Rosh Mock Flashcards by Molly Shipman

MAT

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non-typical meds that can cause serotonin syndrome

Cocaine, 3,4-methylenedioxymethamphetamine, amphetamines, tramadol, meperidine, ondansetron, dextromethorphan, and tricyclic antidepressants

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biggest risk factor for peptic ulcer disease

h pylori

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most common site of implantation endometriosis

ovary; if having introitus pain then cervix

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Arrhythmogenic right ventricular cardiomyopathy

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LVAD pump thrombosis

high power; increased LDH

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increased risk of pul aspiration with hydrocarbons

low viscosity and high volatility, low surface tension

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RF for pneumomediastinum

asthma

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first med for adrenal crisis

hydrocortisone

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tx for non preggo vag bleeding

estrogen, OCPs, IUD

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HIV PEP

Give within 72 hours; ideal is within 2 hours of exposure; Tenofovir + emtricitabine with raltegravir or dolutegravir for 28 days

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tx priapism

aspiration (best if <4h onset) and then phenylephrine injections at 2 o clock or 10 o clock position

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Meniere disease triad

hearing loss, episodic vertigo, and tinnitus

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tx Meniere disease

lifestyle (salt restriction), thiazide diuretics

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erysipelas description

Well-demarcated erythema with a raised border

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barcode sign

pneumothorax

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strawberry cervix

trichomonas (flagellated), green/yellow frothy discharge

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Which of the following is the most common sequela of lightning injuries?

TM rupture

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sacroiliitis

atraumatic lower back pain and stiffness that is worse in the morning and improves with activity.

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de winter criteria

aVR: upsloping STE
precordial leads: ST depression and tall t waves

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tx meningitis with rocephin allergy

moxifloxacin

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Anomalous origin of the left coronary artery ekg

deep Q waves in leads I, aVL, V5, and V6

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thoracotomy indications

initial chest tube output > 20 mL/kg (or 1,500 mL) or subsequent output of > 200 mL/hour over 3 hours

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idiopathic intracranial htn eye palsies

lateral gaze palsy (CN VI)

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congo red and apple green birefringence

amyloidosis

epiglottitis

fracture of which bone is most often involved in acute compartment syndrome?

tibia

biggest risk factor for developing septicemia from vibrio

cirrhosis

erythema multiforme

most common cause of erythema multiforme

herpes simplex virus 2nd: penicillins

What is the most common radiographic finding in a child with bacterial tracheitis?

subglottic narrowing

pacemaker placement causes

LBBB

A chronic cough in younger children is most commonly attributed to

asthma, protracted bacterial bronchitis, and a nonspecific cough that resolves spontaneously.

Mallet finger

inability to extend the DIP joint, which causes flexion to the DIP at rest.

boutonnière deformity

Hyperflexion of the proximal interphalangeal joint with hyperextension of the distal interphalangeal joint

most common and most important predisposing risk factor for aortic dissection

HTN

Human-derived botulism immune globulin is used for

child <1 botulism

Equine serum botulinum antitoxin is used for

adult botulism

orchitis >50 yo

e.coli

orchitis <50 yo

neisseria

What is the first-line pharmacotherapy for treating a patient with bulimia nervosa?

fluoxetine

drug that causes euglycemic DKA

sodium-glucose cotransporter 2 (SGLT2) inhibitors, such as empagliflozin and dapagliflozin due to glucosuria

anterior hip dislocation leg position

Extension, adduction, and external rotation

posterior hip dislocation leg position

Flexion, adduction, and internal rotation

tidal volume calculation

ideal body weight x 6-8ml/kg

neutropenic fever requirements

fever 38.3 or higher or 38 for >1h ANC <500

TTP pentad

Fever Anemia Thrombocytopenia Rash Neuro s/sx

TTP causes

preggo, AIDS, lupus, scleroderma, sjogren, cyclosporine, quinidine, tacrolimus

tx TTP

plasmapheresis

tx methanol tox

fomepizole (first line), folinic acid, bicarbonate, hemodialysis

peritoneal dialysis peritonitis dx criteria

WBC >/=100 and PMNS >50%

MC strangulation injury

hippocampal ischemia

neurocysticercosis tx

albendazole +/- praziquantel

diaphragmatic rupture can cause

bowel strangulation

lithium toxicity tx

mild: normal saline severe: hemodialysis

radial head fx tx

sling and ortho f/u can do posterior splint vs sugar tong for 24-48 h

left ventricular aneurysm ekg findings

QS waves with persistent ST elevation in leads V2–V4

what region does FAST not evaluate for

retroperitoneal

scalpel size for I&D

pinworm tx

Pyrantel pamoate

what time period would a patient be at risk of developing poststreptococcal glomerulonephritis?

1-2 weeks

auricular hematoma tx

i&d then pressure dressing

What is the most common cause of gross hematuria in children presenting to the ED?

UTI

tx scleroderma renal crisis

ACEI