Final Reviewish Flashcards
(133 cards)
1
Q
What kind of axis deviation is expected in prego
A
LAD
2
Q
quickening expected at
A
16-20wks
3
Q
fetal heart motion seen
A
6wks on transvaginal US
4
Q
vaginal bleeding and cervical os is open
A
inevitable miscarriage
5
Q
failure to see fetal heart activity in a fetus at least 5mm crown-rump length
A
First or second trimester death
6
Q
what reflex is lost if magnesium sulfate is too high?
A
Patellar reflex lost at 8-12. Want 5-8mg/dl
7
Q
Treatment for third trimester pregnant lady with jaundice and nocturnal pruritis
A
Cholestyramine, low cholesterol/fat diet
8
Q
Leading cause fo fetal mortality
A
thromboembolic events
9
Q
Tx uti or asym bacteruria in pregnant
A
Macrobid, Cephalexin, (Bactrim in first 2 trimesters)
10
Q
Tx acute pylenophritis in pregnant
A
Amp + Gentamycin of Cefotan +Gentamycin
11
Q
groove sign
A
lymphogranulma venereum
12
Q
tx lymphogranulma venereum
A
Doxy or Erthromycin
13
Q
tx chancroid
A
Azithro, Cef, or Erythromycin
14
Q
tx trichomoniasis
A
metronidazole
15
Q
what coagulopathies are assoc with vaginal bleeding
A
Leukemia, TTP, vWF dis, Aplastic anemia
16
Q
velamentous insertion of the umbilical cord into the lower uterine segment
A
vasa previa
17
Q
Sudden onset of severe unilat lower abd pain, out or proportion. Usually right side
A
Adnexal Torsion, dx with US doppler, tx sx
18
Q
Tx of PID
A
IV: Cefoxitin + doxy OR Clindamycin +Gent
PO Cef + doxy +/- metronidazole
19
Q
crescent shape hematoma that cross suture lines
A
subdural hematoma
20
Q
biconvex hematoma
A
epidural hematoma
21
Q
with epidural hematoma suspect
A
fx of temporal bone- middle meningeal artery location
22
Q
axial load => lateral masses of C1 move laterally apart ? seen on open mouth odontoid view
A
Jefferson fx
23
Q
unilat facet dislocation
A
displaced <50% width
24
Q
bilat facet dislocation
A
body displaced>50% width
25
bradycardia with warm dry skin
neurogenic shock= spinal trauma, tx IVF
26
if penetrating spinal injury do not use
steroids
27
mc injured organ in blunt trauma of abd
spleen
28
gold standard for eval of blunt trauma to abdomen
CT Iv contrast and sometimes oral
29
gold standard for GSW abdomen
laparotomy
30
gold standard to dx bladder rupture
retrograde cystogram
31
adult parkland formula
LR 4ml x kgx BSA burned over 24hrs
| half over first 8hr
32
ABI 0.5-0.9
injury to single arterial segment
33
ABI <0.5
severe arterial injury or multiple arterial segments
34
wrist extension nerve
radial C5-C8
35
wrist flexion, thumb abduction
median C6-T
36
finger abduction
ulnar c7-T1
37
what kind of hand tendon injuries MAY be repaired in ED
extensor
38
detachment of extensor tendon from distal phalynx. DIP pain, cannot fully extend
mallet finger
39
extension of MCP and DIP joints
boutoniiere deformity
40
disruption of ulnar collateral ligament of thumb MCP. Weak pincer function, point tenderness at ligament
Gamekeeper's thumb
41
thumb metacarpal intraarticular fracture with subluxation or dislocation at CMC
Bennet fx
42
MC injured wrist ligament
schapolunate ligament
43
mc carpal dislocation
lunate dislocation
44
tx schaphoid fx
short arm thumb spica splint
45
distal radius fracture with dorsal displacement
colles fx
46
fracture of proximal third of ulna with radial head dislocation at the elbow
dx and tx
Monteggia ORIF
47
compression fracture of humeral head
Hill-Sachs lesion
48
gold standard to w/o pelvic injury /fx
CT
49
if unstable with pelvic fx and no ther sources of bleeding
angiography
50
xray knee if
```
age>55
tenderness at head of fibula
isolated tenderness of patella
inability to flex 90 deg
inability to transfer wt 4 steps immed or in ED
```
51
what test is used to asses achilles tendon rupture?
Thompson test
52
What compartment pressures are thought to be toxic?
>30-50
| look at diff between DBP and tissue P
53
Afib drug to control rate
diltiazem
54
PSVT drug
adenosine
55
PEA tx
CPR
56
palpable radial pulse is atleast SBP
80
57
diffuse t wave peaking
hyperkalemia
58
arterial ischemia and cyanosis
phlegmasia cerulea dolen
59
pale, cool limb ileofemoral thrombosis
phlegmasia alba dolen
60
COPD PEv1/FVC ratio
<0.7
61
dendritic eye
herples simplex keratitis
62
hearing loss, tinutis, vertigo. Acute onset vertigo
meniere's
63
acute vertigo, no hearing loss, maybe URI
vestibular neuritis
64
acetaminophen toxic dose
150mg/kg
65
ASA toxic dose
160mg/kg
66
"stepping out into a snowstorm"
methanol OD txadh enzyme block, folinic acid, dialysis
67
What kind of axis deviation is expected in prego
LAD
68
quickening expected at
16-20wks
69
fetal heart motion seen
6wks on transvaginal US
70
vaginal bleeding and cervical os is open
inevitable miscarriage
71
failure to see fetal heart activity in a fetus at least 5mm crown-rump length
First or second trimester death
72
what reflex is lost if magnesium sulfate is too high?
Patellar reflex lost at 8-12. Want 5-8mg/dl
73
Treatment for third trimester pregnant lady with jaundice and nocturnal pruritis
Cholestyramine, low cholesterol/fat diet
74
Leading cause fo fetal mortality
thromboembolic events
75
Tx uti or asym bacteruria in pregnant
Macrobid, Cephalexin, (Bactrim in first 2 trimesters)
76
Tx acute pylenophritis in pregnant
Amp + Gentamycin of Cefotan +Gentamycin
77
groove sign
lymphogranulma venereum
78
tx lymphogranulma venereum
Doxy or Erthromycin
79
tx chancroid
Azithro, Cef, or Erythromycin
80
tx trichomoniasis
metronidazole
81
what coagulopathies are assoc with vaginal bleeding
Leukemia, TTP, vWF dis, Aplastic anemia
82
velamentous insertion of the umbilical cord into the lower uterine segment
vasa previa
83
Sudden onset of severe unilat lower abd pain, out or proportion. Usually right side
Adnexal Torsion, dx with US doppler, tx sx
84
Tx of PID
IV: Cefoxitin + doxy OR Clindamycin +Gent
| PO Cef + doxy +/- metronidazole
85
crescent shape hematoma that cross suture lines
subdural hematoma
86
biconvex hematoma
epidural hematoma
87
with epidural hematoma suspect
fx of temporal bone- middle meningeal artery location
88
axial load => lateral masses of C1 move laterally apart ? seen on open mouth odontoid view
Jefferson fx
89
unilat facet dislocation
displaced <50% width
90
bilat facet dislocation
body displaced>50% width
91
bradycardia with warm dry skin
neurogenic shock= spinal trauma, tx IVF
92
if penetrating spinal injury do not use
steroids
93
mc injured organ in blunt trauma of abd
spleen
94
gold standard for eval of blunt trauma to abdomen
CT Iv contrast and sometimes oral
95
gold standard for GSW abdomen
laparotomy
96
gold standard to dx bladder rupture
retrograde cystogram
97
adult parkland formula
LR 4ml x kgx BSA burned over 24hrs
| half over first 8hr
98
ABI 0.5-0.9
injury to single arterial segment
99
ABI <0.5
severe arterial injury or multiple arterial segments
100
Pg 1790-1796
see book
101
wrist extension nerve
radial C5-C8
102
wrist flexion, thumb abduction
median C6-T
103
finger abduction
ulnar c7-T1
104
what kind of hand tendon injuries MAY be repaired in ED
extensor
105
detachment of extensor tendon from distal phalynx. DIP pain, cannot fully extend
mallet finger
106
extension of MCP and DIP joints
boutoniiere deformity
107
disruption of ulnar collateral ligament of thumb MCP. Weak pincer function, point tenderness at ligament
Gamekeeper's thumb
108
thumb metacarpal intraarticular fracture with subluxation or dislocation at CMC
Bennet fx
109
MC injured wrist ligament
schapolunate ligament
110
mc carpal dislocation
lunate dislocation
111
tx schaphoid fx
short arm thumb spica splint
112
distal radius fracture with dorsal displacement
colles fx
113
fracture of proximal third of ulna with radial head dislocation at the elbow
dx and tx
Monteggia ORIF
114
compression fracture of humeral head
Hill-Sachs lesion
115
gold standard to w/o pelvic injury /fx
CT
116
if unstable with pelvic fx and no ther sources of bleeding
angiography
117
xray knee if
```
age>55
tenderness at head of fibula
isolated tenderness of patella
inability to flex 90 deg
inability to transfer wt 4 steps immed or in ED
```
118
what test is used to asses achilles tendon rupture?
Thompson test
119
What compartment pressures are thought to be toxic?
>30-50
| look at diff between DBP and tissue P
120
Afib drug to control rate
diltiazem
121
PSVT drug
adenosine
122
PEA tx
CPR
123
palpable radial pulse is atleast SBP
80
124
diffuse t wave peaking
hyperkalemia
125
arterial ischemia and cyanosis
phlegmasia cerulea dolen
126
pale, cool limb ileofemoral thrombosis
phlegmasia alba dolen
127
COPD PEv1/FVC ratio
<0.7
128
dendritic eye
herples simplex keratitis
129
hearing loss, tinutis, vertigo. Acute onset vertigo
meniere's
130
acute vertigo, no hearing loss, maybe URI
vestibular neuritis
131
acetaminophen toxic dose
150mg/kg
132
ASA toxic dose
160mg/kg
133
"stepping out into a snowstorm"
methanol OD txadh enzyme block, folinic acid, dialysis
