ABEM Recert Exam pt. 6 Flashcards Preview

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Flashcards in ABEM Recert Exam pt. 6 Deck (105)
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1

What nerve injury can a perilunate dislocation cause?

Median nerve compression

2

Tick paralysis: si/sx

Ascending paralysis like GBS
First step in rx is to remove tick

3

Tick paralysis: rx

Remove tick

4

When should emergency contraception be initiated?

Within 72h

5

Central retinal artery occlusion: rx

Digital massage of orbit
Acetazolamide

6

Maximal dose for lidocaine without epi

7 mg/kg

7

Maximal dose with lidocaine with epi

5 mg/kg

8

Source of bleeding in anterior epistaxis

Kiesselbach's plexus

9

Toxic Shock Syndrome: What are most cases associated with?

Menstruation (but don't have to leave tampon in for longer than normal)

10

Toxic Shock Syndrome: Skin findings

Blanching macular rash

11

Toxic Shock Syndrome: Bacteria causing

Staph aureus

12

Most specific test for pediatric UTIs

Nitrite on urine dip test strips

13

Bacerial tracheitis: MCC

Staph aureus

14

Central retinal artery occlusion: Fundoscopic finidngs

Cherry red spots

15

Central retinal vein occlusion: Fundoscopic findings

Blood and thunder

16

Central retinal vein occlusion: rx

ASA & ophtho consult

17

Pertussis: Best lab dx test for

PCR

18

Meckel's diverticulum: What's the best test to use to dx?

Technetium-99 RBC scan (tagged RBC bleeding scan)

19

Resuscitation dose of epi in kids

0.01 mg/kg

20

Pediatric cardioversion energy dose

0.5 - 1 J/kg

21

How to position patient with pulmonary contusion and hypoventilation/hypoxygenation?

Good lung down

22

Where are most clavicle fractures?

Lateral 1/3

23

Cause of most clavicle fractures?

Direct force to lateral shoulder
Causes fx to lateral 1/3 of clavicle, which is most common area of clavicle fractures

24

Parkland formula for fluids in burn resuscitation

4 mL/kg per % BSA total in 24 hours
Give initial 50% in 1st 8h, then rest over next 16h

25

Pediatric adenosine dose

1st dose: 0.1 mg/kg IV/IO
2nd dose: 0.2 mg/kg IV/IO

26

Pediatric atropine dose

0.02 mg/kg IV/IO (minimum dose 0.1 mg)

27

Pediatric amiodarone dose

5 mg/kg IV/IO

28

Pediatric calcium chloride dose

20 mg/kg IV/IO

29

Pediatric epinephrine dose

0.01 mg/kg (1:10,000) or 0.1 mg/kg (1:1,000)

30

Pediatric glucose dose

1-2 mL/kg D50
2-4 mL/kg D25 (children)
5-10 mL/kg D10 (neonates)