Stuff To Learn

Question 1

ABC score

Answer 1

Predictive of the need for massive transfusion. 2 or more 75%sensitive 86% specific

1) penetrating trauma
2) sbp <90
3) arrival heart rate >120
4) positive fast exam

Question 2

Drugs that cause angioedema

Answer 2

Ace inhibitors but also arbs and renin antagonists (unknown mechanism) and nsaids cause accumulation of leukotriene mediators usually with urticaria and facial swelling

Question 3

Helpful labs in hereditary angioedema

Answer 3

c4 and tryptase

C4 is low in hereditary angioedema
Tryptase level is normal in hae and elevated in anaphylaxis and mastcell mediated disorders

Question 4

Additional adjunct treatments for angioedema

Answer 4

Ffp

Question 5

What is tsi

Answer 5

“Transient symptoms with infarction”. Between tia and stroke, evidence of infarction imaging but resolution of symptoms

Question 6

Absence of restricted diffusion on MRI and abcs2 score <4

Answer 6

100% sensitivity excluding stoke at 7 days

Question 7

Why do we do permissive hypertension in stroke?

Answer 7

The thought is ischemic brain loses ability to auto regulate and requires higher cerebral perfusion pressure

Question 8

What percent risk reduction does aspirin allow in tia?

Answer 8

15% of recurrent stroke

Dose doesn’t matter 81 is just as good

Question 9

What inr is tpa contraindicated?

Answer 9

1.7

Question 10

What percentage of strokes are thrombotic versus embolus?

Answer 10

60% thrombotic

40% embollic

Question 11

When is renal imaging in trauma appropriate?

Answer 11

Gross hematuria, microscopic hematuria with hemodynamics instability

Question 12

Intrinsic plus

Answer 12

15 90 15

Question 13

Best treatment for mallet finger

Answer 13

Dorsal splint, less soft tissue betweenfixation and fracture

Splint in extension, no removed for 6-8 weeks