Inservice Review Flashcards
(373 cards)
1
Q
Diff btwn left ventricular aneurysm and MI
A
No reciprocal changes on EKG
2
Q
PR in WPW
A
Short <120ms
3
Q
pseudo RBBB in V1-V2 w/ J point elevation
A
Brugada syndrome
4
Q
Mgmt AAA 4-5cm
A
Screen every 6 months
5
Q
Antihypertensive for aortic dissection
A
Labetalol
6
Q
Why not use cardene in aortic dissection?
A
Tachycardia
7
Q
Coughing/sneezing type of incontinence
A
Urethral hypermobility
8
Q
Best lab correlation with placental abruption
A
Fibrinogen levels
9
Q
Add what vitamin in the tx of hyperemesis gravidarum
A
Thiamine
10
Q
Tx mag tox
A
Calcium
11
Q
Loss of patellar reflexesRespiratory depressiondx?
A
Mag tox
12
Q
New onset HTN in <20 weeks pregnancy,concern?
A
Molar pregnancy
13
Q
Most common cause of uterine bleeding
A
Leiomyoma
14
Q
Type of cell involved in acute radiation damade
A
Lymphocytes
15
Q
Most common bacteria in dogbite
A
Pasturella
16
Q
Cutoff for perimortem c-section
A
> 24.0 weeks
17
Q
Common cause of acquired methemoglobinemia
A
Recent chloroquine use
18
Q
Pathophys of transudative effusion
A
Increase in hydrostatic pressureDecrease in oncotic pressure
19
Q
Pathophys of exudative effusion
A
Increase in pleural permeability
20
Q
Pertussis tx <1m
A
AzithromycinOlder than 1m, erythromycin
21
Q
Bat appearance CXRdx?
A
PJP PNA
22
Q
Tx laryngeotracheitis
A
Dexamethasone
23
Q
Tx stridor w laryngeotracheitis
A
Racemic epi
24
Q
Tx tetanus
A
Metronidazole 10-14 days
25
NosebleedsTelangectasiasIntraparenchymal hemorrhagedx?
Osler Weber Rendu
26
Staccato coughType of PNA
Chlamydiatx oral azithro
27
Glucose dose neonates
10% 5ml/kg (Rule of 50s)
28
Populations to avoid verapamil in
<1 yearPeds with CHFWPWWide QRS
29
Peds dose adenosine
0.1 mg/kg
30
Pruritis after warm bathJak2 mutationH/H elevateddx?
Polycythemia vera
31
Locations of primary blast injury
LungsAuditory systemGI tract
32
Enamel damage dental fxdx
Ellis I
33
Enamel and dentin dental fxDx
Ellis IITx calcium paste
34
Enamel/dentin/pulp dental fxDx
Ellis IIITx Dental consult, pulpectomy
35
Small, reactive pupilsHAContralateral leg paralysistype of herniation
Subfalcine/cingulate herniation
36
1 blown pupilContralateral hemiparesisDecerebrate posturingType of herniation
Uncal herniation
37
Cheyne Stokes breathingEarly comaDecorticate posturingType of hernation
Central herniation
38
Most common type of hip dislocation
Posterior
39
Ipsilateral loss of motor, vibratory sensationContralateral loss of P&TPenetrating traumadx
Brown-Sequardgood prognosis
40
Upper extremities more affected than lower extremitiesSensory and motor deficitsMedium prognosisForced hyperextension injurydx
Central Cord syndrome
41
Flexion or vascular injuryPoor prognosisComplete loss of motor, P&T below injuryRetention of proprioception, vibratory sensationDx
Anterior Cord Syndrome
42
Normal ABI
>0.9
43
CPP
MAP - ICP
44
QT prolongationT flatteningBradycardiadx
Lithium tox>4 acute OR >2.5 w/ sxs --> hemodialysis
45
Two txs cyanide tox
Hydroxycobalamin;Amyl nitrite, Sodium thiosulfate
46
Local analgesic tox tx
Lipid emulsion IV
47
Metallic taste in mouthPeiroral sensationsVentricular dysrythmiadx
Local analgesic tox
48
HyperglycemiaHypotensionBradycardiadx?
CCB toxtx: Ca, glucagon, norepi, high dose insulin + glucose
49
Cutoffs for hyperbaric O2 therapy in CO poisoning
>25% carboxyhemoglobin healthy adult>15% pregnancy
50
Tx hydrogen sulfide inhalation
Amyl nitrite
51
Iron tox 3-6 weeks later complication
Bowel obstruction
52
Cutoff for deferoxamine tx in Iron OD
>350 mg/dl
53
Tx NMS
Dantrolene or benzos
54
Ketosis w/o acidosistox dx
Isopropyl alcohol ingestion
55
Drugs that increase lithium levels
HCTZACEiARBsNSAIDs
56
N/V, blurred visionHypercoagulable stateHAdx
Cerebral venous thrombosis
57
Add what medication for meningitis in alcoholics
Ampicillin (to ceftriaxone, vanco)
58
Normal opening pressure
Less than or equal to 20 cmH2O
59
Diplopia w/ lateral gazeCN VI palsyLoss of peripheral visual fieldsVitamin A tox, OCPs, steroids, tetracycline usePapilledemadx
Pseudotumor cerebri
60
Down and out eyedx
PCA stroke
61
Fundal height at pubic symphysisHow far along
12 weeks
62
Most common presenting symptom of aortic stenosis
Dyspnea
63
Pathophys of octreotide
Vasocontriction of splanchnic circulation
64
AV fistula, Hyperthyroisism, Beriberi, Paget's, Pregnancy, AnemiaCauses of:
High output CHF
65
What med improves mortality in pts with hepatorenal syndrome?
albumin
66
Two most common causes of pericarditis
IdiopathicCoxsackie
67
MOA Phenylephrine
Pure alpha-1 agonist
68
Most common presentation of HOCUM
dyspnea
69
Tx HOCUM
Lifelong BB
70
Proximal LAD stenosisBiphasic or deeply inverted T waves in precordial leads w/o serum marker abnormalitiesHx of anginadx
Wellen's syndrome
71
Where is the accessory pathway in WPW?
Bundle of Kent
72
Cutoff for hypertensive emergency
>180/120
73
Tx TOA
IV cefoxatin/cefotetan + PO doxy
74
Consider what tx in status epilepticus if hx lung disease
Pyridoxine (for INH tox)
75
Cutoff for toxic dose NSAIDs
100 mg/kg
76
HR 4-6 years
100
77
SBP Neonate
70
78
SBP 6 months to 4 years
90
79
Severe jaundice at birth, lethargy, poor feeding, dx?
ABO incompatibilityPhototherapy required
80
Breast fed baby who feeds vigorously w/ concomittant delays in establishment of gut flora;dx?
Breast milk jaundice
81
Reduced coagulation of bilirubin by immature liver, neonate;dx?
Physiologic jaundice
82
When not to give verapamil in SVT
<1 yearWPWPeds w/ HFWide QRS
83
Pediatric dose of adenosine
0.1 mg/kgTry vagal maneuvers first
84
Bone broken in inferior orbital wall fracture
Maxillary
85
EncephalopathyOcular motor dysfunctionAtaxiaAlcoholicdx?
Wernicke Encephalopathy
86
Next step with mgmt of urethral injury
Suprapubic catheterization
87
Administer what in pt overdue for dialysis w/ junctional brady?
Calcium
88
Cardiac complication of Lyme disease
First degree AV block
89
Most common nerve injury with posterior hip dislocation
Sciatic nerve
90
Ipsilateral loss of motor, vibratory sensation, proprioceptionContralateral loss of P&Tdx?
Brown Sequard
91
Upper worse than lower sxsSensory and MotorForced hyperextension injurydx?
Central cord syndrome
92
Flexion or vascular injuryComplete loss of motor, P&TBelow injury, only proprioception remainsdx?
Anterior cord syndrome
93
Normal ABI
>0.9
94
CPP equation
MAP-ICP
95
QT prolongation, T flattening, bradycardiatox dx?
Lithium toxHD for 2.5 chronic, 4 acute
96
HyperglycemiaBradycardiaHypotensiontox dx?
CCB
97
Area of reactivation TB
Apical segments of upper lobes, or superior segment of the lower lobe
98
What antibiotic has high potency to cause serotonin syndrome?
Linezolid
99
Virchow's triad
Venous stasisHypercoagulable stateTrauma or inciting event
100
Tx methemoglobinemia
Methylene blue
101
pH in SBP
<7.34
102
PtosisMydriasisDown and out eyeDouble visiondx?
Oculomotor Nerve Palsy (CN III)-PCA aneurysm/CVA
103
Descending flaccid paralysisdx?
Botulism
104
What is a common feared complication of a perilunate dislocation?
Median nerve palsy
105
Ketosis w/ no wide anion gap metabolic acidosisdx?
Isopropyl alcohol tox
106
Cholinergic tox, wet or drytx
WetTx atropine, pralidoxime
107
Anticholinergic tox, wet or drytx
DryPhysostigmine
108
Tx hydrogen sulfide inhalation
Amyl nitrite
109
Normal opening pressure LP
5-20
110
Tx jellyfish sting
Acetic acidHot water immersionAntivenom
111
Most common physical exam finding in AAA
Pulsatile mass
112
Most common presenting symptom of aortic stenosis
DyspneaSame with HOCUM
113
Murmur in AS
Crescendo decrescendoHarsh, systolicSame with HOCUM
114
Examples of high output CHF
AV fistulaHyperthyroidismPregnancyBeriberiPaget'sAnemia
115
Mid-systolic clickdx?
MVP
116
Proximal LAD stenosis (V1-V2)No serum marker abnormalitiesdx
Wellen's syndrome
117
In status refractory to benzos, try
Pyridoxine (INH tox)
118
Finger flexion at restPain w/ passive motiondx?
Flexor tenosynovitis
119
Fx of nimodipine in SAH
Prevents vasospasm
120
What is contraindicated in tx of thyroid storm?
ASADisplaces T4 binding
121
Transfusion of FFP or pltsSOB, hypoxemia, tachypneaBilateral diffuse pulmonary infiltratesdx?
TRALI
122
GlyburideGlipizide
Sulfonureas
123
Parkland formula, give first half when?
8 hours2nd half over 16 hours
124
Hawkins-Kennedy test for
Shoulder painPain in AC joint with internal rotation
125
Thompson test for
Achilles tendon rupture
126
Obstructed lacrimal ductdx/tx
DacrocystitisClinda
127
Deep sulcus signdx
PTXDeepened costophrenic angle on CXR
128
Giant cell arteritis, when to give IV steroids
If vision loss is present
129
Constitutional sxsHAJaw claudicationTransient vision lossdx?
Giant cell arteritis
130
Another name for kawasaki disease
Mucocutaneous lymph node syndrome
131
Well demarcated bordersFeverdx and tx
Erysipelas - B heme streptx amox, cephalexin
132
Location of sores w/ aphthous ulcers
Anterior mouth
133
Location of ulcers w/ herpangina
Posterior mouth
134
HypertensionHyperlipidemiaHypoalbuminemiaHyponatremiadx
Nephrotic Syndrome
135
Tx Minimal change disease
Prednisone
136
Acute transplant rejection cells
CD8
137
Actinic keratosis, precursor for
Squamous cell carcinoma
138
Reed-Sternberg cells seen in
Hodgkin's lymphoma
139
CoughCoryzaConjuctivitisdx?
MeaslesKoplick spots on buccal mucosa pathognomonic finding
140
Tx pityriasis Rosea
AntihistaminesSteroids
141
IgA immune deposits in target organsdx
HSP*normal plt count*
142
Heme pos stoolElevated BUN:CrPeriarticular disease of knees and anklesdx?
HSP
143
Polycythemia vera buzzword
plethora - ruddy complexion
144
fatigue, pruritis, facial plethora, engorged retinal veind, thrombosis, gouty arthritis, erythromelalgiadx?
Polycythemia VeraJak2 mutation
145
Tx PV
hydroxyureaphlebotomyasa
146
Hyponatremia tx - patients with neuro sxs
3% hypertonic saline
147
EKG finding hypomagnesemia
QT prolongation
148
Most sensitive test for SLE
ANA
149
Rash sparing intraoral mucus membranes;Nikolsky +dx
SSSS
150
Indications for gastric lavage
LithiumAnticholinergicASAIron
151
Tx tracheitis
broad spectrum abx
152
Electrolyte abnormality in Myxedema coma
Hyponatremia
153
Eye drops to cover psuedomonas
Tobramycin
154
Complication of labyrinthitis
Meningitis
155
VertigoTinnitusGait instabilityHearing lossN/VRecent viral syndromedx?
Labyrinthitis
156
Complication of septal hematoma
Saddle nose deformity
157
When to HD for ASA tox
>100mg/dL
158
Contraindication to lateral canthotomy
globe rupture
159
LeukopeniaThrombocytopeniaAST/ALT elevatedtick borne, dx?
Erlichiosis
160
Tx tick bite w/o clinical sxs of Lyme
Doxy 200x1
161
Pathognomonic for Lyme disease
Bilateral facial palsy
162
Tx balanoposthitis
clotrimazole
163
Timing of acute transplant rejection
1-12 weeks
164
Cells involved in chronic transplant rejection
CD4
165
Dose of Factor VIII with trauma or head trauma
50 iu/kg
166
Most serious complication of Kawasaki
coronary artery aneurysm
167
What is the most common cause of infectious primary adrenal insufficiency worldwide?
TB
168
DKA Insulin dose
0.1 units/kg/hr until anion gap closed
169
Indirect inguinal hernia medial border
Inferior epigastric vesselsgoes into scrotum
170
Direct inguinal hernia lateral border
Inferior epigastric vesselsdoes not go into scrotum
171
What effect do digoxin and beta-blockers have on potassium levels?
They cause Hyperkalemia
172
Rash w/ central dark papule surrounded by pale area and halo of erythemadx?
Erythema Multiformeassociation mycoplasmamost common cause is HSV
173
How long for molluscum to resolve
Months to years
174
What acquired immunodeficiency syndrome-defining illness resembles molluscum contagiosum with widespread centrally umbilicated skin lesions?
Disseminated cryptococcosis
175
Glucose in HHS
>600
176
Glucose in DKA
>250
177
Bicarb in HHS
>18
178
Classic pentad:ThrombocytopeniaFeverMAHARenal pathologyCNS dysfxdx?
TTP - thrombotic thrombocytopenic purpuraADAMSt13
179
Causes of TTP
PregnancyAIDSSclerodermaSjogrensLupusTacrolimusCyclosporinQuinidine
180
Give what for TTP
Plasmapheresis
181
Itchy, scaly rash on arms, flexor surfacesWorse in winterdx?
Atopic dermatitistopical steroids
182
Anti-cyclic citrullinated peptide antibodiesdx?
RA
183
Tx herpes keratitis
Topical trifluridine
184
False + for PCP
dextromethorphan
185
Tx scabies
permethrin
186
Rash w/ linear burrowing
Scabies
187
Tx pinworm
Mebendazole
188
OtolaniBarlow
Tests for developmental hip dysplasia
189
Herald patchdx
Pityriasis Rosea
190
Tx TTP
Plasma exchange
191
Excision type for thrombosed hemorrhoid
Elliptical
192
PNA and hyponatremiadx
Legionella
193
Tx intractable hiccups
Chlorpromazine
194
No EOM pain or proptosisInfection does not involve orbitdx?
Preseptal cellulitisCT orbit to r/o septal cellulitistx clinda, strep coverage
195
Tx hypothermia
Warm air
196
Tx sulfonurea tox
Octreotide, glucose
197
Heparin reversal
Protamine
198
Tx HF acid tox
Calcium gluconate
199
Tx methanol or ethylene glycol tox
FomepizoleEthanol
200
Flu like prodromeUrethritisCutaneous lesionsdx?
SJS
201
How to get abdominal breathing from unstable cervical spine injury?
Phrenic nerve injury C3-C5
202
Tx refractory anaphylaxis resistant to epinephrine
Glucagon
203
Tx anaphylaxis kids IM
IM epi 0.01 mg/kg
204
Tx anaphylaxis kids IV
IV epi 0.1-0.3 mcg/kg/min
205
Where to perform cricothyrotomy
Below thyroid cartilage
206
Tx heat stroke
Cool water immersion
207
Protein <0.5 T or E?
Transudative
208
LDH <0.5T or E?
Transudative
209
First line tx pancreatitis
Fluid resus
210
Kind of lesions in Crohn's disease
Full thickness
211
DyspneaFlaccid paralysisWeaknessSeizuresDiplopiabite rxn?
Coral snake bite
212
Coral snake belongs to what family
Elapidae
213
Best diagnostics for suspected pancreatitis
US
214
Necrosis w/ alkali poisoning
Liquefactive
215
Necrosis w/ acid poisoning
Coagulation
216
Most common cause dysphagia
Schatzki ring
217
Cutoff measurement for appendicitis
>6mm
218
Middle ear diving injury location
Eustachian tube
219
Tx for pain in severe pharyngitis
Dexamethasone
220
Anterior superior iliac spine avulsion - damage to
Lateral femoral cutaneous nerve
221
Timolol for
glaucomareduces aqueous humor production
222
MOA Norepi
alpha-1 and beta-1
223
Newborn RR
40
224
6 months RR
30
225
12 months RR
26
226
24 months RR
26
227
Dose epi peds resus
0.1 ml/kg
228
Tx for recurrence of pericarditis
Steroids (after NSAIDs, colchicine)
229
Mgmt isolated distal DVT
Serial imaging for 2 weeks
230
Tx Prinzmetal's angina
CCBsNitrates
231
MOA nitrates
reduce preload and afterload
232
Do not give in HOCM:
Inotropes, nitrates
233
>2 weeks post MIPersistent STEQ, QS wavesdx?
Left ventricular aneurysm
234
Definitive tx for WPW
Ablation
235
Toxicity with nitroprusside
Cyanide tox
236
Echo finding in massive PE
RV dilation
237
Goal of HTN change in first hour of hypertensive emergency
Drop 20-25%
238
TRansient paralysis of the lower extremities caused by vasospasm after lightening strike
Keraunoparalysis
239
Pressor for use in infants
Epi
240
Stages of pertussis
1. catarrhal 1-2 wks2 paroxysmal 2-3 months3. convalescent 1-2 wks
241
When is fetal pole typically first seen?
6-7 wks
242
Nerve damaged in anterior shoulder dislocation
Axillary
243
Classic XR finding on posterior shoulder dislocation
Light bulb sign
244
Tx for suspected pelvic hemorrhage
Angiography and embolization
245
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
246
Target pH chemical burn to eye
7-7.2
247
Destot's sign for pelvic fx
Hematoma above inguinal ligament
248
Nerve damaged in glenohumoral dislocation
Axillary nerve
249
Nerve damaged in posterior elbow dislocation
Median
250
Nerve damage in humeral shaft fx
Radial
251
Nerve damage after anterior elbow dislocation
Ulnar
252
Vessels involved in subdural hematoma
Bridging veins
253
Tb drug side effects:Isonaizid
Hepatitis
254
Tb drug side effects:Ethambutol
Optic neuritisRed-green color blindness
255
Tb drug side effects:Pyrazinamide
HepatitisArthritis
256
Tb drug side effects:Pyrazinamide
Hyperuricemia
257
HIV drug side effects:Indinavir
NephrolithiasisHyperbilirubinemiaDyslipidemiaHepatitis
258
HIV drug side effects:Abacavir
SJSHypersensitivity reactions
259
HIV drug side effects:Efavirenz
DepressionSIPsychosisVivid dreamsHARash
260
HIV drug side effects:Zidovudine
Bone marrow suppression
261
HIV drug side effects:Dadanosine
PancreatitisNeuropathy
262
HIV drug side effects:Lopinavir
N/V/DHepatitis
263
HIV drug side effects:Ritonavir
Parasthesias
264
HIV drug side effects:NRTIs
Lactic acidosis
265
Night vision loss, dry skin, growth retardation, bitot spots on conjunctiva, dx?
Vit A deficiency
266
Alcoholism, malnutrition, Wernicke-Korsakoff syndrome, dx?
B1 thiamine deficiency
267
Cheilosis, corneal vascularization, dx?
B2 riboflavin deficiency
268
Dermatitis, dementia, diarrhea, dx?
PellagraNiacin defciency
269
Sideroblastic anemia, convulsions, peripheral neuropathy, INH use, dx?
B6 pyridoxine deficiency
270
Most commonly injured nerve in Colles fx
Median nerve
271
Most common cause of hyperviscosity syndrome
Waldenstrom macroglobulinemia (increased IgM)
272
Most common leukemia in adults
AML (Auer rods)
273
Most common leukemia in children
ALL
274
Tx Myasthenia Gravis
PlasmapheresisIVIG
275
Overuse injury involving median aspect of knee seen in runners
Anserine bursitis
276
Overuse injury where patella attaches to tibia
Patellar tendinitis
277
More common hernia in elderly females
Obdurator hernia
278
Most common hernia in women
Femoral
279
Vomiting and diarrhea after eating at a seafood restaurant, myalgias, paresthesias, and feeling like teeth are loose;dx?
CiguateraHot-cold reversal
280
facial flushing, nausea, vomiting, and headache after seafood;dx?
Scombroid
281
MOA albuterol
Increase cAMP
282
Commotio cordis risk window
Upstroke of t wave
283
Side effect Bleomycin
Pulmonary fibrosis
284
Side effect Doxorubicin, Traztuzamab
Cardiotoxic
285
Side effect Methotrexate, 5FU, 6MP
Myelosuppression
286
Side effect Vincristine, Vinblastine
Peripheral Neuropathy
287
Side effect Cyclophosphamide
Hemorrhagic cystitis
288
Side effect Cisplatin, Carboplatin
Nephrotoxicity, Ototoxicity
289
Most common source of brain mets
Lung, melanoma, breast, colorectal
290
Most common primary brain tumor
MeningiomaGlioma
291
Most common cause of acute arterial occlusion
Afib
292
Most common presenting sx of aortic dissection
Chest pain
293
Most common cause of tricuspid and mitral valve stenosis
Rheumatic heart disease
294
Most common primary cardiac tumor
Myxoma
295
Most common invasive cardiac tumor
Primary cardiac sarcoma
296
Most common physical exam finding in infective endocarditis
Heart murmur
297
Most common location for visceral artery aneurysm
Splenic artery
298
Most common lead point in pediatric intussusception
Peyer's patches
299
Most common cause of viral gastroenteritis
Norovirus
300
Most common extra-articular manifestation of ankylosing spondylitis
Uveitis
301
Most common complication of midshaft humeral fracture
Radial nerve injury
302
Most common finding in cauda equina
Urinary retention
303
Most common source of compartment syndrome
Tibial fracture
304
Most common GSW location in abdomen
Small intestine
305
Most common bacteria in Lemierre's
Fusobacterium necrophorum
306
Most common site oral cancer
tongue
307
Most common rhythm in pediatric arrest
Asystole
308
Most common infectious organism causing SJS and TEN
Mycoplasma
309
Most common viral cause of rhabdo
Flu A
310
Most common infection tramsmitted in blood transfusion
Heb B
311
Most common dysrhythmia in WPW
SVT
312
Most common cause of blepharitis
Staph epidermidis
313
Most common transfusion reaction
Febrile transfusion
314
Most common risk factor for AAA
Smoking
315
Most common carrier of rabies in the US
Bats
316
Most common side effect of NAC
Anaphylactoid reaction
317
Most common location for peptic ulcer
Anterior wall of duodenum
318
Most common GI complication of HSP
Intussusception (ileoilial)
319
Most common bacteria in erysipelas
Strep pyogenes
320
Most common location of clavicle fracture
Middle third
321
Max dose lidocaine
5 mg/kg
322
Max dose lido with epi
7 mg/kg
323
Methanol; kind of anion gap
Increased
324
Uremia; kind of gap
Increased
325
Paraldehyde; kind of gap
Increased
326
Iron, INH; kind of gap
Increased
327
Cyanide, CO; kind of gap
Increased (lactic acidosis)
328
Ethylene glycol; kind of gap
Increased
329
Salicylates; kind of gap
Increased
330
STUMBLE for ingestions treated with hemodialysis
SalicylatesTheophyllineUremiaMethanolBarbituratesLithiumEthylene glycol
331
Toxic dose of apap
140 mg/kg or 7.5g
332
Numbness groin; dermatology compression?
L1
333
Numbness Upper thigh, detmatome?
L2
334
Mid thigh, medial knee, dermatome
L3
335
Lower anterior thigh, anterior knee: medial foot, dermatome?
L4
336
Lateral lower leg, first interdigital web space, dorsal foot, dermatome?
L5
337
Posterolateral calf, lateral foot, dermatome
S1
338
What is contained in FFP?
All coagulation factors except plateletsTypical dose 4 units for adults and 15 ml/kg for peds
339
Minimum MAP goal in neurogenic shock/spinal cord injury
85 mmHg
340
a thrombotic microangiopathy associated with reduced activity of von Willebrand factor-cleaving protease (ADAMTS13)dx?
TTPMAHA ans thrombocytopenia
341
How can thrombotic thrombocytopenic purpura (TTP) be distinguished from DIC?
DIC has abnormal coags
342
Decreased hemoglobin, MCV, MCH, MCHC, reticulocyte count, and ferritin and an increased TIBC, transferrin, and RDWdx?
Iron deficiency anemia
343
Decreased MCV means
Microcytosis
344
Decreased MCH and MCHC means
Hypochromia
345
What is the most common cause of vitamin B12 deficiency?
Chronic malabpsortion ie pernicious anemia
346
What antibiotic is best known for causing aplastic anemia?
Chloramphenicol
347
Known complication of acute hepatitis 6-12 weeks out
Aplastic crisis
348
Normocytic or microcytic red cells with evidence of hemolysis, elevated reticulocyte count, and normal to increased ferritin levels;dx?
Lead poisoning
349
Chronic, hypochromic, microcytic anemia, as evidenced by low mean corpuscular volume, normal retic count;dx?
Alpha thalassemia
350
Most common SCD presentation in peds
Dactylitis
351
Cryoprecipitate should be administered for
Fibrinogen < 150–200 mg/dL
352
Thrombocytopenia, decreased fibrinogen, increased fibrin split products, and increased BT, PT, and PTTdx?
DIC
353
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
354
Factor VIII is unavailable. Which of the following is the next best treatment option for Hem A?
Cryo and desmopressin
355
IV rasburicase is the treatment for
Severe tumor lysis syndrome
356
What common bile duct diameter is considered dilated in a patient who still has a gallbladder?
8mm
357
Positive electrocardiographic deflection after the QRS segment in leads V1–V3 aka epsilon wave;dx?
Arrhythmogenic right ventricular cardiomyopathy
358
Dabigatran reversal
Idarucizumab
359
Toxin in brown recluse bites
Sphingomyelinase D(phospholipases)
360
Toxin in black widow bites
Alpha-latrotoxin
361
Most common monoclonal immunoglobulin found in multiple myeloma
IgG
362
Why should patients with posterior nasal packs be admitted to a monitored bed?
Posterior packing can cause vagal stimulation with resulting bradycardia and bronchoconstriction.
363
Most common cause of acute hepatic encephalopathy
GIB
364
Most common location for pediatric pseudosubluxation
C2-C3
365
What is the most common ligamentous injury of the knee?
ACL tear
366
Most common extracranial tumor in childhood
Neuroblastoma
367
What nerve travels through the Guyon canal?
Ulnar
368
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
369
Jimsonweed toxin
Anticholinergic
370
Foxglove toxin
Digoxin like
371
The laboratory finding most sensitive for peritonitis is a white blood cell count greater than
100 WBC/mcL
372
What part of the face is movable in a LeFort I fracture?
Maxilla
373
Most common bacterial zoonotic infection worldwide
LeptospirosisPrimary vector is the dog
