9/14/21

Question 1

Herpes Simplex Keratitis rx

Answer 1

Emergent ophthalmologic consultation i
topical antiviral agents, ex trifluridine

Oral antivirals, such as acyclovir, are also used for corneal epithelial disease by ophthalmology.

Comments: Topical glucocorticoid use is contraindicated

Question 2

Most traumatic aortic injuries occur where

Answer 2

at the isthmus of the aorta, immediately distal to the branching of the left subclavian artery.

thought to be due to the isthmus being the transition zone between the mobile ascending aorta and the more fixed thoracic aorta

Question 3

What is the first-line treatment for a newborn with status epilepticus of unknown cause?

Answer 3

Phenobarbital or fosphenytoin.

Question 4

Neonatal Seizure

Answer 4

Causes: hypoxic-ischemic encephalopathy (MCC), infection, ICH
Focal (lip smacking, eye deviation)»_space; tonic-clonic
Full sepsis evaluation
First-line treatment: phenobarbital

Question 5

What is Winter formula used for?

Answer 5

used to determine the appropriate respiratory compensation and estimates pCO₂, indicating whether there is a concomitant respiratory acidosis or alkalosis.

Question 6

___________ is the recommended corticosteroid for adrenal crisis

Answer 6

Hydrocortisone 100 mg IV

Question 7

Primary Adrenal Insufficiency (Addison Disease) labs willl show

Answer 7

Labs will show hyponatremia and hyperkalemia

Question 8

What is the most common cause of a transudative pleural effusion?

Answer 8

Congestive heart failure.

Question 9

Light Criteria

Answer 9

• Fluid is exudate if one of the following Light criteria is present:
• Fluid protein/serum protein ≥ 0.5
• Fluid lactate dehydrogenase (LDH)/serum LDH ≥ 0.6
• Fluid LDH level > 2/3 the upper limit of normal of serum LDH

Question 10

What do you use for a Needle decompression of the chest in the second intercostal space in the midclavicular line

Answer 10

14 gauge or greater angiocatheter followed by chest tube insertion.

Question 11

Which category (eye, verbal, or motor) of the GCS correlates best with outcomes?

Answer 11

Motor.

Question 12

What is the treatment for acute angle closure glaucoma?

Answer 12

• Topical timolol or apraclonidine
• topical prednisolone
• intravenous acetazolamide
• -> immediately followed one hour later with topical pilocarpine.

Question 13

A transverse fracture through the distal radius, which is dorsally displaced and angulated

Answer 13

A Colles fracture

Question 14

What is the name of a distal radius fracture with volar displacement and angulation?

Answer 14

Smith fracture.

Question 15

_____________ is the first line treatment for a hypertensive patient with an aortic dissection.

Answer 15

Esmolol

Question 16

At what ages should infants begin to roll over and walk?

Answer 16

5 months and 12–15 months, respectively.

Question 17

How can the ST elevations of a posterior wall myocardial infarction be visualized on an ECG?

Answer 17

By putting leads V7-V9 on the patient’s back.

Question 18

Sgarbossa criteria for STEMI with LBBB

Answer 18

• Concordant ST elevation > 1 mm in leads with a positive QRS (5 points)
• Concordant ST depression > 1 mm in V1–V3 (3 points)
• Discordant ST elevation 5 mm in leads with a negative QRS (2)

3 = STEMI