ABEM Recert Exam pt. 3 Flashcards Preview

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Flashcards in ABEM Recert Exam pt. 3 Deck (84)
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1

Mastoiditis: MCC

Strep pneumo

2

How to diff labrynthitis vs Menierre's disease

Menierre's disease has hearing loss, labrynthitis doesn't

3

Otitis media: When is it okay to do delay antibiotic strategy

Age >2
Well appearing

4

Diphtheria: Rx

Antitoxin and PCN G

5

Diphtheria: si/sx

"Bull neck" deformity, F/C, sore throat, gray coating in throat

6

CENTOR criteria for pharyngitis

1. Tonsilar exudates
2. Lymphadenopathy
3. Fever
4. Absence of cough

7

CENTOR criteria: How to use

0-1: Do not test or treat
2-3: Test and treat if positive
4: Treat without testing

8

Appendicitis: Urine findings and why

50% can have pyuria (WBC in urine) and hematuria if appendicitis present for 3+ days because ureters run close to appendix

9

AAA: At what size don't you have to worry about rupture

<4cm has essentially no chance of rupture

10

Q wave: Definition

1 box wide, 1/3 height of R wave in 2 contiguous leads

11

Inferior MI: Vessel involved

RCA occlusion

12

Anterior MI: Vessel involved

LAD occlusion

13

Lateral MI: EKG changes

I, avL, V5, V6

14

Posterior MI: EKG changes

ST depression in V1, V2 with upright T waves

15

Posterior MI: Vessel involved

Circumflex

16

Septal MI: EKG changes

ST elevation V2, V3
Sometimes have ST elevation in I & aVL

17

Subarachnoid hemorrhage: EKG changes

Sometimes can see large, broad diffuse T wave inversions

18

Pericarditis EKG changes

1. Diffuse ST elevation & PR depression
2. PR returns to baseline
3. T wave inversions
4. Normalization of EKG

19

CHF: 3 stages of CXR findings

1. Cephalization
2. Insterstitial edema (curly B lines)
3. Alveolar edema (bat wing)

20

Dilated cardiomyopathy: Causes

Alcohol
Ischemia
Amyloidosis

21

Widened mediastinum: Definition on PA CXR

>8 cm

22

AAA repair patient who presents with BRBPR: What to r/o

Aortoenteric fistula

23

Hyperkalemia: EKG change progression

1. Peaked T
2. Increased PR
3. Wide QRS
4. Bundle branch block
5. Sine wave
6. Asystole

24

Hypocalcemia: EKG changes

Long QT

25

Hypercalcemia: EKG changes

Short QT

26

Hypomagnesemia: EKG changes

Long QT

27

TCA OD: EKG changes

QRS > 100ms or QTc > 430 ms

28

TCA OD: Rx for patients with EKG changes

Sodium bicarb

29

Adenosine: When not to use

WPW with wide QRS tachycardia
Also don't use CCB

30

WPW with wide QRS tachycardia: Rx

Procainamide or amiodarone or cardioversion
NO adenosine