Diff btwn left ventricular aneurysm and MI
No reciprocal changes on EKG
PR in WPW
Short <120ms
pseudo RBBB in V1-V2 w/ J point elevation
Brugada syndrome
Mgmt AAA 4-5cm
Screen every 6 months
Antihypertensive for aortic dissection
Labetalol
Why not use cardene in aortic dissection?
Tachycardia
Coughing/sneezing type of incontinence
Urethral hypermobility
Best lab correlation with placental abruption
Fibrinogen levels
Add what vitamin in the tx of hyperemesis gravidarum
Thiamine
Tx mag tox
Calcium
Loss of patellar reflexesRespiratory depressiondx?
Mag tox
New onset HTN in <20 weeks pregnancy,concern?
Molar pregnancy
Most common cause of uterine bleeding
Leiomyoma
Type of cell involved in acute radiation damade
Lymphocytes
Most common bacteria in dogbite
Pasturella
Cutoff for perimortem c-section
> 24.0 weeks
Common cause of acquired methemoglobinemia
Recent chloroquine use
Pathophys of transudative effusion
Increase in hydrostatic pressureDecrease in oncotic pressure
Pathophys of exudative effusion
Increase in pleural permeability
Pertussis tx <1m
AzithromycinOlder than 1m, erythromycin
Bat appearance CXRdx?
PJP PNA
Tx laryngeotracheitis
Dexamethasone
Tx stridor w laryngeotracheitis
Racemic epi
Tx tetanus
Metronidazole 10-14 days
NosebleedsTelangectasiasIntraparenchymal hemorrhagedx?
Osler Weber Rendu
Staccato coughType of PNA
Chlamydiatx oral azithro
Glucose dose neonates
10% 5ml/kg (Rule of 50s)
Populations to avoid verapamil in
<1 yearPeds with CHFWPWWide QRS
Peds dose adenosine
0.1 mg/kg
Pruritis after warm bathJak2 mutationH/H elevateddx?
Polycythemia vera
Locations of primary blast injury
LungsAuditory systemGI tract
Enamel damage dental fxdx
Ellis I
Enamel and dentin dental fxDx
Ellis IITx calcium paste
Enamel/dentin/pulp dental fxDx
Ellis IIITx Dental consult, pulpectomy
Small, reactive pupilsHAContralateral leg paralysistype of herniation
Subfalcine/cingulate herniation
1 blown pupilContralateral hemiparesisDecerebrate posturingType of herniation
Uncal herniation
Cheyne Stokes breathingEarly comaDecorticate posturingType of hernation
Central herniation
Most common type of hip dislocation
Posterior
Ipsilateral loss of motor, vibratory sensationContralateral loss of P&TPenetrating traumadx
Brown-Sequardgood prognosis
Upper extremities more affected than lower extremitiesSensory and motor deficitsMedium prognosisForced hyperextension injurydx
Central Cord syndrome
Flexion or vascular injuryPoor prognosisComplete loss of motor, P&T below injuryRetention of proprioception, vibratory sensationDx
Anterior Cord Syndrome
Normal ABI
> 0.9
CPP
MAP - ICP
QT prolongationT flatteningBradycardiadx
Lithium tox>4 acute OR >2.5 w/ sxs –> hemodialysis
Two txs cyanide tox
Hydroxycobalamin;Amyl nitrite, Sodium thiosulfate
Local analgesic tox tx
Lipid emulsion IV
Metallic taste in mouthPeiroral sensationsVentricular dysrythmiadx
Local analgesic tox
HyperglycemiaHypotensionBradycardiadx?
CCB toxtx: Ca, glucagon, norepi, high dose insulin + glucose
Cutoffs for hyperbaric O2 therapy in CO poisoning
> 25% carboxyhemoglobin healthy adult>15% pregnancy
Tx hydrogen sulfide inhalation
Amyl nitrite
Iron tox 3-6 weeks later complication
Bowel obstruction
Cutoff for deferoxamine tx in Iron OD
> 350 mg/dl
Tx NMS
Dantrolene or benzos
Ketosis w/o acidosistox dx
Isopropyl alcohol ingestion
Drugs that increase lithium levels
HCTZACEiARBsNSAIDs
N/V, blurred visionHypercoagulable stateHAdx
Cerebral venous thrombosis
Add what medication for meningitis in alcoholics
Ampicillin (to ceftriaxone, vanco)
Normal opening pressure
Less than or equal to 20 cmH2O
Diplopia w/ lateral gazeCN VI palsyLoss of peripheral visual fieldsVitamin A tox, OCPs, steroids, tetracycline usePapilledemadx
Pseudotumor cerebri
Down and out eyedx
PCA stroke
Fundal height at pubic symphysisHow far along
12 weeks
Most common presenting symptom of aortic stenosis
Dyspnea
Pathophys of octreotide
Vasocontriction of splanchnic circulation
AV fistula, Hyperthyroisism, Beriberi, Paget’s, Pregnancy, AnemiaCauses of:
High output CHF
What med improves mortality in pts with hepatorenal syndrome?
albumin
Two most common causes of pericarditis
IdiopathicCoxsackie
MOA Phenylephrine
Pure alpha-1 agonist
Most common presentation of HOCUM
dyspnea
Tx HOCUM
Lifelong BB
Proximal LAD stenosisBiphasic or deeply inverted T waves in precordial leads w/o serum marker abnormalitiesHx of anginadx
Wellen’s syndrome
Where is the accessory pathway in WPW?
Bundle of Kent
Cutoff for hypertensive emergency
> 180/120
Tx TOA
IV cefoxatin/cefotetan + PO doxy
Consider what tx in status epilepticus if hx lung disease
Pyridoxine (for INH tox)
Cutoff for toxic dose NSAIDs
100 mg/kg
HR 4-6 years
100
SBP Neonate
70
SBP 6 months to 4 years
90
Severe jaundice at birth, lethargy, poor feeding, dx?
ABO incompatibilityPhototherapy required
Breast fed baby who feeds vigorously w/ concomittant delays in establishment of gut flora;dx?
Breast milk jaundice
Reduced coagulation of bilirubin by immature liver, neonate;dx?
Physiologic jaundice
When not to give verapamil in SVT
<1 yearWPWPeds w/ HFWide QRS
Pediatric dose of adenosine
0.1 mg/kgTry vagal maneuvers first
Bone broken in inferior orbital wall fracture
Maxillary
EncephalopathyOcular motor dysfunctionAtaxiaAlcoholicdx?
Wernicke Encephalopathy
Next step with mgmt of urethral injury
Suprapubic catheterization
Administer what in pt overdue for dialysis w/ junctional brady?
Calcium
Cardiac complication of Lyme disease
First degree AV block
Most common nerve injury with posterior hip dislocation
Sciatic nerve
Ipsilateral loss of motor, vibratory sensation, proprioceptionContralateral loss of P&Tdx?
Brown Sequard
Upper worse than lower sxsSensory and MotorForced hyperextension injurydx?
Central cord syndrome
Flexion or vascular injuryComplete loss of motor, P&TBelow injury, only proprioception remainsdx?
Anterior cord syndrome
Normal ABI
> 0.9
CPP equation
MAP-ICP
QT prolongation, T flattening, bradycardiatox dx?
Lithium toxHD for 2.5 chronic, 4 acute
HyperglycemiaBradycardiaHypotensiontox dx?
CCB
Area of reactivation TB
Apical segments of upper lobes, or superior segment of the lower lobe
What antibiotic has high potency to cause serotonin syndrome?
Linezolid
Virchow’s triad
Venous stasisHypercoagulable stateTrauma or inciting event
Tx methemoglobinemia
Methylene blue
pH in SBP
<7.34
PtosisMydriasisDown and out eyeDouble visiondx?
Oculomotor Nerve Palsy (CN III)-PCA aneurysm/CVA
Descending flaccid paralysisdx?
Botulism
What is a common feared complication of a perilunate dislocation?
Median nerve palsy
Ketosis w/ no wide anion gap metabolic acidosisdx?
Isopropyl alcohol tox
Cholinergic tox, wet or drytx
WetTx atropine, pralidoxime
Anticholinergic tox, wet or drytx
DryPhysostigmine
Tx hydrogen sulfide inhalation
Amyl nitrite
Normal opening pressure LP
5-20
Tx jellyfish sting
Acetic acidHot water immersionAntivenom
Most common physical exam finding in AAA
Pulsatile mass
Most common presenting symptom of aortic stenosis
DyspneaSame with HOCUM
Murmur in AS
Crescendo decrescendoHarsh, systolicSame with HOCUM
Examples of high output CHF
AV fistulaHyperthyroidismPregnancyBeriberiPaget’sAnemia
Mid-systolic clickdx?
MVP
Proximal LAD stenosis (V1-V2)No serum marker abnormalitiesdx
Wellen’s syndrome
In status refractory to benzos, try
Pyridoxine (INH tox)
Finger flexion at restPain w/ passive motiondx?
Flexor tenosynovitis
Fx of nimodipine in SAH
Prevents vasospasm
What is contraindicated in tx of thyroid storm?
ASADisplaces T4 binding
Transfusion of FFP or pltsSOB, hypoxemia, tachypneaBilateral diffuse pulmonary infiltratesdx?
TRALI
GlyburideGlipizide
Sulfonureas
Parkland formula, give first half when?
8 hours2nd half over 16 hours
Hawkins-Kennedy test for
Shoulder painPain in AC joint with internal rotation
Thompson test for
Achilles tendon rupture
Obstructed lacrimal ductdx/tx
DacrocystitisClinda
Deep sulcus signdx
PTXDeepened costophrenic angle on CXR
Giant cell arteritis, when to give IV steroids
If vision loss is present
Constitutional sxsHAJaw claudicationTransient vision lossdx?
Giant cell arteritis
Another name for kawasaki disease
Mucocutaneous lymph node syndrome
Well demarcated bordersFeverdx and tx
Erysipelas - B heme streptx amox, cephalexin
Location of sores w/ aphthous ulcers
Anterior mouth
Location of ulcers w/ herpangina
Posterior mouth
HypertensionHyperlipidemiaHypoalbuminemiaHyponatremiadx
Nephrotic Syndrome
Tx Minimal change disease
Prednisone
Acute transplant rejection cells
CD8
Actinic keratosis, precursor for
Squamous cell carcinoma
Reed-Sternberg cells seen in
Hodgkin’s lymphoma
CoughCoryzaConjuctivitisdx?
MeaslesKoplick spots on buccal mucosa pathognomonic finding
Tx pityriasis Rosea
AntihistaminesSteroids
IgA immune deposits in target organsdx
HSPnormal plt count
Heme pos stoolElevated BUN:CrPeriarticular disease of knees and anklesdx?
HSP
Polycythemia vera buzzword
plethora - ruddy complexion
fatigue, pruritis, facial plethora, engorged retinal veind, thrombosis, gouty arthritis, erythromelalgiadx?
Polycythemia VeraJak2 mutation
Tx PV
hydroxyureaphlebotomyasa
Hyponatremia tx - patients with neuro sxs
3% hypertonic saline
EKG finding hypomagnesemia
QT prolongation
Most sensitive test for SLE
ANA
Rash sparing intraoral mucus membranes;Nikolsky +dx
SSSS
Indications for gastric lavage
LithiumAnticholinergicASAIron
Tx tracheitis
broad spectrum abx
Electrolyte abnormality in Myxedema coma
Hyponatremia
Eye drops to cover psuedomonas
Tobramycin
Complication of labyrinthitis
Meningitis
VertigoTinnitusGait instabilityHearing lossN/VRecent viral syndromedx?
Labyrinthitis
Complication of septal hematoma
Saddle nose deformity
When to HD for ASA tox
> 100mg/dL
Contraindication to lateral canthotomy
globe rupture
LeukopeniaThrombocytopeniaAST/ALT elevatedtick borne, dx?
Erlichiosis
Tx tick bite w/o clinical sxs of Lyme
Doxy 200x1
Pathognomonic for Lyme disease
Bilateral facial palsy
Tx balanoposthitis
clotrimazole
Timing of acute transplant rejection
1-12 weeks
Cells involved in chronic transplant rejection
CD4
Dose of Factor VIII with trauma or head trauma
50 iu/kg
Most serious complication of Kawasaki
coronary artery aneurysm
What is the most common cause of infectious primary adrenal insufficiency worldwide?
TB
DKA Insulin dose
0.1 units/kg/hr until anion gap closed
Indirect inguinal hernia medial border
Inferior epigastric vesselsgoes into scrotum
Direct inguinal hernia lateral border
Inferior epigastric vesselsdoes not go into scrotum
What effect do digoxin and beta-blockers have on potassium levels?
They cause Hyperkalemia
Rash w/ central dark papule surrounded by pale area and halo of erythemadx?
Erythema Multiformeassociation mycoplasmamost common cause is HSV
How long for molluscum to resolve
Months to years
What acquired immunodeficiency syndrome-defining illness resembles molluscum contagiosum with widespread centrally umbilicated skin lesions?
Disseminated cryptococcosis
Glucose in HHS
> 600
Glucose in DKA
> 250
Bicarb in HHS
> 18
Classic pentad:ThrombocytopeniaFeverMAHARenal pathologyCNS dysfxdx?
TTP - thrombotic thrombocytopenic purpuraADAMSt13
Causes of TTP
PregnancyAIDSSclerodermaSjogrensLupusTacrolimusCyclosporinQuinidine
Give what for TTP
Plasmapheresis
Itchy, scaly rash on arms, flexor surfacesWorse in winterdx?
Atopic dermatitistopical steroids
Anti-cyclic citrullinated peptide antibodiesdx?
RA
Tx herpes keratitis
Topical trifluridine
False + for PCP
dextromethorphan
Tx scabies
permethrin
Rash w/ linear burrowing
Scabies
Tx pinworm
Mebendazole
OtolaniBarlow
Tests for developmental hip dysplasia
Herald patchdx
Pityriasis Rosea
Tx TTP
Plasma exchange
Excision type for thrombosed hemorrhoid
Elliptical
PNA and hyponatremiadx
Legionella
Tx intractable hiccups
Chlorpromazine
No EOM pain or proptosisInfection does not involve orbitdx?
Preseptal cellulitisCT orbit to r/o septal cellulitistx clinda, strep coverage
Tx hypothermia
Warm air
Tx sulfonurea tox
Octreotide, glucose
Heparin reversal
Protamine
Tx HF acid tox
Calcium gluconate
Tx methanol or ethylene glycol tox
FomepizoleEthanol
Flu like prodromeUrethritisCutaneous lesionsdx?
SJS
How to get abdominal breathing from unstable cervical spine injury?
Phrenic nerve injury C3-C5
Tx refractory anaphylaxis resistant to epinephrine
Glucagon
Tx anaphylaxis kids IM
IM epi 0.01 mg/kg
Tx anaphylaxis kids IV
IV epi 0.1-0.3 mcg/kg/min
Where to perform cricothyrotomy
Below thyroid cartilage
Tx heat stroke
Cool water immersion
Protein <0.5 T or E?
Transudative
LDH <0.5T or E?
Transudative
First line tx pancreatitis
Fluid resus
Kind of lesions in Crohn’s disease
Full thickness
DyspneaFlaccid paralysisWeaknessSeizuresDiplopiabite rxn?
Coral snake bite
Coral snake belongs to what family
Elapidae
Best diagnostics for suspected pancreatitis
US
Necrosis w/ alkali poisoning
Liquefactive
Necrosis w/ acid poisoning
Coagulation
Most common cause dysphagia
Schatzki ring
Cutoff measurement for appendicitis
> 6mm
Middle ear diving injury location
Eustachian tube
Tx for pain in severe pharyngitis
Dexamethasone
Anterior superior iliac spine avulsion - damage to
Lateral femoral cutaneous nerve
Timolol for
glaucomareduces aqueous humor production
MOA Norepi
alpha-1 and beta-1
Newborn RR
40
6 months RR
30
12 months RR
26
24 months RR
26
Dose epi peds resus
0.1 ml/kg
Tx for recurrence of pericarditis
Steroids (after NSAIDs, colchicine)
Mgmt isolated distal DVT
Serial imaging for 2 weeks
Tx Prinzmetal’s angina
CCBsNitrates
MOA nitrates
reduce preload and afterload
Do not give in HOCM:
Inotropes, nitrates
> 2 weeks post MIPersistent STEQ, QS wavesdx?
Left ventricular aneurysm
Definitive tx for WPW
Ablation
Toxicity with nitroprusside
Cyanide tox
Echo finding in massive PE
RV dilation
Goal of HTN change in first hour of hypertensive emergency
Drop 20-25%
TRansient paralysis of the lower extremities caused by vasospasm after lightening strike
Keraunoparalysis
Pressor for use in infants
Epi
Stages of pertussis
- catarrhal 1-2 wks2 paroxysmal 2-3 months3. convalescent 1-2 wks
When is fetal pole typically first seen?
6-7 wks
Nerve damaged in anterior shoulder dislocation
Axillary
Classic XR finding on posterior shoulder dislocation
Light bulb sign
Tx for suspected pelvic hemorrhage
Angiography and embolization
Hard signs for aerodigestive and neurovascular injury in zone II
expanding hematomavascular bruit or thrillfluid nonresponsive shockDecreased or absent radial pulsecerebral ischemiaairway obstruction/stridorsevere, acute bleeding
Target pH chemical burn to eye
7-7.2
Destot’s sign for pelvic fx
Hematoma above inguinal ligament
Nerve damaged in glenohumoral dislocation
Axillary nerve
Nerve damaged in posterior elbow dislocation
Median
Nerve damage in humeral shaft fx
Radial
Nerve damage after anterior elbow dislocation
Ulnar
Vessels involved in subdural hematoma
Bridging veins
Tb drug side effects:Isonaizid
Hepatitis
Tb drug side effects:Ethambutol
Optic neuritisRed-green color blindness
Tb drug side effects:Pyrazinamide
HepatitisArthritis
Tb drug side effects:Pyrazinamide
Hyperuricemia
HIV drug side effects:Indinavir
NephrolithiasisHyperbilirubinemiaDyslipidemiaHepatitis
HIV drug side effects:Abacavir
SJSHypersensitivity reactions
HIV drug side effects:Efavirenz
DepressionSIPsychosisVivid dreamsHARash
HIV drug side effects:Zidovudine
Bone marrow suppression
HIV drug side effects:Dadanosine
PancreatitisNeuropathy
HIV drug side effects:Lopinavir
N/V/DHepatitis
HIV drug side effects:Ritonavir
Parasthesias
HIV drug side effects:NRTIs
Lactic acidosis
Night vision loss, dry skin, growth retardation, bitot spots on conjunctiva, dx?
Vit A deficiency
Alcoholism, malnutrition, Wernicke-Korsakoff syndrome, dx?
B1 thiamine deficiency
Cheilosis, corneal vascularization, dx?
B2 riboflavin deficiency
Dermatitis, dementia, diarrhea, dx?
PellagraNiacin defciency
Sideroblastic anemia, convulsions, peripheral neuropathy, INH use, dx?
B6 pyridoxine deficiency
Most commonly injured nerve in Colles fx
Median nerve
Most common cause of hyperviscosity syndrome
Waldenstrom macroglobulinemia (increased IgM)
Most common leukemia in adults
AML (Auer rods)
Most common leukemia in children
ALL
Tx Myasthenia Gravis
PlasmapheresisIVIG
Overuse injury involving median aspect of knee seen in runners
Anserine bursitis
Overuse injury where patella attaches to tibia
Patellar tendinitis
More common hernia in elderly females
Obdurator hernia
Most common hernia in women
Femoral
Vomiting and diarrhea after eating at a seafood restaurant, myalgias, paresthesias, and feeling like teeth are loose;dx?
CiguateraHot-cold reversal
facial flushing, nausea, vomiting, and headache after seafood;dx?
Scombroid
MOA albuterol
Increase cAMP
Commotio cordis risk window
Upstroke of t wave
Side effect Bleomycin
Pulmonary fibrosis
Side effect Doxorubicin, Traztuzamab
Cardiotoxic
Side effect Methotrexate, 5FU, 6MP
Myelosuppression
Side effect Vincristine, Vinblastine
Peripheral Neuropathy
Side effect Cyclophosphamide
Hemorrhagic cystitis
Side effect Cisplatin, Carboplatin
Nephrotoxicity, Ototoxicity
Most common source of brain mets
Lung, melanoma, breast, colorectal
Most common primary brain tumor
MeningiomaGlioma
Most common cause of acute arterial occlusion
Afib
Most common presenting sx of aortic dissection
Chest pain
Most common cause of tricuspid and mitral valve stenosis
Rheumatic heart disease
Most common primary cardiac tumor
Myxoma
Most common invasive cardiac tumor
Primary cardiac sarcoma
Most common physical exam finding in infective endocarditis
Heart murmur
Most common location for visceral artery aneurysm
Splenic artery
Most common lead point in pediatric intussusception
Peyer’s patches
Most common cause of viral gastroenteritis
Norovirus
Most common extra-articular manifestation of ankylosing spondylitis
Uveitis
Most common complication of midshaft humeral fracture
Radial nerve injury
Most common finding in cauda equina
Urinary retention
Most common source of compartment syndrome
Tibial fracture
Most common GSW location in abdomen
Small intestine
Most common bacteria in Lemierre’s
Fusobacterium necrophorum
Most common site oral cancer
tongue
Most common rhythm in pediatric arrest
Asystole
Most common infectious organism causing SJS and TEN
Mycoplasma
Most common viral cause of rhabdo
Flu A
Most common infection tramsmitted in blood transfusion
Heb B
Most common dysrhythmia in WPW
SVT
Most common cause of blepharitis
Staph epidermidis
Most common transfusion reaction
Febrile transfusion
Most common risk factor for AAA
Smoking
Most common carrier of rabies in the US
Bats
Most common side effect of NAC
Anaphylactoid reaction
Most common location for peptic ulcer
Anterior wall of duodenum
Most common GI complication of HSP
Intussusception (ileoilial)
Most common bacteria in erysipelas
Strep pyogenes
Most common location of clavicle fracture
Middle third
Max dose lidocaine
5 mg/kg
Max dose lido with epi
7 mg/kg
Methanol; kind of anion gap
Increased
Uremia; kind of gap
Increased
Paraldehyde; kind of gap
Increased
Iron, INH; kind of gap
Increased
Cyanide, CO; kind of gap
Increased (lactic acidosis)
Ethylene glycol; kind of gap
Increased
Salicylates; kind of gap
Increased
STUMBLE for ingestions treated with hemodialysis
SalicylatesTheophyllineUremiaMethanolBarbituratesLithiumEthylene glycol
Toxic dose of apap
140 mg/kg or 7.5g
Numbness groin; dermatology compression?
L1
Numbness Upper thigh, detmatome?
L2
Mid thigh, medial knee, dermatome
L3
Lower anterior thigh, anterior knee: medial foot, dermatome?
L4
Lateral lower leg, first interdigital web space, dorsal foot, dermatome?
L5
Posterolateral calf, lateral foot, dermatome
S1
What is contained in FFP?
All coagulation factors except plateletsTypical dose 4 units for adults and 15 ml/kg for peds
Minimum MAP goal in neurogenic shock/spinal cord injury
85 mmHg
a thrombotic microangiopathy associated with reduced activity of von Willebrand factor-cleaving protease (ADAMTS13)dx?
TTPMAHA ans thrombocytopenia
How can thrombotic thrombocytopenic purpura (TTP) be distinguished from DIC?
DIC has abnormal coags
Decreased hemoglobin, MCV, MCH, MCHC, reticulocyte count, and ferritin and an increased TIBC, transferrin, and RDWdx?
Iron deficiency anemia
Decreased MCV means
Microcytosis
Decreased MCH and MCHC means
Hypochromia
What is the most common cause of vitamin B12 deficiency?
Chronic malabpsortion ie pernicious anemia
What antibiotic is best known for causing aplastic anemia?
Chloramphenicol
Known complication of acute hepatitis 6-12 weeks out
Aplastic crisis
Normocytic or microcytic red cells with evidence of hemolysis, elevated reticulocyte count, and normal to increased ferritin levels;dx?
Lead poisoning
Chronic, hypochromic, microcytic anemia, as evidenced by low mean corpuscular volume, normal retic count;dx?
Alpha thalassemia
Most common SCD presentation in peds
Dactylitis
Cryoprecipitate should be administered for
Fibrinogen < 150–200 mg/dL
Thrombocytopenia, decreased fibrinogen, increased fibrin split products, and increased BT, PT, and PTTdx?
DIC
Febrile nonhemolytic transfusion reactions occur secondary to
Recipient antibodies against donor leukocytes as well as the release of cytokines by the donor leukocytes during storage
Factor VIII is unavailable. Which of the following is the next best treatment option for Hem A?
Cryo and desmopressin
IV rasburicase is the treatment for
Severe tumor lysis syndrome
What common bile duct diameter is considered dilated in a patient who still has a gallbladder?
8mm
Positive electrocardiographic deflection after the QRS segment in leads V1–V3 aka epsilon wave;dx?
Arrhythmogenic right ventricular cardiomyopathy
Dabigatran reversal
Idarucizumab
Toxin in brown recluse bites
Sphingomyelinase D(phospholipases)
Toxin in black widow bites
Alpha-latrotoxin
Most common monoclonal immunoglobulin found in multiple myeloma
IgG
Why should patients with posterior nasal packs be admitted to a monitored bed?
Posterior packing can cause vagal stimulation with resulting bradycardia and bronchoconstriction.
Most common cause of acute hepatic encephalopathy
GIB
Most common location for pediatric pseudosubluxation
C2-C3
What is the most common ligamentous injury of the knee?
ACL tear
Most common extracranial tumor in childhood
Neuroblastoma
What nerve travels through the Guyon canal?
Ulnar
What is the appropriate dose of intramuscular epinephrine for a pediatric patient with anaphylaxis?
1 mg/mL concentration (1:1,000), 0.01 mL/kg or 0.01 mg/kg
Jimsonweed toxin
Anticholinergic
Foxglove toxin
Digoxin like
The laboratory finding most sensitive for peritonitis is a white blood cell count greater than
100 WBC/mcL
What part of the face is movable in a LeFort I fracture?
Maxilla
Most common bacterial zoonotic infection worldwide
LeptospirosisPrimary vector is the dog
