Emergency Medicine Flashcards Preview

FA Step 2 Rapid Review > Emergency Medicine > Flashcards

Flashcards in Emergency Medicine Deck (35):
1

SEs of corticosteroids

Acute mania, immunosuppression, thin skin, osteoporosis, easy bruising, myopathies

2

Tx for DTs

Benzos

3

Tx for APAP O/D

N-acetylcysteine

4

Tx for opioid O/D

Naloxone

5

Tx for benzo O/D

Flumazenil

6

Tx for neuroleptic malignant syndrome (NMS) and malignant hyperthermia

Dantrolene

7

Tx for malignant HTN

Nitroprusside

8

Tx of AFib

Rate control, rhythm conversion, and anticoagulation

9

Tx of supraventricular tachycardia (SVT)

-If stable, rate control with carotid massage or other vagal stimulation
-If unsuccessful, consider adenosine

10

Causes of drug-induced SLE

Hydralazine, INH, penicillamine, procainamide, chlorpromazine, methyldopa, quinidine

11

Macrocytic, megaloblastic anemia with neuro sxs

B12 deficiency

12

Macrocytic, megaloblastic anemia without neuro sxs

Folate deficiency

13

Burn pt presents with cherry-red flushed skin and coma. SaO2 is nl, carboxyHb (COHb) is elevated. Tx?

Tx CO poisoning with 100% O2 or with hyperbaric O2 if severe poisoning or pregnant pt

14

Blood in urethral meatus or high-riding prostate

Bladder rupture or urethral injury

15

Test to r/o urethral injury

Retrograde cystourethrogram

16

Radiographic evidence of aortic disruption or dissection

Widened mediastinum (>8 cm), loss of aortic knob, pleural cap, tracheal deviation to the right, LMSB depression

17

Radiographic indications for surgery in pts with acute abdomen

Free air under the diaphragm, extravasation of contrast, severe bowel distention, space-occupying lesion (CT), mesenteric occlusion (angiography)

18

MC organism in burn-related infxns

Pseudomonas

19

Method of calculating fluid repletion in burn pts

Parkland formula

20

Acceptable UOP in a trauma pt

50 cc/hr

21

Acceptable UOP in a stable pt

30 cc/hr

22

Cannon "a" waves

3rd degree heart block

23

Signs of neurogenic shock

Hypotension and bradycardia

24

Signs of increased ICP (Cushing's triad)

HTN, bradycardia, and abnl respirations

25

Decreased CO, decreased PCWP, increased peripheral vascular resistance (PVR)

Hypovolemic shock

26

Decreased CO, increased PCWP, increased PVR

Cardiogenic (or obstructive) shock

27

Increased CO, decreased PCWP, decreased PVR

Septic or anaphylactic shock

28

Tx of septic shock

Fluids, abx

29

Tx of cardiogenic shock

Identify cause, pressors (ex: DA)

30

Tx of hypovolemic shock

Identify cause, fluid and blood repletion

31

Tx of anaphylactic shock

Diphenhydramine or Epi 1:1000

32

Supportive tx for ARDS

Continuous positive AW pressure (CPAP)

33

Signs of air embolism

A pt with chest trauma who was previously stable suddenly dies

34

Trauma series

AP chest, AP/lateral C-spine, AP pelvis

35

Class of drugs that may cause syndrome of m. rigidity, hyperthermia, autonomic instability, and extrapyramidal sxs (EPS)

Antipsychotics (neuroleptic malignant syndrome)