Deck 2

Question 1

Cow Milk Protein Allergy

Answer 1

Rash, vomiting, Diarrhea, irritability

IgE or NonIg E Mediated

Bloody stools: + fecal occult blood test

Mother and infant should avoid milk containing products

Hydrolyzed formula over soy formula

Question 2

Lactose intolerance

Answer 2

Flatuence, bloating
Non allergic
No blood in stool
rare in infants

Question 3

Trach size

Answer 3

Age/4 + 4 for size

Question 4

trach length

Answer 4

based on weight

Question 5

What is distributive shock, what type?

Answer 5

Decreased vascular resistance profound vasodilation

Hypotension

Warm

Question 6

Types of distributive shock

Answer 6

Anaphylaxis- histamine is a vasodilator
Neurogenic
Septic shock

Question 7

Neurogenic shock

Answer 7

From spinal cord injury
Vasodilation from loss of sympathetic tone, hypotension without reflex tachycardia

Question 8

Obstructive shock

Answer 8

Impaired blood flow from physical impediment
Cardiac tamponade
Tension pneumo
PE

Question 9

What food can cause folate deficiency?

Answer 9

Goats milk

Question 10

What diet can cause B12 deficiency?

Answer 10

Vegetarian

Question 11

BLS

Answer 11

No lines no meds no airway
Just minor
EMTs

Question 12

TCAS

Answer 12

Nortripllyine and amitripllyijr

Question 13

Attrition bias

Answer 13

Loss to follow up

Question 14

Most common wbc in breast milk?

Answer 14

Macrophage

Question 15

CRMO

Answer 15

Chronic Recurrent Multifocal Osteo
Not an infection but autoinflammatory and sterile

Question 16

Osteo or septic arthritis should delay abx for cultures?

Answer 16

Osteo do delay, septic tx right away

Question 17

Post op care tonsils and adenoids

Answer 17

Yes ibuprofen and dex
No codeine (black box warning) and abx

Question 18

Minimal sedation

Answer 18

Respond normally to verbal commands
Cognition and coordination may be impaired
No change to CR function

Question 19

Moderate sedation

Answer 19

Depressed consciousness, respond purposefully to verbal commands and light touch

Question 20

Deep sedation

Answer 20

Can not be aroused, respond only to noxious
Need airway/ventilation assistance, CR maintained

Question 21

Dissociative/Ketamine

What give with SE if hallucinations?

Answer 21

Trance like with analgesia AND amnesia

Benzo/versed

Question 22

NPO time

Answer 22

No real time, probably 4 hours
Ketamine 2-4 hours

Question 23

Severe hypothermia is what?

Answer 23

Under 82, under 28 degrees

Question 24

CPAP vs BiPap

Answer 24

Increase patients PIP and PEEP

Does that plus increase tidal volume

Question 25

Mild intermittent Asthma

Answer 25

2 days or less of sympotms a week No interference of daily activities < 2 days of nighttime a month Normal PFT

Question 26

Mild persistent Asthma

Answer 26

2 days or more Interferes with daily activities 3-4 times a month of nighttime Normal PFT Well controlled with low dose controller

Question 27

Moderate Persistent Asthma

Answer 27

Daily symptoms Interferes with daily activiteis Weekly nightime 60-80% of PFT Well controleld with combined ICS-LABA

Question 28

Severe Persistent Asthma

Answer 28

Throught out the day Severely interfers Most nights < 60% PFTS Well controlled with high dose ICS-LABA

Question 29

Nephrotic Syndrome predisposes to what?

Answer 29

Clots!

Question 30

What causes ITP

Answer 30

Anti platelet Antibodies, usually GpIIb,IIIA Preceding URI

Question 31

Bernard Soulier

Answer 31

Large platelets, low platelets

Question 32

What bumps up to asthma severity?

Answer 32

Two or more exacerbations that require steroids increase a patient to categories of persistent asthma regardless of other reported daytime or nighttime symptoms

Question 33

Fever + RUQ pain + AMS and hypotension

Answer 33

Cholangititia