Review

Question 1

Chemical eye injury procedure?

Answer 1

Remove irritant
Irrigate

Erythromycin Ophthalmic
Ciprofloxacin (Ciloxan)

Question 2

3 initial meds to reduce pressure?

Answer 2

Acetazolamide
Timolol
Prednisolone

Pilocarpine after initial tx was started

Question 3

Most common area of orbital fracture?

Answer 3

Medial floor

Question 4

Trauma to face and eye region, decreased visual acuity, painful proptosis

Answer 4

Bulbar hematoma

Question 5

How is bulbar hematoma diagnosed?

Answer 5

CT

Question 6

retrobulbar hematoma with vision loss or increased IOP?

Answer 6

MEDEVAC for canthotomy

Question 7

retinal occlusion tx?

Answer 7

Gentle masssage

Nitro

Question 8

UV keratitis

Answer 8

1-6 hours (Latent)
Photophobia
Painful

Question 9

UV keratitis tx?

Answer 9

Pain med
Lube dops
Erythromycin

Question 10

Naloxone tx duration?

Answer 10

30-60min

Question 11

Naloxone dose?

Answer 11

.2 - 2.0

Question 12

Activated charcoal give?

Answer 12

Within 1 hour

Question 13

Most common drug for anticholinergic?

Answer 13

Benadryl

Question 14

Does the patient sweat on anticholinergic?

Answer 14

No

Question 15

EKG finding for anticholinergic?

Answer 15

Sinus Tach

Question 16

3 receptors of opioids?

Answer 16

Mu, Kappa, delta

Question 17

Which receptor is the most important in our TG?

Answer 17

Mu

Question 18

Sympathomimetics are different from anticholinergics due to?

Answer 18

Sweating, some pupillary response, aggressive agitative state

Question 19

What do you not give for cocaine?

Answer 19

Beta Blockers

Question 20

Symptoms for salyciclates?

Answer 20

Look up

Question 21

What drug is used for Tylenol overdose?

Answer 21

NAC

Question 22

When is peak time to draw blood work for Tylenol overdose?

Answer 22

4 hours

Question 23

Organophosphates/Nerve agents symptoms?

Answer 23

Cholinergic Effects (No sympathetic response)
S
L
U
D
G
E

Question 24

Primary treatment for these nerve agents?

Answer 24

Atropine

then add Pralidoxime -2-PAM

Question 25

How do you know if the atropine is working?

Answer 25

Mucus secretions dry up

Question 26

Classic - progression - life threatening for anaphylaxis

Answer 26

look up

Question 27

Epi is given how often?

Answer 27

5-10 min

Question 28

Anaphylaxis is what type of shock?

Answer 28

Distributive

Question 29

Left coronary artery feeds?

Answer 29

look up

Question 30

Right coronary artery feeds?

Answer 30

look up

Question 31

First treatment for ACS?

Answer 31

A B Cs

Question 32

Risk factors for DVT?

Answer 32

THRAMBOSIS

Question 33

Pulmonary Embolism imaging>

Answer 33

Helical diagnosis

Question 34

Essentials for DKA?

Answer 34

(1) Hyperglycemia > 250 mg/dL (2) Acidosis with blood pH < 7.3 (3) Serum bicarbonate < 15 mEq/L (4) Serum positive for ketones

Question 35

What's being released into the blood from rhabdo?

Answer 35

CK and myoglobin

Question 36

What complicates the kidneys with rhabdo?

Answer 36

Myoglobin

Question 37

4 categories of shock?

Answer 37

Cardiogenic Obstructive - embolism, pnuemo, tamponade Distributive - Anaphylaxis, sepsis, neurogenic Hypovolemic

Question 38

Treatment for sepsis?

Answer 38

Ertapenem

Question 39

Distributive

Answer 39

Reduction in systemic resistance

Question 40

Affinity for CO

Answer 40

260x

Question 41

Carboxihemaglobin

Answer 41

CO combining with hemoglobin

Question 42

Stroke Categories?

Answer 42

Ischemic and hemorrhagic

Question 43

TIA difference?

Answer 43

No acute infarction

Question 44

(1) Increased ICP can lead to hypoventilation

Answer 44

Ok

Question 45

Position for stroke?

Answer 45

Flat (0-15degrees)

Question 46

(2) Elevated CO2 in brain dilates vessels, which can increase ICP even more (a) No evidence that hyperventilation helps

Answer 46

OK

Question 47

(b) Do not lower it acutely as it may be the only thing maintaining adequate perfusion 1) UNLESS pressure is above systolic of 220 and/or diastolic of 120 in which case you should lower the pressure by 15%

Answer 47

OK

Question 48

Size of aorta?

Answer 48

<3cm

Question 49

Layers of aorta?

Answer 49

Intima Media Adventitia

Question 50

Classic triad of aorta?

Answer 50

pain, hypotension and pulsatile mass.

Question 51

Gold standard for AAA?

Answer 51

CT

Question 52

Routine imaging for AAA?

Answer 52

US

Question 53

Poor prognosis for near drowning?

Answer 53

``` >5 min submersion GCS <5 10 minutes time to effective life support 25 min of CPR persistent apnea pH <7.1 ```

Question 54

Prophylaxis for bites?

Answer 54

Augmentin

Question 55

Tx for vibrio?

Answer 55

Doxy

Question 56

PCN allergy?

Answer 56

Clindamycin + floroquinolones

Question 57

Hymenoptera

Answer 57

insects that includes ants, bees, and wasps.

Question 58

Tx for stinger?

Answer 58

1) Scrape away the stinger in a horizontal fashion. | 2) Try not to grasp the stinger sac.

Question 59

Scorpions sx?

Answer 59

Neuro | PE

Question 60

How is heat stroke differentiated?

Answer 60

Altered mental status

Question 61

Stop cooling at 101

Answer 61

exhaustion

Question 62

Stop cooling at 102

Answer 62

stroke

Question 63

Chilblains tx

Answer 63

Prevention is key

Question 64

Contaminated water tx?

Answer 64

Cephalexin or Clindamycin Metro Doxy

Question 65

What temp range are we trying to resuscitate a patient to from being extremely cold?

Answer 65

90 - 95