Flashcards in Missed Q's Deck (143)
What complication is MC associated w/Bell’s palsy?
Corneal exposure keratitis
Pt w/suspected Bell’s Palsy that is able to wrinkle forehead on affected side indicates what?
If it does NOT spare the forehead, then what?
B/L facial nerve paralysis ddx?
Rhabdo UA shows what?
Goal of therapy is what?
3+ blood, no rbcs
Urine output of 3 mL/kg/hr
Hyper K and PO4, low Ca
What test in pts w/GBS correlates w/need for intubation?
What characterizes a Galeazzi fracture?
Fracture of distal 1/3 of radial shaft
Disruption of distal radioulnar joint (DRUJJ)
Pt w/exquisite sensitivity to percussion or chewing w/acute pain, swelling and mild tooth elevation has what?
Common predisposing condition?
What is alveolar osteitis?
ABD pain, bleeding, tenesmus in setting of active radiation therapy indicate what?
Acute radiation proctocolitis
MC cause of SVC syndrome?
MC presenting symptom?
Dyspnea from mediastinal compression
Liver Cirrhosis causes asterisks how?
Inc metabolism of ammonia leads to inc Glutamine in CNS
Cocaine OD is aka what?
What cofactors need to be given with ethylene glycol poisoning?
(Thiamine and pyridoxine)
Pt w/eye exam showing superficial punctate epithelial surface irregularities which cover the entire cornea has what? Often seen in b/l eyes
Topical NSAIDs +/- abx or cycloplegics
Treat klebsiella PNA how?
3rd gen cephalosporin + aminoglycoside
Pt w/organophosphate poisoning, how long do you keep giving atropine?
Dose and route?
Until respiratory secretions decrease
Mortality linked to ventilatory failure from severe secretions and bronchoconstriction
2-4 mg IM
Pt w/ankle pain needs xray when?
Tenderness to posterior edge of LATERAL Malleolus
A spiral fracture of the proximal 1/3 of the fibula assoc w/tear of the distal tibiofibular syndesmosis and the interosseous membrane is what?
Treatment of acute sinusitis?
After 7-10 days treat how?
Volar wrist refers to what?
Thyroid storm, what is the initial treatment? What does it do?
1) BB - blocks peripheral effects of hormone
2) dexamethasone - blocks peripheral conversion of T4 to T3 (steroids also help with any AI)
What layer of skin edema defines urticaria?
Dermis - via transvascular fluid extravasated
STEMI is differentiated from pericarditis how?
STEMI has reciprocal ST depression
If inferior MI, look for ST depression in leads aVL, V1, V2
What are the correct positions (2) for electrode pad placement for cardioversion?
Left Ant chest and left upper back
Right upper chest and left midaxillary line
What causes barotitis (middle ear barotrauma)?
Which lab studies are unreliable when drawn from an IO?
Which med takes longer to take effect when delivered through IO?
Wbc, K, Ca, AST/ALT, blood O2
Cauda Equina syndrome is due to injury of what structures?
Lumbosacral nerve roots
What is the narrowest part of the airway in adults?
Formula for predicting ET tube size in kids?
(Age + 16) / 4