Emergency Medicine

Question 1

Within how much time is activated charcoal useful?

Answer 1

Within 1 hour

Question 2

What is the minimal toxic dose in a child < 12 years of age?

Answer 2

150mg/kg

Question 3

What is the minimal toxic dose in an adolescent and adult?

Answer 3

7.5g

Question 4

When is the peak of symptoms of tylenol toxicity?

Answer 4

72-96 hours

Question 5

How many hours after acute tylenol ingestion do you check tylenol level?

Answer 5

4 hours after

Question 6

What can be the treatment of salicylate ingestion?

Answer 6

Alkalinization

Question 7

What are the common causes of miosis?

Answer 7

COPS:

• Cholinergics, clonidine
• Opiates
• PCP
• Sedatives

Question 8

If iron levels are larger than 500ug/dL what is the treatment of iron toxicity?

Answer 8

Deferoxamine IV

Question 9

What is the treatment of TCA induced arrhythmias?

Answer 9

sodium bicarbonate

Question 10

What toxicity is the symptom of bruxism indicative of?

Answer 10

Ecstasy

Question 11

What toxicity is the symptom of myoclonus indicative of?

Answer 11

Serotonin syndrome

Question 12

What is the treatment of carbon monoxide poisoning?

Answer 12

100% O2

Question 13

What is the antidote of methanol ingestion?

Answer 13

IV fomepizole

Folate

Question 14

Which organ is most impacted by ethylene glycol ingestion?

Answer 14

Kidney

Question 15

What is the treatment of ethylene glycol ingestion?

Answer 15

sodium bicarb
IV fomepizole
Thiamine/Pyridoxine

Question 16

What are the antidotes of organophosphate poisoning?

Answer 16

Atropine

Pralidoxime

Question 17

What is the most common organism in cat bite wound infection?

Answer 17

Pasteurella multocida

Question 18

What is the recommended antibiotic for prophylaxis after a human bite?

Answer 18

Augmentin

Question 19

What is cushing’s triad?

Answer 19

Hypertension
Bradycardia
Hyperpnea

Question 20

What is a possible complication of head injury in a patient less than 3 years of age?

Answer 20

Diastasis of skull fracture –> formation of CSF filled dural outpouching

Question 21

What is a Chance fracture, when does it commonly happen?

Answer 21

Seat belt injury in MVC

Lumbar spine fracture

Question 22

What are the types of Salter-Harris classifications?

Answer 22

Type 1- Straight 
Type 2- Above 
Type 3- Lower 
Type 4- Through 
Type 5- Rammed

Question 23

Which fracture is an incomplete fracture where cortex is broken on one side and intact on the other?

Answer 23

Greenstick fracture

Question 24

What type of fracture typically happens in the distal radial metaphysis due to falling out on an outstretched hand?

Answer 24

Buckle (Torus) fracture

Question 25

What is a truly accidental spiral fracture of the tibia in a young child?

Answer 25

Toddler's fracture

Question 26

What is the most common fracture in children?

Answer 26

Clavicle

Question 27

What does the fat pad sign indicate on an elbow x-ray?

Answer 27

Supracondylar fracture

Question 28

As per the Ottawa ankle rules, what are the reasons for getting an ankle x-ray?

Answer 28

- Not bearing weight for 4 steps | - Tenderness over distal posterior 6cm of medial or lateral malleolus