

HA and vomiting after dialysis dz name

Answer 6

Dialysis disequilibrium syndrome (osmolality shift causing cerebral edema)

Question 7

Dialysis disequilibrium tx

Answer 7

Mannitol

Question 8

Clavicle fracture prone to nonunion

Answer 8

Superiorly displaced distal clavicle fracture

Question 9

Emergent ortho consult for clavicle fracture

Answer 9

Open, neurovascular compromise, tenting of skin

Question 10

Tumor lysis presentation

Answer 10

Hx of ca with extreme electrolyte abnormalities

Question 11

Tumor lysis tx

Answer 11

IV hydration

Question 12

Reduce sudden infant death

Answer 12

Breast feeding, pacifier use, supine sleeping position

Question 13

Young ten age girl with toxic shock stable and shipping out, must do this before you do

Answer 13

GU exam for tampons

Question 14

Stable trauma Pt with no injuries and painless microscopic hematuria next step

Answer 14

Observe in ED

Question 15

Painless microscopic hematuria in trauma Pt dx

Answer 15

Blunt renal injury

Question 16

Sac in uterus, no fetal pole, dx and next step

Answer 16

Concern for ectopic, consult OB

Question 17

Head bleed, on enoxaparin, what drug is that and next step

Answer 17

Low weight molecule heparin

Reverse with protamine sulfate

Question 18

Unstable Brady with low urine output dx and to

ECG with sine wave

Answer 18

Hyperkalemia (ecg changes, peaked t wave, wide QRS, sine wave)
Give calcium

Question 19

Nonbloddy diarrhea iliocolitis pathogen

Answer 19

Yersinia enterocolitica

Question 20

Rash and proximal extremity weakness with elevated CK, dx and underlying dx

Answer 20

Dermatomyositis

Occult malignicancy

Question 21

Assessing for abdominal compartment syndrome in intubated Pt next step

Answer 21

Paralyze

Question 22

HIV hx of toxoplasmosis infection has blurry vision and floaters, retinal exam shows lesion dx and tx

Answer 22

Choriorerinitis from previous toxo infection

Trim-sulfa

Question 23

Black widow bite tx

Answer 23

Benzos, pain meds and anti nausea and tetanus

Question 24

Testicular torsion manual untwist how

Answer 24

Medial to lateral 360 degrees

Question 25

Not treat fever in peds increases risk of

Answer 25

Dehydration

Question 26

OD Low BP, lethargic, pinpoint pupils, Brady Med od?

Answer 26

Clonidine

Question 27

Relative contraindication for escharotomy to limb

Answer 27

Irreversible gangrene to limb - non-salvageable

Question 28

Grief tx

Answer 28

Natural with friend and family support, no better than support group

Question 29

Can’t retract foreskin dx tx

Answer 29

Phimosis | Urology follow up if able to urinate and no serious infection

Question 30

Peds knee pain and gi symptoms dx and exam finding

Answer 30

Hemochromatosis-Schonlein putouts | Rash

Question 31

Acute closure glaucoma tx

Answer 31

IV acetazilemide Topical apraclonidine, topical timolol Second line mannitol

Question 32

Eye trauma, not able to look up dx

Answer 32

Inferior recurs muscle entrapment

Question 33

Acute chest syndrome sx and evidence

Answer 33

Fever or respiratory sx AND imaging evidence (pulmonary infiltrate)

Question 34

Activated charcoal doesn’t absorb

Answer 34

Metals, ions, corrosive, gasoline, alcohol, oil

Question 35

Draining to dollar abscess can damage what anatomy

Answer 35

Carotid

Question 36

Tonsilar abscess tx

Answer 36

Most aspiration Then I&D All abx- pencilin plus metronidazole Clindamycin if pen allergic

Question 37

Aortic dissection clinically becomes step

Answer 37

Esmolol drip before imaging

Question 38

High sodium, how much decrease over 24 hour period

Answer 38

10-12

Question 39

Blurry vision with hx of HTN and dm dx and eye findings

Answer 39

Retinal vein occlusion Blood and thunder (Artery would be complete loss)

Question 40

Interested HIV with fever, wt loss, sweats, diarrhea dx and tx

Answer 40

MAC | Clarithromycin, ethambutol, rifampin

Question 41

Loxosceles sp bite is a

Answer 41

Brown recluse

Question 42

Latrodectus sp bite is a

Answer 42

Black widow

Question 43

Mumps tell tale sign

Answer 43

Parotid swelling

Question 44

Diabetes insipidus dz pathophys | Osmolalilty results

Answer 44

Can’t concentrate urine bc no vasopressin | Low urine osmol and high serum