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Board Review Tidbits > Inservice Review > Flashcards

Inservice Review Flashcards

1
Q

Diff btwn left ventricular aneurysm and MI

A

No reciprocal changes on EKG

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2
Q

PR in WPW

A

Short <120ms

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3
Q

pseudo RBBB in V1-V2 w/ J point elevation

A

Brugada syndrome

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4
Q

Mgmt AAA 4-5cm

A

Screen every 6 months

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5
Q

Antihypertensive for aortic dissection

A

Labetalol

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6
Q

Why not use cardene in aortic dissection?

A

Tachycardia

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7
Q

Coughing/sneezing type of incontinence

A

Urethral hypermobility

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8
Q

Best lab correlation with placental abruption

A

Fibrinogen levels

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9
Q

Add what vitamin in the tx of hyperemesis gravidarum

A

Thiamine

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10
Q

Tx mag tox

A

Calcium

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11
Q

Loss of patellar reflexesRespiratory depressiondx?

A

Mag tox

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12
Q

New onset HTN in <20 weeks pregnancy,concern?

A

Molar pregnancy

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13
Q

Most common cause of uterine bleeding

A

Leiomyoma

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14
Q

Type of cell involved in acute radiation damade

A

Lymphocytes

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15
Q

Most common bacteria in dogbite

A

Pasturella

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16
Q

Cutoff for perimortem c-section

A

> 24.0 weeks

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17
Q

Common cause of acquired methemoglobinemia

A

Recent chloroquine use

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18
Q

Pathophys of transudative effusion

A

Increase in hydrostatic pressureDecrease in oncotic pressure

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19
Q

Pathophys of exudative effusion

A

Increase in pleural permeability

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20
Q

Pertussis tx <1m

A

AzithromycinOlder than 1m, erythromycin

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21
Q

Bat appearance CXRdx?

A

PJP PNA

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22
Q

Tx laryngeotracheitis

A

Dexamethasone

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23
Q

Tx stridor w laryngeotracheitis

A

Racemic epi

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24
Q

Tx tetanus

A

Metronidazole 10-14 days

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25
Q

NosebleedsTelangectasiasIntraparenchymal hemorrhagedx?

A

Osler Weber Rendu

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26
Q

Staccato coughType of PNA

A

Chlamydiatx oral azithro

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27
Q

Glucose dose neonates

A

10% 5ml/kg (Rule of 50s)

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28
Q

Populations to avoid verapamil in

A

<1 yearPeds with CHFWPWWide QRS

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29
Q

Peds dose adenosine

A

0.1 mg/kg

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30
Q

Pruritis after warm bathJak2 mutationH/H elevateddx?

A

Polycythemia vera

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31
Q

Locations of primary blast injury

A

LungsAuditory systemGI tract

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32
Q

Enamel damage dental fxdx

A

Ellis I

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33
Q

Enamel and dentin dental fxDx

A

Ellis IITx calcium paste

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34
Q

Enamel/dentin/pulp dental fxDx

A

Ellis IIITx Dental consult, pulpectomy

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35
Q

Small, reactive pupilsHAContralateral leg paralysistype of herniation

A

Subfalcine/cingulate herniation

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36
Q

1 blown pupilContralateral hemiparesisDecerebrate posturingType of herniation

A

Uncal herniation

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37
Q

Cheyne Stokes breathingEarly comaDecorticate posturingType of hernation

A

Central herniation

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38
Q

Most common type of hip dislocation

A

Posterior

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39
Q

Ipsilateral loss of motor, vibratory sensationContralateral loss of P&TPenetrating traumadx

A

Brown-Sequardgood prognosis

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40
Q

Upper extremities more affected than lower extremitiesSensory and motor deficitsMedium prognosisForced hyperextension injurydx

A

Central Cord syndrome

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41
Q

Flexion or vascular injuryPoor prognosisComplete loss of motor, P&T below injuryRetention of proprioception, vibratory sensationDx

A

Anterior Cord Syndrome

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42
Q

Normal ABI

A

> 0.9

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43
Q

CPP

A

MAP - ICP

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44
Q

QT prolongationT flatteningBradycardiadx

A

Lithium tox>4 acute OR >2.5 w/ sxs –> hemodialysis

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45
Q

Two txs cyanide tox

A

Hydroxycobalamin;Amyl nitrite, Sodium thiosulfate

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46
Q

Local analgesic tox tx

A

Lipid emulsion IV

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47
Q

Metallic taste in mouthPeiroral sensationsVentricular dysrythmiadx

A

Local analgesic tox

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48
Q

HyperglycemiaHypotensionBradycardiadx?

A

CCB toxtx: Ca, glucagon, norepi, high dose insulin + glucose

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49
Q

Cutoffs for hyperbaric O2 therapy in CO poisoning

A

> 25% carboxyhemoglobin healthy adult>15% pregnancy

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50
Q

Tx hydrogen sulfide inhalation

A

Amyl nitrite

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51
Q

Iron tox 3-6 weeks later complication

A

Bowel obstruction

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52
Q

Cutoff for deferoxamine tx in Iron OD

A

> 350 mg/dl

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53
Q

Tx NMS

A

Dantrolene or benzos

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54
Q

Ketosis w/o acidosistox dx

A

Isopropyl alcohol ingestion

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55
Q

Drugs that increase lithium levels

A

HCTZACEiARBsNSAIDs

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56
Q

N/V, blurred visionHypercoagulable stateHAdx

A

Cerebral venous thrombosis

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57
Q

Add what medication for meningitis in alcoholics

A

Ampicillin (to ceftriaxone, vanco)

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58
Q

Normal opening pressure

A

Less than or equal to 20 cmH2O

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59
Q

Diplopia w/ lateral gazeCN VI palsyLoss of peripheral visual fieldsVitamin A tox, OCPs, steroids, tetracycline usePapilledemadx

A

Pseudotumor cerebri

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60
Q

Down and out eyedx

A

PCA stroke

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61
Q

Fundal height at pubic symphysisHow far along

A

12 weeks

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62
Q

Most common presenting symptom of aortic stenosis

A

Dyspnea

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63
Q

Pathophys of octreotide

A

Vasocontriction of splanchnic circulation

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64
Q

AV fistula, Hyperthyroisism, Beriberi, Paget’s, Pregnancy, AnemiaCauses of:

A

High output CHF

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65
Q

What med improves mortality in pts with hepatorenal syndrome?

A

albumin

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66
Q

Two most common causes of pericarditis

A

IdiopathicCoxsackie

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67
Q

MOA Phenylephrine

A

Pure alpha-1 agonist

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68
Q

Most common presentation of HOCUM

A

dyspnea

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69
Q

Tx HOCUM

A

Lifelong BB

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70
Q

Proximal LAD stenosisBiphasic or deeply inverted T waves in precordial leads w/o serum marker abnormalitiesHx of anginadx

A

Wellen’s syndrome

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71
Q

Where is the accessory pathway in WPW?

A

Bundle of Kent

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72
Q

Cutoff for hypertensive emergency

A

> 180/120

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73
Q

Tx TOA

A

IV cefoxatin/cefotetan + PO doxy

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74
Q

Consider what tx in status epilepticus if hx lung disease

A

Pyridoxine (for INH tox)

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75
Q

Cutoff for toxic dose NSAIDs

A

100 mg/kg

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76
Q

HR 4-6 years

A

100

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77
Q

SBP Neonate

A

70

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78
Q

SBP 6 months to 4 years

A

90

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79
Q

Severe jaundice at birth, lethargy, poor feeding, dx?

A

ABO incompatibilityPhototherapy required

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80
Q

Breast fed baby who feeds vigorously w/ concomittant delays in establishment of gut flora;dx?

A

Breast milk jaundice

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81
Q

Reduced coagulation of bilirubin by immature liver, neonate;dx?

A

Physiologic jaundice

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82
Q

When not to give verapamil in SVT

A

<1 yearWPWPeds w/ HFWide QRS

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83
Q

Pediatric dose of adenosine

A

0.1 mg/kgTry vagal maneuvers first

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84
Q

Bone broken in inferior orbital wall fracture

A

Maxillary

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85
Q

EncephalopathyOcular motor dysfunctionAtaxiaAlcoholicdx?

A

Wernicke Encephalopathy

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86
Q

Next step with mgmt of urethral injury

A

Suprapubic catheterization

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87
Q

Administer what in pt overdue for dialysis w/ junctional brady?

A

Calcium

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88
Q

Cardiac complication of Lyme disease

A

First degree AV block

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89
Q

Most common nerve injury with posterior hip dislocation

A

Sciatic nerve

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90
Q

Ipsilateral loss of motor, vibratory sensation, proprioceptionContralateral loss of P&Tdx?

A

Brown Sequard

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91
Q

Upper worse than lower sxsSensory and MotorForced hyperextension injurydx?

A

Central cord syndrome

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92
Q

Flexion or vascular injuryComplete loss of motor, P&TBelow injury, only proprioception remainsdx?

A

Anterior cord syndrome

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93
Q

Normal ABI

A

> 0.9

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94
Q

CPP equation

A

MAP-ICP

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95
Q

QT prolongation, T flattening, bradycardiatox dx?

A

Lithium toxHD for 2.5 chronic, 4 acute

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96
Q

HyperglycemiaBradycardiaHypotensiontox dx?

A

CCB

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97
Q

Area of reactivation TB

A

Apical segments of upper lobes, or superior segment of the lower lobe

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98
Q

What antibiotic has high potency to cause serotonin syndrome?

A

Linezolid

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99
Q

Virchow’s triad

A

Venous stasisHypercoagulable stateTrauma or inciting event

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100
Q

Tx methemoglobinemia

A

Methylene blue

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101
Q

pH in SBP

A

<7.34

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102
Q

PtosisMydriasisDown and out eyeDouble visiondx?

A

Oculomotor Nerve Palsy (CN III)-PCA aneurysm/CVA

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103
Q

Descending flaccid paralysisdx?

A

Botulism

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104
Q

What is a common feared complication of a perilunate dislocation?

A

Median nerve palsy

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105
Q

Ketosis w/ no wide anion gap metabolic acidosisdx?

A

Isopropyl alcohol tox

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106
Q

Cholinergic tox, wet or drytx

A

WetTx atropine, pralidoxime

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107
Q

Anticholinergic tox, wet or drytx

A

DryPhysostigmine

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108
Q

Tx hydrogen sulfide inhalation

A

Amyl nitrite

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109
Q

Normal opening pressure LP

A

5-20

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110
Q

Tx jellyfish sting

A

Acetic acidHot water immersionAntivenom

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111
Q

Most common physical exam finding in AAA

A

Pulsatile mass

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112
Q

Most common presenting symptom of aortic stenosis

A

DyspneaSame with HOCUM

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113
Q

Murmur in AS

A

Crescendo decrescendoHarsh, systolicSame with HOCUM

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114
Q

Examples of high output CHF

A

AV fistulaHyperthyroidismPregnancyBeriberiPaget’sAnemia

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115
Q

Mid-systolic clickdx?

A

MVP

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116
Q

Proximal LAD stenosis (V1-V2)No serum marker abnormalitiesdx

A

Wellen’s syndrome

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117
Q

In status refractory to benzos, try

A

Pyridoxine (INH tox)

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118
Q

Finger flexion at restPain w/ passive motiondx?

A

Flexor tenosynovitis

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119
Q

Fx of nimodipine in SAH

A

Prevents vasospasm

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120
Q

What is contraindicated in tx of thyroid storm?

A

ASADisplaces T4 binding

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121
Q

Transfusion of FFP or pltsSOB, hypoxemia, tachypneaBilateral diffuse pulmonary infiltratesdx?

A

TRALI

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122
Q

GlyburideGlipizide

A

Sulfonureas

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123
Q

Parkland formula, give first half when?

A

8 hours2nd half over 16 hours

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124
Q

Hawkins-Kennedy test for

A

Shoulder painPain in AC joint with internal rotation

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125
Q

Thompson test for

A

Achilles tendon rupture

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126
Q

Obstructed lacrimal ductdx/tx

A

DacrocystitisClinda

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127
Q

Deep sulcus signdx

A

PTXDeepened costophrenic angle on CXR

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128
Q

Giant cell arteritis, when to give IV steroids

A

If vision loss is present

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129
Q

Constitutional sxsHAJaw claudicationTransient vision lossdx?

A

Giant cell arteritis

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130
Q

Another name for kawasaki disease

A

Mucocutaneous lymph node syndrome

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131
Q

Well demarcated bordersFeverdx and tx

A

Erysipelas - B heme streptx amox, cephalexin

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132
Q

Location of sores w/ aphthous ulcers

A

Anterior mouth

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133
Q

Location of ulcers w/ herpangina

A

Posterior mouth

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134
Q

HypertensionHyperlipidemiaHypoalbuminemiaHyponatremiadx

A

Nephrotic Syndrome

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135
Q

Tx Minimal change disease

A

Prednisone

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136
Q

Acute transplant rejection cells

A

CD8

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137
Q

Actinic keratosis, precursor for

A

Squamous cell carcinoma

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138
Q

Reed-Sternberg cells seen in

A

Hodgkin’s lymphoma

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139
Q

CoughCoryzaConjuctivitisdx?

A

MeaslesKoplick spots on buccal mucosa pathognomonic finding

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140
Q

Tx pityriasis Rosea

A

AntihistaminesSteroids

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141
Q

IgA immune deposits in target organsdx

A

HSPnormal plt count

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142
Q

Heme pos stoolElevated BUN:CrPeriarticular disease of knees and anklesdx?

A

HSP

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143
Q

Polycythemia vera buzzword

A

plethora - ruddy complexion

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144
Q

fatigue, pruritis, facial plethora, engorged retinal veind, thrombosis, gouty arthritis, erythromelalgiadx?

A

Polycythemia VeraJak2 mutation

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145
Q

Tx PV

A

hydroxyureaphlebotomyasa

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146
Q

Hyponatremia tx - patients with neuro sxs

A

3% hypertonic saline

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147
Q

EKG finding hypomagnesemia

A

QT prolongation

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148
Q

Most sensitive test for SLE

A

ANA

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149
Q

Rash sparing intraoral mucus membranes;Nikolsky +dx

A

SSSS

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150
Q

Indications for gastric lavage

A

LithiumAnticholinergicASAIron

151
Q

Tx tracheitis

A

broad spectrum abx

152
Q

Electrolyte abnormality in Myxedema coma

A

Hyponatremia

153
Q

Eye drops to cover psuedomonas

A

Tobramycin

154
Q

Complication of labyrinthitis

A

Meningitis

155
Q

VertigoTinnitusGait instabilityHearing lossN/VRecent viral syndromedx?

A

Labyrinthitis

156
Q

Complication of septal hematoma

A

Saddle nose deformity

157
Q

When to HD for ASA tox

A

> 100mg/dL

158
Q

Contraindication to lateral canthotomy

A

globe rupture

159
Q

LeukopeniaThrombocytopeniaAST/ALT elevatedtick borne, dx?

A

Erlichiosis

160
Q

Tx tick bite w/o clinical sxs of Lyme

A

Doxy 200x1

161
Q

Pathognomonic for Lyme disease

A

Bilateral facial palsy

162
Q

Tx balanoposthitis

A

clotrimazole

163
Q

Timing of acute transplant rejection

A

1-12 weeks

164
Q

Cells involved in chronic transplant rejection

A

CD4

165
Q

Dose of Factor VIII with trauma or head trauma

A

50 iu/kg

166
Q

Most serious complication of Kawasaki

A

coronary artery aneurysm

167
Q

What is the most common cause of infectious primary adrenal insufficiency worldwide?

A

TB

168
Q

DKA Insulin dose

A

0.1 units/kg/hr until anion gap closed

169
Q

Indirect inguinal hernia medial border

A

Inferior epigastric vesselsgoes into scrotum

170
Q

Direct inguinal hernia lateral border

A

Inferior epigastric vesselsdoes not go into scrotum

171
Q

What effect do digoxin and beta-blockers have on potassium levels?

A

They cause Hyperkalemia

172
Q

Rash w/ central dark papule surrounded by pale area and halo of erythemadx?

A

Erythema Multiformeassociation mycoplasmamost common cause is HSV

173
Q

How long for molluscum to resolve

A

Months to years

174
Q

What acquired immunodeficiency syndrome-defining illness resembles molluscum contagiosum with widespread centrally umbilicated skin lesions?

A

Disseminated cryptococcosis

175
Q

Glucose in HHS

A

> 600

176
Q

Glucose in DKA

A

> 250

177
Q

Bicarb in HHS

A

> 18

178
Q

Classic pentad:ThrombocytopeniaFeverMAHARenal pathologyCNS dysfxdx?

A

TTP - thrombotic thrombocytopenic purpuraADAMSt13

179
Q

Causes of TTP

A

PregnancyAIDSSclerodermaSjogrensLupusTacrolimusCyclosporinQuinidine

180
Q

Give what for TTP

A

Plasmapheresis

181
Q

Itchy, scaly rash on arms, flexor surfacesWorse in winterdx?

A

Atopic dermatitistopical steroids

182
Q

Anti-cyclic citrullinated peptide antibodiesdx?

A

RA

183
Q

Tx herpes keratitis

A

Topical trifluridine

184
Q

False + for PCP

A

dextromethorphan

185
Q

Tx scabies

A

permethrin

186
Q

Rash w/ linear burrowing

A

Scabies

187
Q

Tx pinworm

A

Mebendazole

188
Q

OtolaniBarlow

A

Tests for developmental hip dysplasia

189
Q

Herald patchdx

A

Pityriasis Rosea

190
Q

Tx TTP

A

Plasma exchange

191
Q

Excision type for thrombosed hemorrhoid

A

Elliptical

192
Q

PNA and hyponatremiadx

A

Legionella

193
Q

Tx intractable hiccups

A

Chlorpromazine

194
Q

No EOM pain or proptosisInfection does not involve orbitdx?

A

Preseptal cellulitisCT orbit to r/o septal cellulitistx clinda, strep coverage

195
Q

Tx hypothermia

A

Warm air

196
Q

Tx sulfonurea tox

A

Octreotide, glucose

197
Q

Heparin reversal

A

Protamine

198
Q

Tx HF acid tox

A

Calcium gluconate

199
Q

Tx methanol or ethylene glycol tox

A

FomepizoleEthanol

200
Q

Flu like prodromeUrethritisCutaneous lesionsdx?

A

SJS

201
Q

How to get abdominal breathing from unstable cervical spine injury?

A

Phrenic nerve injury C3-C5

202
Q

Tx refractory anaphylaxis resistant to epinephrine

A

Glucagon

203
Q

Tx anaphylaxis kids IM

A

IM epi 0.01 mg/kg

204
Q

Tx anaphylaxis kids IV

A

IV epi 0.1-0.3 mcg/kg/min

205
Q

Where to perform cricothyrotomy

A

Below thyroid cartilage

206
Q

Tx heat stroke

A

Cool water immersion

207
Q

Protein <0.5 T or E?

A

Transudative

208
Q

LDH <0.5T or E?

A

Transudative

209
Q

First line tx pancreatitis

A

Fluid resus

210
Q

Kind of lesions in Crohn’s disease

A

Full thickness

211
Q

DyspneaFlaccid paralysisWeaknessSeizuresDiplopiabite rxn?

A

Coral snake bite

212
Q

Coral snake belongs to what family

A

Elapidae

213
Q

Best diagnostics for suspected pancreatitis

A

US

214
Q

Necrosis w/ alkali poisoning

A

Liquefactive

215
Q

Necrosis w/ acid poisoning

A

Coagulation

216
Q

Most common cause dysphagia

A

Schatzki ring

217
Q

Cutoff measurement for appendicitis

A

> 6mm

218
Q

Middle ear diving injury location

A

Eustachian tube

219
Q

Tx for pain in severe pharyngitis

A

Dexamethasone

220
Q

Anterior superior iliac spine avulsion - damage to

A

Lateral femoral cutaneous nerve

221
Q

Timolol for

A

glaucomareduces aqueous humor production

222
Q

MOA Norepi

A

alpha-1 and beta-1

223
Q

Newborn RR

A

40

224
Q

6 months RR

A

30

225
Q

12 months RR

A

26

226
Q

24 months RR

A

26

227
Q

Dose epi peds resus

A

0.1 ml/kg

228
Q

Tx for recurrence of pericarditis

A

Steroids (after NSAIDs, colchicine)

229
Q

Mgmt isolated distal DVT

A

Serial imaging for 2 weeks

230
Q

Tx Prinzmetal’s angina

A

CCBsNitrates

231
Q

MOA nitrates

A

reduce preload and afterload

232
Q

Do not give in HOCM:

A

Inotropes, nitrates

233
Q

> 2 weeks post MIPersistent STEQ, QS wavesdx?

A

Left ventricular aneurysm

234
Q

Definitive tx for WPW

A

Ablation

235
Q

Toxicity with nitroprusside

A

Cyanide tox

236
Q

Echo finding in massive PE

A

RV dilation

237
Q

Goal of HTN change in first hour of hypertensive emergency

A

Drop 20-25%

238
Q

TRansient paralysis of the lower extremities caused by vasospasm after lightening strike

A

Keraunoparalysis

239
Q

Pressor for use in infants

A

Epi

240
Q

Stages of pertussis

A
  1. catarrhal 1-2 wks2 paroxysmal 2-3 months3. convalescent 1-2 wks
241
Q

When is fetal pole typically first seen?

A

6-7 wks

242
Q

Nerve damaged in anterior shoulder dislocation

A

Axillary

243
Q

Classic XR finding on posterior shoulder dislocation

A

Light bulb sign

244
Q

Tx for suspected pelvic hemorrhage

A

Angiography and embolization

245
Q

Hard signs for aerodigestive and neurovascular injury in zone II

A

expanding hematomavascular bruit or thrillfluid nonresponsive shockDecreased or absent radial pulsecerebral ischemiaairway obstruction/stridorsevere, acute bleeding

246
Q

Target pH chemical burn to eye

A

7-7.2

247
Q

Destot’s sign for pelvic fx

A

Hematoma above inguinal ligament

248
Q

Nerve damaged in glenohumoral dislocation

A

Axillary nerve

249
Q

Nerve damaged in posterior elbow dislocation

A

Median

250
Q

Nerve damage in humeral shaft fx

A

Radial

251
Q

Nerve damage after anterior elbow dislocation

A

Ulnar

252
Q

Vessels involved in subdural hematoma

A

Bridging veins

253
Q

Tb drug side effects:Isonaizid

A

Hepatitis

254
Q

Tb drug side effects:Ethambutol

A

Optic neuritisRed-green color blindness

255
Q

Tb drug side effects:Pyrazinamide

A

HepatitisArthritis

256
Q

Tb drug side effects:Pyrazinamide

A

Hyperuricemia

257
Q

HIV drug side effects:Indinavir

A

NephrolithiasisHyperbilirubinemiaDyslipidemiaHepatitis

258
Q

HIV drug side effects:Abacavir

A

SJSHypersensitivity reactions

259
Q

HIV drug side effects:Efavirenz

A

DepressionSIPsychosisVivid dreamsHARash

260
Q

HIV drug side effects:Zidovudine

A

Bone marrow suppression

261
Q

HIV drug side effects:Dadanosine

A

PancreatitisNeuropathy

262
Q

HIV drug side effects:Lopinavir

A

N/V/DHepatitis

263
Q

HIV drug side effects:Ritonavir

A

Parasthesias

264
Q

HIV drug side effects:NRTIs

A

Lactic acidosis

265
Q

Night vision loss, dry skin, growth retardation, bitot spots on conjunctiva, dx?

A

Vit A deficiency

266
Q

Alcoholism, malnutrition, Wernicke-Korsakoff syndrome, dx?

A

B1 thiamine deficiency

267
Q

Cheilosis, corneal vascularization, dx?

A

B2 riboflavin deficiency

268
Q

Dermatitis, dementia, diarrhea, dx?

A

PellagraNiacin defciency

269
Q

Sideroblastic anemia, convulsions, peripheral neuropathy, INH use, dx?

A

B6 pyridoxine deficiency

270
Q

Most commonly injured nerve in Colles fx

A

Median nerve

271
Q

Most common cause of hyperviscosity syndrome

A

Waldenstrom macroglobulinemia (increased IgM)

272
Q

Most common leukemia in adults

A

AML (Auer rods)

273
Q

Most common leukemia in children

A

ALL

274
Q

Tx Myasthenia Gravis

A

PlasmapheresisIVIG

275
Q

Overuse injury involving median aspect of knee seen in runners

A

Anserine bursitis

276
Q

Overuse injury where patella attaches to tibia

A

Patellar tendinitis

277
Q

More common hernia in elderly females

A

Obdurator hernia

278
Q

Most common hernia in women

A

Femoral

279
Q

Vomiting and diarrhea after eating at a seafood restaurant, myalgias, paresthesias, and feeling like teeth are loose;dx?

A

CiguateraHot-cold reversal

280
Q

facial flushing, nausea, vomiting, and headache after seafood;dx?

A

Scombroid

281
Q

MOA albuterol

A

Increase cAMP

282
Q

Commotio cordis risk window

A

Upstroke of t wave

283
Q

Side effect Bleomycin

A

Pulmonary fibrosis

284
Q

Side effect Doxorubicin, Traztuzamab

A

Cardiotoxic

285
Q

Side effect Methotrexate, 5FU, 6MP

A

Myelosuppression

286
Q

Side effect Vincristine, Vinblastine

A

Peripheral Neuropathy

287
Q

Side effect Cyclophosphamide

A

Hemorrhagic cystitis

288
Q

Side effect Cisplatin, Carboplatin

A

Nephrotoxicity, Ototoxicity

289
Q

Most common source of brain mets

A

Lung, melanoma, breast, colorectal

290
Q

Most common primary brain tumor

A

MeningiomaGlioma

291
Q

Most common cause of acute arterial occlusion

A

Afib

292
Q

Most common presenting sx of aortic dissection

A

Chest pain

293
Q

Most common cause of tricuspid and mitral valve stenosis

A

Rheumatic heart disease

294
Q

Most common primary cardiac tumor

A

Myxoma

295
Q

Most common invasive cardiac tumor

A

Primary cardiac sarcoma

296
Q

Most common physical exam finding in infective endocarditis

A

Heart murmur

297
Q

Most common location for visceral artery aneurysm

A

Splenic artery

298
Q

Most common lead point in pediatric intussusception

A

Peyer’s patches

299
Q

Most common cause of viral gastroenteritis

A

Norovirus

300
Q

Most common extra-articular manifestation of ankylosing spondylitis

A

Uveitis

301
Q

Most common complication of midshaft humeral fracture

A

Radial nerve injury

302
Q

Most common finding in cauda equina

A

Urinary retention

303
Q

Most common source of compartment syndrome

A

Tibial fracture

304
Q

Most common GSW location in abdomen

A

Small intestine

305
Q

Most common bacteria in Lemierre’s

A

Fusobacterium necrophorum

306
Q

Most common site oral cancer

A

tongue

307
Q

Most common rhythm in pediatric arrest

A

Asystole

308
Q

Most common infectious organism causing SJS and TEN

A

Mycoplasma

309
Q

Most common viral cause of rhabdo

A

Flu A

310
Q

Most common infection tramsmitted in blood transfusion

A

Heb B

311
Q

Most common dysrhythmia in WPW

A

SVT

312
Q

Most common cause of blepharitis

A

Staph epidermidis

313
Q

Most common transfusion reaction

A

Febrile transfusion

314
Q

Most common risk factor for AAA

A

Smoking

315
Q

Most common carrier of rabies in the US

A

Bats

316
Q

Most common side effect of NAC

A

Anaphylactoid reaction

317
Q

Most common location for peptic ulcer

A

Anterior wall of duodenum

318
Q

Most common GI complication of HSP

A

Intussusception (ileoilial)

319
Q

Most common bacteria in erysipelas

A

Strep pyogenes

320
Q

Most common location of clavicle fracture

A

Middle third

321
Q

Max dose lidocaine

A

5 mg/kg

322
Q

Max dose lido with epi

A

7 mg/kg

323
Q

Methanol; kind of anion gap

A

Increased

324
Q

Uremia; kind of gap

A

Increased

325
Q

Paraldehyde; kind of gap

A

Increased

326
Q

Iron, INH; kind of gap

A

Increased

327
Q

Cyanide, CO; kind of gap

A

Increased (lactic acidosis)

328
Q

Ethylene glycol; kind of gap

A

Increased

329
Q

Salicylates; kind of gap

A

Increased

330
Q

STUMBLE for ingestions treated with hemodialysis

A

SalicylatesTheophyllineUremiaMethanolBarbituratesLithiumEthylene glycol

331
Q

Toxic dose of apap

A

140 mg/kg or 7.5g

332
Q

Numbness groin; dermatology compression?

A

L1

333
Q

Numbness Upper thigh, detmatome?

A

L2

334
Q

Mid thigh, medial knee, dermatome

A

L3

335
Q

Lower anterior thigh, anterior knee: medial foot, dermatome?

A

L4

336
Q

Lateral lower leg, first interdigital web space, dorsal foot, dermatome?

A

L5

337
Q

Posterolateral calf, lateral foot, dermatome

A

S1

338
Q

What is contained in FFP?

A

All coagulation factors except plateletsTypical dose 4 units for adults and 15 ml/kg for peds

339
Q

Minimum MAP goal in neurogenic shock/spinal cord injury

A

85 mmHg

340
Q

a thrombotic microangiopathy associated with reduced activity of von Willebrand factor-cleaving protease (ADAMTS13)dx?

A

TTPMAHA ans thrombocytopenia

341
Q

How can thrombotic thrombocytopenic purpura (TTP) be distinguished from DIC?

A

DIC has abnormal coags

342
Q

Decreased hemoglobin, MCV, MCH, MCHC, reticulocyte count, and ferritin and an increased TIBC, transferrin, and RDWdx?

A

Iron deficiency anemia

343
Q

Decreased MCV means

A

Microcytosis

344
Q

Decreased MCH and MCHC means

A

Hypochromia

345
Q

What is the most common cause of vitamin B12 deficiency?

A

Chronic malabpsortion ie pernicious anemia

346
Q

What antibiotic is best known for causing aplastic anemia?

A

Chloramphenicol

347
Q

Known complication of acute hepatitis 6-12 weeks out

A

Aplastic crisis

348
Q

Normocytic or microcytic red cells with evidence of hemolysis, elevated reticulocyte count, and normal to increased ferritin levels;dx?

A

Lead poisoning

349
Q

Chronic, hypochromic, microcytic anemia, as evidenced by low mean corpuscular volume, normal retic count;dx?

A

Alpha thalassemia

350
Q

Most common SCD presentation in peds

A

Dactylitis

351
Q

Cryoprecipitate should be administered for

A

Fibrinogen < 150–200 mg/dL

352
Q

Thrombocytopenia, decreased fibrinogen, increased fibrin split products, and increased BT, PT, and PTTdx?

A

DIC

353
Q

Febrile nonhemolytic transfusion reactions occur secondary to

A

Recipient antibodies against donor leukocytes as well as the release of cytokines by the donor leukocytes during storage

354
Q

Factor VIII is unavailable. Which of the following is the next best treatment option for Hem A?

A

Cryo and desmopressin

355
Q

IV rasburicase is the treatment for

A

Severe tumor lysis syndrome

356
Q

What common bile duct diameter is considered dilated in a patient who still has a gallbladder?

A

8mm

357
Q

Positive electrocardiographic deflection after the QRS segment in leads V1–V3 aka epsilon wave;dx?

A

Arrhythmogenic right ventricular cardiomyopathy

358
Q

Dabigatran reversal

A

Idarucizumab

359
Q

Toxin in brown recluse bites

A

Sphingomyelinase D(phospholipases)

360
Q

Toxin in black widow bites

A

Alpha-latrotoxin

361
Q

Most common monoclonal immunoglobulin found in multiple myeloma

A

IgG

362
Q

Why should patients with posterior nasal packs be admitted to a monitored bed?

A

Posterior packing can cause vagal stimulation with resulting bradycardia and bronchoconstriction.

363
Q

Most common cause of acute hepatic encephalopathy

A

GIB

364
Q

Most common location for pediatric pseudosubluxation

A

C2-C3

365
Q

What is the most common ligamentous injury of the knee?

A

ACL tear

366
Q

Most common extracranial tumor in childhood

A

Neuroblastoma

367
Q

What nerve travels through the Guyon canal?

A

Ulnar

368
Q

What is the appropriate dose of intramuscular epinephrine for a pediatric patient with anaphylaxis?

A

1 mg/mL concentration (1:1,000), 0.01 mL/kg or 0.01 mg/kg

369
Q

Jimsonweed toxin

A

Anticholinergic

370
Q

Foxglove toxin

A

Digoxin like

371
Q

The laboratory finding most sensitive for peritonitis is a white blood cell count greater than

A

100 WBC/mcL

372
Q

What part of the face is movable in a LeFort I fracture?

A

Maxilla

373
Q

Most common bacterial zoonotic infection worldwide

A

LeptospirosisPrimary vector is the dog

Board Review Tidbits (2 decks)

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