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Flashcards in Missed Q's Deck (143)
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1

What complication is MC associated w/Bell’s palsy?

Corneal exposure keratitis

2

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?

Central lesion

Bell’s Palsy

3

B/L facial nerve paralysis ddx?

Lyme
Infectious mono
HIV
Botulism

4

Rhabdo UA shows what?

Goal of therapy is what?

E- abnormalities?

3+ blood, no rbcs

Urine output of 3 mL/kg/hr

Hyper K and PO4, low Ca

5

What test in pts w/GBS correlates w/need for intubation?

Dec FVC

6

What characterizes a Galeazzi fracture?

Fracture of distal 1/3 of radial shaft
Disruption of distal radioulnar joint (DRUJJ)

7

Pt w/exquisite sensitivity to percussion or chewing w/acute pain, swelling and mild tooth elevation has what?

Common predisposing condition?

Periapical abscess

Cavities

8

What is alveolar osteitis?

Dry socket

9

ABD pain, bleeding, tenesmus in setting of active radiation therapy indicate what?

Acute radiation proctocolitis

10

MC cause of SVC syndrome?

MC presenting symptom?

Malignancy

Dyspnea from mediastinal compression

11

Liver Cirrhosis causes asterisks how?

Inc metabolism of ammonia leads to inc Glutamine in CNS

12

Cocaine OD is aka what?

Treat how?
Avoid?

Sympathomimetic toxidrome

Benzos
BBlockers

13

What cofactors need to be given with ethylene glycol poisoning?

B1, B6
(Thiamine and pyridoxine)

14

Pt w/eye exam showing superficial punctate epithelial surface irregularities which cover the entire cornea has what? Often seen in b/l eyes

Treatment?

UV keratitis

Topical NSAIDs +/- abx or cycloplegics

15

Treat klebsiella PNA how?

3rd gen cephalosporin + aminoglycoside

16

Pt w/organophosphate poisoning, how long do you keep giving atropine?

Why?

Dose and route?

Until respiratory secretions decrease

Mortality linked to ventilatory failure from severe secretions and bronchoconstriction

2-4 mg IM

17

Pt w/ankle pain needs xray when?

Tenderness to posterior edge of LATERAL Malleolus

18

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?

Maisonneuve fracture

19

Treatment of acute sinusitis?
After 7-10 days treat how?

NSAID
Abx

20

Volar wrist refers to what?

Palmar aspect

21

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)

22

What layer of skin edema defines urticaria?

Dermis - via transvascular fluid extravasated

23

STEMI is differentiated from pericarditis how?

STEMI has reciprocal ST depression

If inferior MI, look for ST depression in leads aVL, V1, V2

24

What are the correct positions (2) for electrode pad placement for cardioversion?

Left Ant chest and left upper back
OR
Right upper chest and left midaxillary line

25

What causes barotitis (middle ear barotrauma)?

Descent barotrauma

26

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

Succinylcholine

27

Cauda Equina syndrome is due to injury of what structures?

Lumbosacral nerve roots

28

What is the narrowest part of the airway in adults?

Children?

Vocal cords

Cricoid ring

29

Formula for predicting ET tube size in kids?

(Age + 16) / 4

30

What vascular structure can be injured w/proximal fibular fracture?

Anterior tibial artery