EM Flashcards
(315 cards)
1
Q
Vessels most likely to be injured during cricothyrotomy
A
Superior cricothyroid vessels
2
Q
Which insulins require a prolonged observation period?
A
Detemir, NPH, NPL
3
Q
Estimate of total body potassium deficit
A
each 0.3 drop = 100 mE1 total body deficit
4
Q
Lumbar disc herniations typically affect which nerve root
A
the one below
L4-L5 herniation affects L5, L5-S1 herniation affects S1, etc.
5
Q
Frontotemporal dementia
A
behavioral disturbances, including disinhibition with socially inappropriate behaviors, hyperorality, and compulsive behaviors
6
Q
Lewy Body Dementia
A
cognitive fluctuations, parkinsonism, and, most classically, visual hallucinations
7
Q
Zone of Neck
A
Zone 1 - clavicle to cricoid (highest mortality)
Zone 2 - cricoid to mandible
Zone 3 - mandible to skull base
8
Q
Difference between toxoplasmosis and primary CNS lymphoma on CT
A
toxo = RING enhancing lesions
CNS lymphoma = hypderdense/isodense SOLIDLY enhancing round lesions
9
Q
Abnormal movements with eyes open =
A
cerebellar disease
10
Q
Abnormal movements with eyes closed =
A
posterior column disorders
11
Q
Rule of 80 for adult and pediatric neck masses
A
80% in peds = benign
80% in adults = malignant (non-thyroid)
12
Q
Insecticide exposure associated with what toxidrome
A
cholinergic crisis DUMBBELLS
13
Q
Central cord syndrome
A
Upper extremity weakness > lower
Associated with EXTENSION injuries
Corticospinal and spinothalamic tracts are most affected within the CENTRAL portion of the cord
14
Q
Anterior cord syndrome
A
loss of motor and sensory below the level of injury
preservation of position, touch, vibration
15
Q
Bankart fracture
A
inferior glenoid rim
16
Q
Hill-Sachs fracture
A
compression fracture of the posterolateral humeral head
17
Q
Wernicke encephalopathy
A
nystagmus, ophthalmoplegia, ataxia
18
Q
Mechanism of magnesium deficiency leading to hypocalcemia
A
produces parathyroid hormone resistance
magnesium supplementation can improve symptoms of hypocalcemia
19
Q
Croup virus
A
parainfluenza virus type 1
20
Q
Lab findings in Erlichiosis and Anaplasmosis
A
leukopenia, thrombocytopenia, transaminitis
21
Q
Typical rash spread pattern in RMSF
A
centripetal = distal extremities to the trunk
22
Q
Toxic metabolite of ethylene glycol
A
oxalic acid
23
Q
Bark scorpion physical exam findings
A
motor restlessness and hypersalivation
24
Q
neonatal conjunctivitis <5 days old
A
Neisseria
IV or IM ceftriaxone
25
neonatal conjunctivitis > 5 days
Chlamydia
oral erythromycin
26
What dermatologic condition is most commonly associated with celiac disease
dermatitis herpetiformis
27
Coronary occlusion that can cause complete heart block
RCA
28
Painless abdominal mass + hematuria in a 3ish year old child
Wilms Tumor
Renal US
Nephrectomy
29
Elapidae
Coral snake, Cobra, Kraits, Mambas
Marked systemic neurotoxicity
Irreversibly binds acetylcholine receptors
30
Crotalidae
Pit vipers
Coagulopathy
Systemic symptoms uncommon
31
Loxosceles
Brown spiders
Brown recluse
Necrotic eschar
32
Centruroides
Bark scorpion
muscle spasms, oculomotor abnormalities
33
Aspiration location for priapism
2 OR 10 o'clock
followed by phenylephrine injection
34
Max dose of lido w/epi
w/o epi
7mg/kg or max of 500mg regardless of weight
5mg/kg
35
Phenobarbital mechanism of action
increases GABA receptor opening duration
36
Allergic compound of poison ivy/oak/sumac
Urushiol
37
Nitrazine positive
Blue coloration with pH > vaginal pH, usually around 7.2-7.4
38
Silo fillers disease
Nitrogen dioxide
39
Musty hay or newly mown grass smell
Phosgene
40
Dextrose rule for peds
5-10mL/kg of D10
2-4 mL/kg of D25
1-2 mL/kg of D50
41
Small positive deflection buried in the end of the QRS complex
Epsilon wave
ARVD
42
two most common causes of SJS or TEN
Mcyoplasma or Herpes simplex
43
Bullous pemphigoid
>60 years
Nikolsky negative
Does not involve mucous membranes
44
Pemphigus vulgaris
Younger 40-60
Involves mucous membranes
Nikolsky positive
45
4 cluster B personality types
Antisocial
Borderline
Histrionic
Narcissistic
46
Cytoplasmic inclusions found in Parkinsons
Lewy bodies
47
Tx for hereditary angioedema
C1 esterase inhibitor replacement OR
FFP
48
First line tx for pregnancy related nausea/vomiting
Pyridoxine alone or in combination with doxylamine
49
apical displacement of the tricuspid valve with dilation of the right atrium
Ebstein anomaly
atrialization of the proximal right ventricle
50
Bitter almond smell
Cyanide
51
Rotten eggs smell
Hydrogen sulfide
52
Garlic odor toxidrome
organophosphate poisoning
53
Foodborne diarrhea that can cause liver abscess
Entamoeba histolytica
54
Most common cause of erysipelas
beta-hemolytic Strep pyogenes
55
Syphilis tx regimens ( primary, secondary, tertiary, etc.)
primary/secondary - single dose IM pen G
Tertiary or Late latent - weekly IM pen G for 3 weeks
56
Factor replacement doses for Hemophilia A and B
50IU to get 80-100% replacement with Factor VIII
100IU to get 80-100% replacement with factor IX
57
Initial bullous pemphigoid management
wound care, steroids, doxycycline
58
Tx for RMSF even in children
Doxycycline
59
Findings associated with oligoarticular juvenile arthritis
Chronic uveitis
ANA positive
TMJ arthritis
60
Bacterial infection predisposing to PSGN
Group A beta-hemolytic strep
Strep throat, Impetigo
61
timing of arterial gas embolism
on ascent or within minutes
62
timing of decompression syndromes
minutes to hours after ascent
63
Depth related diving syndromes
Barotitis occurs at shallower depths compared to nitrogen narcosis
Nitrogen narcosis occurs are deep depths (at least 100 ft below sea level)
64
Electrolyte abnormality often seen with myxedema coma
hyponatremia (50% of patients)
65
most common site of pediatric linear skull fractures
parietal bone
66
Tympanic membrane rupture, blast lung, ocular injury, concussion - type of blast injury
primary
67
Secondary blast injuries
impact of fragments
penetrating trauma, amputation
68
tertiary blast injuries
crush injuries, blunt trauma
body propelled into objects
69
Quaternary blast injuries
environmental contamination
burns, inhalation, toxic substances
70
quinary blast injury
bodily absorption of device additives
71
Tripod fracture
lateral orbit, zygoma, maxilla
72
ACA stroke symptoms
contralateral weakness and sensory loss,
LEG > ARM
73
Loud single heart sound with harsh systolic murmur
Tetralogy of Fallot
74
GVHD in BMT patient most common presenting symptoms
rash (maculopapular)
diarrhea (bloody)
75
benzos MOA
binds to GABA a receptors, increasing frequency of chloride channel opening, reducing the resting potential and producing inhibitory effects
76
serum osmolality equation
2x Na + BUN/2.8 + glucose/18 + ethanol/3.7
77
Tx for cyanide toxicity
Hydroxycobalamin (preferred if concomitant CO exposure)
OR
Amyl nitrite + Sodium thiosulfate
78
Most frequently isolated organism with acute suppurative parotitis
Staph aureus
79
A-a gradient and Pao2 for steroids in PJP
PaO2 < 70
A-a gradient >35
80
Most common basilar skull fracture location
temporal bone
81
MCC of ischemic stroke in children
sickle cell
82
DeWinter wave associated with what lesion
LAD
83
What infection is associated with adult onset asthma
Chlamydia pneumonia
84
Foxglove toxidrome
dig toxicity
85
Jimson weed toxidrome
anticholinergic
86
What US finding is nearly 100% sensitive for cardiac tamponade
plethoric IVC
87
What is indicative of benign physiologic cause of neonatal jaundice
jaundice on day 3 of life
levels peak at day 3 then return to normal by two weeks of life
88
Hypsarrhythmia on EEG
Infantile spasms
89
Arsine gas exposure
- work?
tx?
Semi-conductor industry
Alkalinization of urine
Exchange transfusion
90
Most common location for intussusception
Ileocecal colon
91
Stages of iron toxicity
1 - GI symptoms, nausea/vomiting/diarrhea
2- period of improvement
3 - Systemic - GI symptoms return, hypotension, severe AGMA, AMS
2 to 5 days after
4- Elevated LFT's
5 - Bowel obstruction (often pyloric outlet obstruction)
92
Coronary lesion with Wellens waves
Left Anterior Descending
93
Confirmatory test for neurosyphilis
CSF VDRL
94
Tx for acute mountain sickness vs HACE
acetazolamide
dexamethasone for HACE
95
Most sensitive test for active TB infection
Mantoux skin test
96
Most sensitive test for spinal epidural abscess
ESR
97
What meds should be avoided in hydrocarbon ingestion
Dopamine, Epi, Norepi
Procainamide
Amiodarone, Sotalol
98
Tx for travellers diarrhea in pregnant patients
Azithromycin
99
Most common neurovascular injury in knee dislocation
Peroneal nerve
Popliteal artery
100
Most common lung cancer in smokers
adenocarcinoma
101
Examples of type I hypersensitivity reaction
Anaphylaxis
Angioedema
Urticaria
102
Most common cause of gross hematuria in children
UTI
103
Abx of choice in toxic shock syndrome
Clindamycin
104
most effective emergency contraception up to 120 hrs
Ulipristal acetate
105
Most common site of cervical spine injury in children < 8 yrs old
C1-C3
106
Paralytics for intubation with myasthenia gravis
Higher dose of depolarizing (2.25 /kg of sux)
Lower dose of non-depolarizing
107
Do patients with Lambert-Eaton require higher or lower doses of paralytics for intubation?
Lower
108
What characteristic differentiates TRALI from TACO?
High fever
109
Pattern of paralysis in botulism
Descending symmetric
110
CD4 count associated with CMV infection
< 50
111
What type of lesion is cauda equina?
lower motor neuron
composed of peripheral spinal nerves being compress
112
Nikolsky positive diseases
Staphylococcal scalded skin
SJS/TEN
Pemphigus vulgaris
113
Condyloma acuminata vs Condyloma lata
Acuminata - > HPV
Lata - > Syphilis
114
Most common bacteria from dog bites
Pasteurella
115
narcan drip dosing
2/3rds of reversal dose
0.3 bolus - > 0.2mg/hr drip rate
116
Lupus pernio commonly associated with
sarcoidosis
117
Chancroid (bug and tx)
Haemophilus ducreyi
Ceftriaxone 250IM, Azithro 1g oral
118
Test for evidence of maternal-fetal hemorrhage
Kleihauer-Betke
119
Thyroid storm order of tx
beta blocker
PTU
Methimazole
Iodine
Steroids
PTU preferred in pregnancy
120
Abx for strep throat if anaphylactic to penicillins
Clarithomycin, Azithromycin, Clindamycin
121
Rubella
German measles
maculopapular rash start on face and spread downward
associated with fever
122
most common congenital CYANOTIC heart disease
Tetralogy of Fallot
123
US location most sensitive for free fluid in the setting of trauma
hepatorenal window
124
QS waves in V2-V4 without reciprocal changes
Ventricular aneurysm
ECHO
125
Tx for epiploic appendagitis
NSAID's
126
Abx for cavernous sinus thrombosis as a complication of acute sinusitis
vanco, ceftriaxone, metronidazole
127
Typical location of reactivation of latent TB
Apical posterior lobes
128
HUS treatment
supportive, fluid resuscitation
129
where do foreign bodies swallowed typically get obstructed in pediatric patients
C6, level of cricopharyngeus muscle
130
Predominant bacterial cause of ersysipelas
strep pyogenes
131
Sulfonylureas
medication that can be given to prevent further hypoglycemia
glyburide, glimepiride, gliclazide
octreotide
132
anterior vs posterior nose bleeds
anterior - keisselbach plexus
posterior - sphenopalatine arteries
133
cherry red spot
CRAO
134
Causes of inflammatory arthritis with WBC >3k, but <50k
Gout - negative birefringent needles
Pseudogout - positive birefringent
Reactive - no crystals, clinical hx of recent infection
Lyme - need Lyme IgG, IgM to confirm lyme cause
135
Leukemia most at risk for hyperviscosity
AML
136
gold standard imaging for mandibular fracture
CT max/face
137
Simple febrile seizure
<1 in 24 hours
<15 mins
Non-focal
Return to baseline
138
mycotic aneurysm most commonly a complication of what
endocarditis
139
>5mm TB skin test positive for what populations
HIV +
Recent contact with TB+ patient
Nodular or fibrotic CT changes
Organ transplant
140
Alternative tx for Lyme
amoxicillin (some children and pregnant patients)
141
Most common cause of tricuspid regurgitation
RA and RV dilation
142
Most common sign of bladder injury
gross hematuria
143
At what stage is HIV infectivity highest
acute infection
144
Pacer letters and meaing
first - chamber paced
second - chamber sensed
145
Ranson criteria at admission
Age >55
WBC > 16k
Glucose > 200
LDH > 350
AST > 250
146
Strongest predictor of difficult intubation
Mallampati IV airway
147
most reliable indication of achilles rupture
+ calf squeeze test (thompson test)
148
acute alveolar osteitis
dry socket
abrupt pain, foul odor
3-5 days after tooth extraction
149
Most specific antibody for SLE
Anti-smith
150
Winters formula
expected PCo2 = 1.5 (HCO3) + 8 +/- 2
151
visual disturbance with dig toxicity
yellow-green chromatopsia
152
treatment for jellyfish stings
acetic acid
153
Viral cause of Ramsay-hunt
Varicella Zoster virus
154
Tx for disseminated gonococcal infection
1g ceftriaxone IM/IV once
Doxy BID for 7 days
155
Most common clinical finding seen in PE
Tachypnea
156
Correct laryngscope blade for intubating neonate
Miller 0 or 1
157
Hot and cold temp reversal
Cigatuera toxin poisoning
158
post-exposure prophy for adults with close contact to pertusis
Azithro 500mg once, then 250 daily for total of 5 days
159
Osteosarcoma
sunburst pattern
1. distal femur
2. prox tibia
3. prox humerus
160
most common presentation of seizures in a newborn
rhythmic beating of an arm or leg
161
first line treatment for status epilepticus in newborn
phenobarbital or fosphenytoin
162
Ciguatera toxin
hot cold temp reversal
perioral paresthesias
sensation of loose teeth
163
Reed-Sternberg cells
Hodgkin lymphoma
Owl eye nucleus
164
Primary determinant of pressure injection injury
chemical properties of substance injected
165
post-partum endometritis abx
Clindamycin + Gentamicin
Unasyn if GBS colonized
166
Childhood tumor with elevated urine catecholamines
Wilm's Tumor
Neuroblastoma does not have elevated catecholamines
167
Order of meds for tx of pheo
alpha blockade first - phentolamine
then beta blockade - esmolol or labetalol
168
vulvovaginitis tx in peds
amoxicillin, augmentin, or clinda
169
location of a spigelian hernia
at the level of the arcuate line
170
HD of lithium criteria
impaired kidney function and lithium > 4
lithium > 5
seizures, dysrhythmia, AMS
elevated lithium + symptoms + cannot give fluids
171
primary function of temporal lobe
auditory processing
172
most common bacteria in paronychia
staph aureus
173
tumor lysis changes
hyper K
hyper phos
Increased uric acid
hypocalcemia
174
Roseola
HHV-6
high fever, subsides then diffuse maculopapular rash
175
most common oculomotor sign in Wernicke's
lateral nystagmus
176
most common organism causing bacterial tracheitis
staph aureus
177
Most common type of Salter Harris
type II
178
Peds dextrose rules
<1 - 2-5mL/kg of D10
1-8 - 2mL/kg of D25
>8 - 1mL/kg of D50
179
vessels most likely to be responsible for hypertensive ICH
penetrating arteries
180
peds atropine dose
0.1mg/kg
181
most likely site of diaphragmatic rupture in blunt force trauma
left
182
at what age do infants roll over? walk?
5months
12-15months
183
When to give RhoGam
Rh negative mothers at 28 weeks routine
in threatened, complete abortions, ectopic pregnancy, amniocentesis, abdominal trauma
184
Pediatric pneumonias
0-3 months GBS
3wks to 3 months - C trachomatis
1-5 years - RSV
6-8 years M. pneumoniae
185
acute glaucoma tx
timolol - beta blocker
apraclonidine - alpha agonist
acetazolamide
186
pediatric airway differences
smaller larynx
narrowest portion - cricoid
longer, narrower epiglottis
larger tongue
neck shorter
anterior superior larynx
larger adenoids
187
mechanism of hangman fracture
hyperextension
188
cyanotic heart diseases
Truncus arteriosus
Transposition
Tricuspid atresia
Tetralogy of fallot
TAPVR
189
direct spread commonly causes orbital cellulitis
ethmoid sinus
190
earliest findings on TV US with pregnancy
gestational sac, yolk sac, fetal pole
191
Rubeola (Measles)
high fever
cough, coryza, conjunctivitis
koplik spots
192
most sensitive hx/exam finding to exclude test torsion
presence of cremasteric reflex
193
initial med for polycystic kidney disease
lisinopril
194
CRAB
hypercalcemia
renal injury
anemia
lytic bone lesions
back pain
multiple myeloma
M spike
bence-jones proteins
195
most common secondary injury with midshaft humerus fracture
radial nerve injury/palsy
196
highest sensitivity for exluding PE
Normal V/Q scan
197
hard signs of vascular injruy
pulsatile bleeding
arterial thrill by palpation
bruit
signs of distal ischemia
visible expanding hematoma
198
physical exam finding as strongest predictor of heart failure as the cause of dyspnea
third heart sound
199
tx for white phosphorous exposure
copious irrigation
water//saline immersion
reacts with air to cause burns
200
most common cause of tricuspid stenosis
rheumatic heart disease
201
pH associated with vulvovaginal candidiasis
< 4.5
202
causes of isolated CN III palsy
posterior circulation stroke
Diabetes
myasthenia gravis
203
NNT
1/ [c/(c+d) - a/(a+b)]
204
most common complication of diverticulitis
abscess
205
beta blocker OD most likely to cause seizures
propranolol
due to high lipid solubility
206
serum salicylate level for dialysis
>100 acute
>50 chronic
207
Mass Casualty Lightning triage method
individuals with no signs of life should be attended to first, prolonged CPR
208
most common type of testicular tumor
germ cell tumor
209
diagnostic imaging for midgut volvulus/malrotation
Upper GI series
210
minimum blood loss before hypotension
30%
211
timing of NEC in neonates
typically within first few days of life up to first 3 weeks
212
high pitched blowing diastolic murmur at left sternal border
aortic regurgitation
213
contralateral lower extremity weakness and numbness with sparing of face and upper extremity
anterior cerebral artery CVA
214
critical aortic stenosis valve area
0.8cm^2 or less
215
perilunate dislocation is dislocation of what bone
capitate
216
cluster A personality disorders
schizoid, schizotypal, paranoid
217
most common cause of spinal epidural abscess
S. aureus
218
at what age do pediatric cervical spine injuries begin to follow same pattern of adults
8 and older
< 8 more likely to be upper cervical C1-3
transition to C5-6 at 8yo
219
most common site of osteochondroma
distal femur
220
most likely etiology of Fitz-Hugh-Curtis syndrome
Chlamydia trachomatis
221
reversal agent of dabigatran
idarucizumab
222
abx tx for rheumatic fever in the setting of anaphylaxis to penicillins
erythromycin
223
infections associated with Faget sign
fever + bradycardia
yellow fever, typhoid fever, tularemia, brucellosis, colorado tick fever, legionella, mycoplasma pneumoniae
224
necrosis with alkali
liquefactive
225
beefy red ulcer
granuloma inguinale
klebsiella granulomatis
226
which urinalysis finding is most sensitive for UTI
leukocyte esterase
227
thiazolidinediones
pioglitazone, rosiglitazone
228
lab abnormality often found with heat stroke
hepatic injury
229
hypotension in peds equation
70 + 2xage in years
230
FVC criteria for intubation in Guillain-Barre
FVC < 20mL/kg
231
GCS
E - 4
V - 5
M - 6
232
meglitinides
repaglinide, nateglinide
increase insulin secretion
233
sensitivity
true positives/true positive + false negatives
234
specificity
true negatives/true negative + false positives
235
PPV
true + / total number +
236
Light criteria
protein ratio 0.5
LDH ratio 0.6
pleural LDH 2/3 upper limit of normal
237
universal donor of FFP
O
238
tripod fx
lateral orbit
zygoma
maxilla
239
txa mechanism
reduces plasminogen activation to plasmin
240
most common valvular injury in blunt cardiac injury
aortic
typically causes aortic regurgitation
241
symptom most associated with positive biopsy in giant cell arteritis
jaw claudication
242
earliest sonographic finding of tamponade
right atrial collapse
243
7 cardinal movements of fetal descent
engagement, descent, flexion, internal rotation, extension, external rotation, expulsion
244
glomerulonephritis, pulmonary hemorrhage, anti-GBM antibodies
Granulomatosis w/ polyangiitis
245
most useful test to assess degree of dehydration in children
serum bicarb
246
most common risk factor for developing AAA
smoking hx
247
ester anesthetics
procaine
chloroprocaine
248
toxoplasmosis tx
sulfadiazine + pyrimethamine
+ leucovorin
249
most common inherited bleeding disorder
prolonged bleeding time
250
ethylene glycol toxic metabolites
glycolic, glycoxylic, oxalic acid
251
most common cause of UGIB
duodenal ulcer
252
at what age are sickle cell patients functionally asplenic
5 years old
253
what is the deepest anatomic location for perirectal abscess
supralevator
254
encapsulated bacteria
SHiNE SKiS
255
most common symptom of hemorrhoids
bleeding with defecation
256
cluster B personality disorders
borderline
antisocial
histrionic
narcissistic
257
most severe malaria species
P. falciparum
258
MAP equation
MAP = DBP + 1/3 (SBP-DBP)
259
snowstorm vision changes
methanol toxicity
260
methanol toxic metabolite
formic acid
261
what high altitude illness has highest mortality
HAPE
262
Latrodectus
black widow
severe muscle cramping, CNS excitation
263
most likely site of malignant brain tumor in children
cerebellum
medulloblastoma
264
most common CN affected by cavernous sinus thrombosis
abducens
lateral gaze palsy
265
most common etiology of hyperviscosity syndrome
waldenstrom macroglobulinemia
266
gingival hyperplasia
phenytoin
267
philadelphia chromosome
CML
268
CD4 count when MAC should be considered
<50
269
most effective tx for TTP
plasmapharesis
270
mechanism of febrile non-hemolytic tranfusion reactions
host antibodies against donor leukocytes
271
most commonly injured in pediatric blunt trauma
spleen
272
tx of choice in sclerodermal renal crisis
ACE-i's
273
aerospace manufacturing exposure
beryllium, berylliosis
274
CD4 count associated with PJP
<200
275
hydrofluoric acid
hypocalcemia
IV and topical calcium gluconate
276
most common pituitary tumor
prolactinoma
277
CD4 count associated with CMV
<50
278
most common cause of heterotopic pregnancy
infertility treatment
279
additional fx associated with colles fx
ulnar styloid fx
280
presence of what suggests CSF leak
beta-transferrin
281
actinic keratosis predisposes to
squamous cell carincoma
282
actinic keratosis predisposes to
squamous cell carcinoma
283
mechanism of central cord injruy
hyperextension
284
mechanism of extrapyramidal symptoms with anti-psychotics
dopamine antagonism
285
what is commonly associated with pemphigus vulgaris
myasthenia gravis and thymomas
286
physical exam finding suggestive of retrocecal appendicitis
+ psoas sign
287
blood lead level for dimercaprol
> 70
288
inaccurate labs off an IO
wbc
potassium
ionized calcium
ast/alt
289
diagnosis of botulism
fecal botulinum toxin studies
290
can you use activated charcoal for iron OD
no, doesn't bind iron
291
most common complication in LVAD
most common cause of failure of LVAD
most common cause of pump failure
cardioversion/defibrillation safe?
bleeding
suction event
thrombosis
yes
292
most common site of esophageal perf
distal posterolateral esophagus
293
core temperature afterdrop
initial warming of the body after cold exposure, then temperature begins to drop during rewarming due to return of cold blood from the peripher
294
most common organisms responsible for SBP
E. coli
Klebsiella
295
erythema nodosum most commonly associated with
streptococcal infection
296
indications for intraperitoneal abx for PD patients
wbc > 100
abdominal pain
+ culture
2 of the 3 need to be present
297
toxicity associated with rifampin
hepatotoxicity
298
indications for HD in hypercalcemia
Ca >18
neurologic symptoms
CHF
renal failure
299
preferred method for evaluation joint capsule disruption
CT of the joint
previously saline load
300
most common bacteria implicated in lung abscess formation
peptostreptococcus
301
most predictive sign of uterine rupture
non-reassuring fetal heart rate
302
doses of sux and roc
1.5mg/kg
1.0mg/kg
303
what is most predictive of mortality in submersion injury
degree of CNS hypoxia
304
abx regimen for MAC
azithromycin or clarithromycin
ethambutol
rifabutin
305
most common site of oral cancer
tongue
306
xr most likely to see small pleural effusion
lateral decub with affected side down
307
what determines degree of pulmonary injury in submersion injruies
quantity of liquid aspirated
308
antibodies in bullous pemphigoid
IgG against the basement membrane
309
antibodies in pemphigus vulgaris
IgG against desmosomes
310
adenopathy above and below the inguinal ligament associated with
LGV
311
preferred method of ventilation with percutaneous needle cric
jet ventilation
312
where does cerebral toxoplasmosis have a propensity for in the brain?
basal ganglia
313
historical featuer eassociated with infantile spasms
occurs in clusters lasting a few minutes at a time
314
tx options for myasthenic crisis
plasmapharesis
IVIG
315
chalazion commonly found
upper eye lid
