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April EOR Exams > Emergency Medicine > Flashcards

Flashcards in Emergency Medicine Deck (255)
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1

Pregnant woman with dysuria, frequency, urgency and hydronephrosis. What is the best initial step?

turn on left side, ultrasound, stent or induce labor

2

Show of EKG of "going, going, gone"

2nd degree type I

3

What is diagnostic maneuver of BPV?

Dix-Hallpike

4

Patient has right flank pain radiating to testicles with dysuria, frequency, urgency, nitrates, leuks, and CVAT. What is dx?

nephrolithiasis or pyelonephritis

5

Patient has acute asthma attack. Which ABG would have a worse prognosis?

pH 7.27, CO2 46
-it's the most acidic answer, shows patient getting tired (respiratory acidosis...breathing slowing down)

6

Patient with HIV has consolidation on CXR. What do you use to tx?

Bactrim

7

Patient with optic neuritis has MRI showing white lesions, what is the dx?

MS

8

65 year old patient with symptoms of pneumonia. What vaccine should they have gotten?

pneumococcal vaccine

9

What risk factor increases chance of aortic dissection?

hypertension

10

What cervical spine injury can cause respiratory distress?

above C5

11

Midshaft fracture of ulna, what splint?

sugar tong

12

Murmur associated with aortic dissection?

aortic regurgitation

13

Patient is hypotensive that is not responding to fluids. What should you add?

norepi or dopamine

14

65 year old man goes out drinking and then complains of a hot, swollen, and tender knee. Knee tap shows negatively birefringent crystals, what is the dx?

gout

15

Patient is diagnosed with a. fib, other than an anticoagulant, what else should you start?

diltiazem

16

Patient is complaining of pain with chewing but has erythema and induration anterior and inferior to the ears. What is the dx?

parotitis or giant cell arteritis

17

Patient is taking clindamycin and now has diarrhea, what is the cause?

pseudomembranous colitis

18

Patient hit his head and now has blood in anterior chamber of eye, what is the dx?

hyphema

19

PE finding of malignant hypertension?

papilledema

20

Patient gets corneal ulcer patch, what complications might happen?

pseudomonas

21

Patient is having a stroke, what do you want to do?

tPA

22

MC bug in pyelonephritis?

E coli

23

What do you worry about in a knee dislocation?

arterial bleed

24

Patient has a cast and now is developing pain, what is the dx?

compartment syndrome

25

Open fracture of fibular, in addition to stabilization, what do you want to do?

antibiotics

26

What is in the pheochromocytoma triad other than HTN and diaphoresis?

headache

27

Patient brought to ED with acute onset dyspnea, alcoholic, history of MVA, crackles auscultated. CXR shows bilateral infiltrates spare costovertebral angles, no cardiomegaly or pleural effusion. O2 sat 70%. What is initial tx?

intubation

28

Patient was bit by a cat. What medication?

augmentin

29

LP finding of Guillain Barre?

elevated protein with normal glucose

30

OB question about threatened abortion, what is initial step?

type and screen and Rh status