Exam 1: Tx and Dosages

Question 1

1st Line Drugs for Anaphylaxis

Answer 1

Epinephrine + Antihistamines (cimetidine, diphenhydramine, hydroxyzine)

Question 2

Epinephrine Rx for Anaphylaxis

Answer 2

epinephrine 1:1000 soln 0.3-0.5 mg IM lateral thigh q 20-30 min PRN max 3 doses

Epinephrine 1:10,000 soln 0.5 mg IV slow infusion q 5-10 min PRN

Question 3

Tx for ludwig’s angina?

Answer 3

awake fiberoptic nasal intubation

Question 4

Tx for angioedema

Answer 4

Epi + antihistamines + CS

C1-esterase inhibitor

Question 5

Which drug has the below mechanism and indication?

angioedema

increased c1 esterase inhibitor synthesis

Answer 5

Danazol

Question 6

Which drug has the below mechanism and indication?

angioedema

Kallikrien inhibitor

Answer 6

ecalantide

Question 7

Which drug has the below mechanism and indication?

angioedema

bradykinin receptor antagonist

Answer 7

Icatibant

Question 8

Medical therapy for epiglottitis?

Answer 8

Ceftriaxone (3rd gen cephs)

Question 9

Medical treatment options for croup?

Answer 9

Nebulized epi

Predinisolone 1 mg/kg

OR

dexamethasone 0.15-0.6 mg/kg PO or IM max 10 mg

Question 10

+/- abx options for bordatella pertussis?

Answer 10

Erythromycin, azithromycin

Question 11

Antiviral for severe cases of RSV/Bronchiolitis

Answer 11

ribavirin

Question 12

Medical therapy for acute asthma exacerbation

Answer 12

albuterol/NS 0.5cc/2.5cc SVN q 30 minutes x 3 doses

Question 13

Drugs (4) for acute asthma exacerbation?

Answer 13

albuterol SVN
Prednisone/prelone PO
Solumedrol (IV)
Ipratroium SVN

Question 14

PTX needle decompression location

Answer 14

2nd ICS MCL

Question 15

PTX open thoracostomy tube location

Answer 15

tunneled incision 5th ICS to 4th ICS MAL

Question 16

HSV-1 Keratitis medical interventions (3)

Answer 16

Topical acyclovir 3% or Ganciclovir 0.15% gel

OR

Acyclovir 400 mg PO

Question 17

UV Keratitis tx

Answer 17

mild PO opioid + lubricating ointment

Question 18

5 topical abx options for corneal ulcer/abrasion?

Answer 18

erythromycin ointment
sulfacetamine 10%
polymyxin-TMP
Cipro
Oflaxacin drops QID x 5 days

Question 19

avoid these three treatment options for corneal ulcer/abrasion…

Answer 19

topical anesthetics
topical steroids
patches

Question 20

What type of suture for a lid laceration involving > 25%?

Answer 20

6-0 fast absorbable plain gut suture

Question 21

3 tx considerations for orbital floor/blowout fx

Answer 21

cold packs q 1st 48 hours
raise head of bed
don’t blow nose/sniff

Question 22

Open globe rupture medical tx…

Answer 22

Zofran (odansetron) 4 mg for antiemetics

lorazepam 0.5 mg/kg, max 2 mg for sedation

abx

non-NSAID analgesics

Question 23

Tx for optic neuritis…

Answer 23

IV methylprednisolone

Question 24

Medical treatment protocol for acute angle closure glaucoma…

Answer 24

0.5% timolol drop + 1% apraclonidine 1 min apart
+
pilocarpine q 15 minutes x 2 doses after 1 hour of tx

acetazolamide 500 mg IV + 500 mg PO

Question 25

FB in EAC with OE abx tx...

Answer 25

ciprodex or ciproHC drops

Question 26

Bacterial OE abx...

Answer 26

ciprodex or ciproHC drops

Question 27

Tx for viral OE...

Answer 27

antivirals + CS + MRI

Question 28

IV abx for malignant OE

Answer 28

IN PT.: cipro 400 mg IV q 8 hours B4 d/c: 750 mg PO q 12 hours x 6-8 weeks

Question 29

abx option for TM perf...

Answer 29

ofloxacin otic

Question 30

Perichondritis tx...

Answer 30

I & D + empiric ciprofloxacin

Question 31

Conservative tx for epistaxis...

Answer 31

2 sprays oxymetazoline + 10 min direct pressure

Question 32

abx for nasal packing due to epistaxis?

Answer 32

keflex, augmentin q duration of packing

Question 33

periodontal abscess abx

Answer 33

PO augmentin or clindamycin x 7-14 days

Question 34

Tongue laceration suture choices...

Answer 34

absorbable 3-0 or 4-0 chromic gut or vicryl

Question 35

ADC VANDISMAL

Answer 35

admit dx condition ``` vitals allergies nursing orders diet IV fluids Specials ``` Meds Activity Labs

Question 36

Components of d/c note: 5

Answer 36

d/c dx secondary dx d/c meds d/c instructions f/u

Question 37

procedure note components

Answer 37

``` name/DOB date/time indication consent description EBL complications ```

Question 38

drawer 3 crash cart

Answer 38

adult intubation

Question 39

drawer 4 crash card

Answer 39

peds intubation

Question 40

drawer 5 crash cart

Answer 40

IV supplies

Question 41

drawer 6 crash cart

Answer 41

iv supplies, arm board, large syringe, arterial blood kit

Question 42

drawer 7 crash cart

Answer 42

surgical intervention kits/procedure trays ECG electrodes

Question 43

left side of crash card

Answer 43

02 inventory anaphylaxis guide

Question 44

Frostbite medical tx

Answer 44

aloe cream q 6 hrs + occlusive dressing 400-600 mg ibuprofen PO q 6 hours PRN

Question 45

Mild hypothemia tx

Answer 45

passive rewarming

Question 46

moderate hypothermia tx

Answer 46

active external and internal rewarming

Question 47

severe hypothermia tx

Answer 47

warm pleural/peritoneal irrigation, bypass, hemodialysis

Question 48

Stage IV hypothermia tx

Answer 48

CPR, warm thoracic lavage

Question 49

hypotension during rewarming tx...

Answer 49

isotonic crystalloid

Question 50

Heat stress medical tx

Answer 50

1-2L normal saline bolus

Question 51

4 options of heat stroke tx...

Answer 51

evap cooling ice packs immersion cooling cardiopulm bypass

Question 52

Tx adjunct for any bite/sting

Answer 52

tetanus

Question 53

2 meds for rattlesnake envenomation

Answer 53

antivenom IO/IV | prednisone 1 mg/kg/d PO x 1-2 weeks

Question 54

Barotitis, sinus barotrauma tx

Answer 54

decongestant | abx prn

Question 55

tx for inner ear barotrauma (descent)

Answer 55

Stat ENT

Question 56

Tx for arterial gas embolism

Answer 56

ABCs, O2, IV hydration, HBOT + Stat Neuro Consult