Inservice

Question 1

Kussmaul breathing

Answer 1

Deep respirations 2/2 metabolic acidosis

Question 2

Treatment of fat embolus

Answer 2

steroids

Question 3

When to give steroids for PCP

Answer 3

pA02 <70

Question 4

Gram + paired lancets

Answer 4

Strep pneumoniae

Question 5

Gram + cocci in clusters

Answer 5

Staph aureus

Question 6

Small gram neg pleomorphic coccobaccilli

Answer 6

H flu

Question 7

Gram negative diplococci

Answer 7

N meningitides

Question 8

Mononuclear cells, no bacteria

Answer 8

Mycoplasma

Question 9

RBC casts

Answer 9

glomerulonephritis

Question 10

Hypermagnesia treatment

Answer 10

calcium

Question 11

Tumor lysis metabolic derangement

Answer 11

Hyperkalemia, hyperuricemia, HYPOcalcemia

Question 12

Smells like garlic

Answer 12

organophosphates

Question 13

Smells like bitter almonds

Answer 13

Cyanide

Question 14

Smells like pear

Answer 14

Choral hydrate

Question 15

Smells like moth balls

Answer 15

Naphthalene or camphor

Question 16

Nonanion gap acidosis

Answer 16

HARDUP (hyperalimentations/hyperventiliation, acetazolamide, RTA, diarrhea, ureteral diversion, pancreatiic fistula)

Question 17

Causes of methemoglobinemia

Answer 17

Dapsone, Nitrates, Antimalarials, and local anesthetics

Question 18

Osmolar gap with acidosis

Answer 18

Isopropyl alcohol

Question 19

Toxins cleared by HD

Answer 19

I STUMBLE (Isopropyl alcohol, Ethylene, Glycol, Methanol, Uremia, Salicylate, Lithium, Theophylline, Barbiturates/Beta blockers)

Question 20

Tetanus mimicker

Answer 20

Strycchine

Question 21

Yellow visual disturbance

Answer 21

Dig toxicity

Question 22

Toxins causing hypoglycemia

Answer 22

ETOH and salicylates

Question 23

Rotary Nystagmus

Answer 23

PCP

Question 24

Tx of serotonin syndrome

Answer 24

BZD, cyproeptadine

Question 25

Indications of Digibind

Answer 25

K >5, brady and unresponsive to conventional therapy

Question 26

Spider bite and abdominal pain

Answer 26

Black widow

Question 27

Intra-abdominal blunt trauma injury

Answer 27

spleen

Question 28

Intraabdominal penetrating injury

Answer 28

Liver

Question 29

Common cardiac champed injury penetrating trauma

Answer 29

Right ventricle

Question 30

Bicycle handlebar injury

Answer 30

Duodenal hematoma or isolated pancreatic

Question 31

Lap belt sign

Answer 31

Intestinal or mesenteric injury w/ lumbar spine fractures

Question 32

Battle sign

Answer 32

Basilar skull fracture-- mastiod ecchymosis

Question 33

Interpret DPL

Answer 33

>10 CC blood initially, >100,000 RBC

Question 34

Cough and widened mediastinum

Answer 34

Pulmonary anthrax

Question 35

Narrow pulse pressure

Answer 35

Aortic stenosis or HOCM

Question 36

Wide pulse pressure

Answer 36

Aortic regurg, PDA

Question 37

Increase murmur in HOCM

Answer 37

Valsalva or Standing after squating

Question 38

Reversal for tPA

Answer 38

Aminocaprioc acid and cryo

Question 39

Torsades de pointes tx

Answer 39

Mg (1-2 gm q 5-15)

Question 40

Rapid wide complex atrial fibrillation

Answer 40

WPW

Question 41

Thromboxane A2 production inhibitor

Answer 41

ASA

Question 42

Irreversible ADP receptor blockade

Answer 42

Plavix

Question 43

What to avoid if give dig or and hyperkalemia

Answer 43

Avoid calcium

Question 44

Centripetal rash (extremities inward)

Answer 44

Rocky Mtn (give chlorampheniol, tetracycline), varicella

Question 45

Trunk-->outward

Answer 45

Small pox (tx: unproven cidovir, vaccine immune globulin)

Question 46

Erythema nodosum

Answer 46

Cancer, IBD, sarcoid, mycoplasma, sulfa, EBV

Question 47

Nikosky sign

Answer 47

Staph scalded skin, TEN

Question 48

Abdominal distension in marathon runner

Answer 48

Cecal volvulus

Question 49

Peppery tasting fish

Answer 49

Scromboid toxicity (tx: antihistamines)

Question 50

Bullous myringitis

Answer 50

Mycoplasma (diag: blistering ™)

Question 51

Hutchinson sign

Answer 51

Zoster tip on nose indicative of eye involvement

Question 52

Ramsey Hunt Triad

Answer 52

Facial paralysis, ear pain, vesicles auditory canal/auricle

Question 53

Teardrop pupil

Answer 53

Globe rupture

Question 54

Seidel sign

Answer 54

Globe rupture, forescien streaming

Question 55

Cherry red spot

Answer 55

CRAO (globe massage)

Question 56

Blood and thunder retina

Answer 56

CRVO

Question 57

Floaters, flashing lights, descending curtains

Answer 57

Retinal detachment

Question 58

Cat bite

Answer 58

Pasteurella

Question 59

Human bite

Answer 59

Eiknella corrodens (augmening, levaquin, doxy)

Question 60

Rubella

Answer 60

German measles, LAD, forscheimer spots (soft palate petechiae)

Question 61

Rubeola

Answer 61

Measles, koplik spots (tx: vitamin A, ribavarin)

Question 62

Painful genital lesion

Answer 62

Syphilus, granuloma inguinale

Question 63

Painless genital lesion

Answer 63

LGV

Question 64

Rose thorn infection

Answer 64

Sporotrichosis (tx: itracaonazole)

Question 65

Sundown eyes-- pt unable to look up

Answer 65

VP shunt obstruction

Question 66

Ascending weakness

Answer 66

GBS, Tick paralysis, diphtheria

Question 67

Port wine stain, seizures

Answer 67

Sturge Weber

Question 68

nerve inj mid/dist humerus

Answer 68

radial nerve

Question 69

nerve inj prox humerus

Answer 69

axillary nerve

Question 70

Vascular injury supracondylar fracture

Answer 70

Brachial artery

Question 71

Chance fracture

Answer 71

Transverse fracture of vertebral body associated w blunt bowl injury

Question 72

Gamekeeper fracture

Answer 72

Ulnar collateral ligament of thumb

Question 73

Lisfranc fx

Answer 73

Fracture base of second metatarsal

Question 74

Nerve and artery injury in knee dislocation

Answer 74

Peroneal nerve and popliteal artery

Question 75

Perioral burn after biting electrical cord

Answer 75

Delayed labial artery bleed in 7-10 days

Question 76

Neonatal conjunctivitis DOL 1

Answer 76

Chemical

Question 77

Neonatal conjunctivitis DOL 14

Answer 77

Chlamydia

Question 78

Bilious vomiting first week of life

Answer 78

Malrotation

Question 79

Non-bilious vomiting first week of life

Answer 79

Pyloric stenosis

Question 80

Bilious vomiting first year of life

Answer 80

Intussusception

Question 81

Double bubble sign

Answer 81

Malrotation/midgut volvulus vs duodenal atresia

Question 82

Age group to avoid verapamil

Answer 82

<2 years can cause hypotension and asystole