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STEP 2 > Emergency > Flashcards

Emergency Flashcards

(58 cards)

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1
Q

Patient w/ hyponatremia and extremely high glucose

A

Represents DKA

-Do not treat hyponatremia; it is dilutional

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2
Q

40 year old man has syncope during jog; what is diagnosis

A

Aortic stenosis

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3
Q

Expressive aphasia caused by what?

A

Stroke of Left MCA

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4
Q

Stroke keys:

A
  1. Do no harm
  2. Do not lower BP acutely
  3. Do not let pt drink
  4. Steroids dont help
  5. Do not start heparin
  6. Use pulse ox
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5
Q

Can you prevent a patient from faking?

A

No

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6
Q

Pt w/ stroke s/s; first thing to do?

A

Order non contrast CT

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7
Q

Most important first step w/ meningitis

A

Start abx

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8
Q

Should you give telephone advice?

A

No; will be held liable in court

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9
Q

Tx for acute glaucoma

A

Acetazolamide

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10
Q

Foreign pt w/ meningitis

A

Think TB meningitis or other exotic cause

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11
Q

Pt on coumadin presenting after fall with initially clear head CT

A

Will see subdural hematoma hours later

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12
Q

Sudden bursting headache

A

Subarachnoid hemorrhage; even if CT is negative still need to do lumbar puncture to completely r/o

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13
Q

If CT shows a stroke, is a pt a candidate for tPA

A

No; but always give aspirin

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14
Q

Child w/ febrile seizure and otitis media

A

Treat antibiotics and antipyretics

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15
Q

Elderly lady w/ AMS and foul-smelling urine

A

Delirium 2/2 to UTI

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16
Q

Young women w/ no known medical history collapses; what can you safely administer?

A

Glucose

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17
Q

Pt w/ spell where they talk in gibberish and stare w/ blank look, are unresponsive, and have facial twitching w/ post-ictal symptoms; what type of seizure?

A

Complex partial seizure

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18
Q

Football player w/ concussion that now has severe back pain and weakness in their arm; what is management?

A

Cervical spine stabilization and radiology

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19
Q

Pt w/ 12 week uterus and vaginal bleeding; management?

A

US and Rh type

-Do not get hCG quant

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20
Q

Woman w/ pelvic pain, vaginal bleeding, and left adnexal mass

A

Consider pregnancy (ectopic?)

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21
Q

Cocaine induced vasospasm tx

A

Aspirin + Benzos + nitrates

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22
Q

Pt w. red hot swollen foot and neuropathy but resolves w/ elevation

A

Charcot foot

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23
Q

Pt. w/ history of heart murmur that now presents w/ SOB; management?

A

TTE

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24
Q

First test for CP

25
V-fib managemnt?
Defibrillation
26
Pt w/ CP and ST segment depression and are on BBs and aspirin; what do they need prior to going to cath lab?
Heparin
27
Pt who is vomiting blood and is hypotensive; what fluid do you start?
NS
28
Pt w weakness in arms and legs that is on statin; management?
Check CPK
29
Pt. w/ inferior wall MI management
Do EKG w/ right sided leads
30
Abnormally large increase in pulse pressure (fall during inspiration >10)
Cardiac tamponade; you must have pulsus paradoxus to have cardiac tamponade
31
Pt. w/pleuritic CP after hip replacement; diagnosis?
PE
32
Sudden onset of ankle pain that awakens a woman from sleep; she has a temperature w/ a warm, swollen ankle that she cant bear weight on
Gout flare get joint fluid
33
Pt. w/ PCP pneumonia and O2 of 65; tx?
Bactrim + Prednisone
34
Pt. w/ aortic dissection; tx?
Labetalol
35
Pt. w/ C. diff; tx?
Metronidazole
36
Pt. presents w/ supraventricular tachycardia; first thing to do and second thing to do
1. Carotid massage | 2. Give adenosine
37
Pt. w/ hypoglycemia who is a nurse
Self-injecting
38
Diagnosing Clostridium botulinum requires... and if they have SOB...
Serum toxin levels Admit to ICU and monitor
39
Pt. w/ breast cancer who is hypotensive w/ pulsus parodoxus; management
Echocardiogram needed to help w/ fluid removal
40
Pt. on chronic benzos who has overdosed; what should you do?
Conservative management Flumazenil only needed for acute cases
41
Elderly man w/ flank pain, fever, and chills w/ normal CXR; dx and managment?
Pyelonephritis; need admission and IV abx
42
Management for PCP
Sedation and low level stimulation
43
Pt. w/ DKA and pneumonia tx
IV abx + Hydration + insulin + ICU admission
44
Pt. w/ COPD who can communicate their wishes
Just fuckin talk to them
45
Alcoholic w/ several week history of fever, night sweats, cough, and pneumonia
Need isolation for TB
46
How else can you check for aortic dissection w/o CT?
Echo
47
Pt. who goes to part and has great time w/ later abdominal pain
Pancreatitis
48
Pt w/ known gallstones and elevated amylase/lipase; important drug to give
Pain relief
49
Pt. w/ thyroidectomy and involuntary contractions; what should you do?
Check calcium and other electrolytes as parathyroids probably removed
50
30 year old w/ sore throat, muffled voice, and difficulty swallowing; what should you think of?
Woodlut Titus DO NOT MANIPULATE THROAT and call ENT
51
Pt. w/ hyperkalemia and EKG changes; what should you first give?
Calcium gluconate
52
Pt. w/ epigastric pain radiating to back w/ vomiting and elevated amylase/lipase/LFTs; first test to do?
US
53
Pt. w/ 2nd degree heart block type II; what will they need?
Permanent pacemaker
54
Pt. w/ plt count <20,000 and bleeding; what should you do?
Transfuse!
55
Fastest way to reverse Coumadin
FFP
56
Pt. w/ chemical in their eyes; what should you do?
Irrigate w/ water
57
Elderly man w/ hot, swollen knee and fever and effusion; what should you do?
Tap it
58
PT. w/ exercise induced astma has wheezing after playing bbal; what do they need?
Albuterol

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