Flashcards in Random Subject Review Part I Deck (235)
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1
complication of LP in patient with elevated intracranial presure
uncal herniation
2
diagnosis: child presents to ER with altered mental status, hypoglycemia, and lesions suggestive of chickenpox
rye's syndrome (hepatoencephalopathy)
3
symptoms of basilar artery stroke
cranial nerve deficits, altered mental status/coma, contralateral full body weakness and decreased sensation, vertigo
4
TCA overdose signs and management
anticholingeric symptoms, cardiac and CNS toxicity
treat cardiac with sodium bicarb, and CNS with benzos
5
treatment for lithium induced nephrogenic diabetes insipidus
HCTZ and amiloride (binds lithium stimulated sodium channels)
6
treatment of acute dystonia
anticholinergics (benadryl, benztropine)
7
treatment of tardive dyskinesia
discontinue typical antipsychotic, switch to atypical antipsychotic
8
EEG pattern seen in absence seizures
3 cycle/second spike and wave pattern
9
typical complaint of patient with retinal detachment
sudden painless onset of flashing lights, floaters, and shade coming down over vision unilaterally
10
treatment for benign paroxysmal positional vertigo
epply maneuver to reposition otoliths
11
todd's paralysis
post-ictal hemiparesis < 24 hours
12
drugs combined with SSRIs known for causing serotonin syndrome
SSRIs, SNRIs, MAOIs, levadopa, mepiridine, lithium, amphetamines, cocaine, ecstasy, LSD, st. john's wort
13
most common cause of sensorineural hearing loss
prebycusis (progressive symmetric high-frequency loss of the elderly)
14
most common cause of conductive hearing loss
otosclerosis
15
most common complication of recurrent otitis media
hearing loss
16
medications used in ADHD
stimulants, TCAs, buproprion, alpha-2 agonists (clonidine)
17
medications used in tourette's
fluphenazine, pimizide, tetrabenazine
18
most worrisome side effect of ADHD drug atomoxetine
increased suicidal ideation, hepatotoxicity
19
diagnosis: patient presents with hearing loss and vertigo, grayish-white "pearly" TM lesion apparent on PE
cholesteatoma
20
symptoms of basilar skull fracture
raccoon eyes (orbital fracture)
battle sign (bruising over mastoid process)
blood behind tympanic membrane
CSF coming out of nose or ears
21
diagnosis and next step: chest trauma, hypotension, JVD, and distant heart sounds
cardiac tamponade
pericardiocentesis
22
diagnosis and next step: chest trauma, JVD, hypotension, and respiratory distress
tension pneumothorax
needle decompression and chest tube placement
23
how to evaluate neck trauma
neck zone 1: CT angiogram
neck zone 2: surgical exploration
neck zone 3: CT angiogram and triple endoscopy
24
how to manage elevated ICP
elevated head of bed
lidocaine prior to intubation
mannitol
hyperventilation
decompressive surgery
25
next step: pelvic fracture, DPL shows blood in pelvis
emergent laparotomy
26
next step: pelvic fracture, DPL shows urine in pelvis
urgent laparotomy (bladder injury)
27
next step: pelvic fracture, DPL shows nothing but there is hemodynamic instability
suspect retroperitoneal hematoma, angiography with possible embolization
28
next step: blunt abdominal trauma, unstable vital signs, FAST shows fluid in pelvis
emergent laparotomy (assume it is blood)
29
next step: blunt abdominal trauma, unstable vital signs, FAST shows no fluid in pelvis
retroperitoneal hematoma, angiogram with possible embolization
30
