Review Questions Flashcards

(28 cards)

1
Q

If someone is unconscious at the scene of a fire, you should assume what poisoning?

A

Carbon monoxide

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2
Q

What SpO2 will carboxyHgb (carbon monoxide) poisoning show?

A

100% (normal; absorbs similar to oxyHgb)

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3
Q

Hypsarrhythmia is the pathognomonic EEG pattern for what disorder?

A

Infantile spasms

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4
Q

What’s the most common cause of new-onset pediatric status epilepticus?

A

febrile illness (infection outside CNS)

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5
Q

What type of medication is thiopental?

A

barbiturate

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6
Q

Treatment of infantile spasms?

A

ACTH (adrenocorticotropic hormone)

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7
Q

Which is worse, Chiari I or II?

A

Chiari II

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8
Q

When is the BBB formed by?

A

Birth

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9
Q

Which artery should be avoided for arterial line placement due to its lack of collateral flow?

A

Brachial

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10
Q

Mechanism of Dantrolene?

A

Blocks calcium release from sarcoplasmic reticulum

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11
Q

CYP450 enzymes metabolize which type of reactions?

A

Phase I (make polar/hydrophilic)

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12
Q

Elapidae snakes (coral snake): neurotoxicity or DIC?

A

neurotoxicity

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13
Q

Viperidae snakes (rattlesnakes, vipers): neurotoxicity or DIC?

A

DIC

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14
Q

Fasciotomy is indicated in compartment syndrome when pressures exceed what?

A

40 mmHg

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15
Q

A patient with a spleen or liver laceration only requires abdominal surgery if they have required what volume of transfusion?

A

40 mL/kg or more (half the circulating blood volume) in first 24 hours

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16
Q

Which toxin is found in antifreeze?

A

Ethylene glycol or methanol

17
Q

In addition to Fomepizole, patients with ethylene glycol toxicity should receive what?

A

Pyridoxine and thiamin

18
Q

In addition to Fomepizol, patients with methanol toxicity should receive what?

19
Q

A patient with sulfonylurea ingestion (eg, glyburide) can be treated with what addition to IV dextrose?

20
Q

What is the calorie content of 20% lipids?

21
Q

What is the calorie content of 20% lipids?

22
Q

What is the calorie content of 20% lipids?

23
Q

What is the calorie content of D25%?

24
Q

How many calories are in each gram of protein or carbs?

25
Mechanism of phenytoin?
Na channel blocker
26
Lamotrigine mechanism of action?
Decreases glutamate
27
Valproate acid mechanism of action?
Increases GABA
28
Ketamine mechanism of action?
NMDA (glutamate) antagonist