Test 1

Question 0

VS thyroid

Answer 0

C4-6 T2

Question 1

VS for oropharynx

Answer 1

T1-2

Question 2

VS lung

Answer 2

T1-4 Ipsilateral

Question 3

VS pancreas

Answer 3

T5-9 bilateral

Question 4

Liver VS

Answer 4

T5-10 R

Question 5

VS uterus

Answer 5

T9-L2 bilateral

Question 6

Adrenals Vs

Answer 6

T8-10 Ipsilateral

Question 7

VS spleen

Answer 7

T7-9 L

Question 8

Prognostic burn index

Answer 8

Age + TBSA + 20% if inhalation injury

Question 9

Nutrition for burn patient

Answer 9

25kcal/kg body weight + 40 kcal/%TBSA

Question 10

Tylenol metabolism

Answer 10

> 95% liver ((20-46 sulfation, 40-67 glucuronidation)
<5% cytochrome p450
(Produces napqi, when glutathione below 30% causes hepatocellular death)

Question 11

Tylenol toxicity level

Answer 11

140mg/kg single ingestion

7.5g/24 hours

Question 12

Acute adult ASA OD findings

Answer 12

N/V
Tinnitus
Sweating
Hyperventilating
Respiratory alkalosis 
Metabolic acidosis

Question 13

GI cocaine problems

Answer 13

Body stuffers - poorly packaged, may show Sx coke tox

Body packers - well packaged, tox if one breaks

Question 14

Pinpoint pupil D/D

Answer 14

Opiate OD

Pontine stroke

Question 15

Opiate OD triad

Answer 15

Miosis
Rspiratory deprression
Coma

Question 16

Non cardiogenic pulmonary edema D/D

Answer 16

Opioid OD

Aspirin OD

Question 17

Wernicke encephalopathy triad

Answer 17

Ataxia
Ophthalmoplegia
Encephalopathy

Question 18

Korsakoff amnesia signs

Answer 18

Antero/retro amnesia
Confabulation
Apathy

Question 19

Warfarin Reversal

Answer 19

Vitamin K but it’s slow

FFP has clotting factors

Question 20

Heparin reversal

Answer 20

Protamine sulfate

Question 21

Pradaxa or xarelto reversal

Answer 21

Doesn’t exist yet

Question 22

Most common cause of pneumonia in all people (normal and HIV)

Answer 22

Pneumococcus or streptococcus

Question 23

What can HIV patients get pneumonia from that non immunocompromised people do not?

Answer 23

Pneumocystic croni

Question 24

Where is the trachea deviated in a pneumothorax?

Answer 24

Away from the pneumothorax side | Right pneumo thorax trachea will deviate left

Question 25

Chest pain wit stroke like Sx could e what

Answer 25

Dissection

Question 26

What is most likely for kid/old person with HA?

Answer 26

Kid cancer | Old stroke

Question 27

Internal carotid stroke

Answer 27

Unilateral hemo paresis, facial droop

Question 28

MCA stroke

Answer 28

Contralateral hemiparesis greater in arm and face than leg Dysarthria, aphasia, homonymous hemianopsia Talking and swallowing problems Gaze preference toward stroking side

Question 29

ACA stroke

Answer 29

Contralateral hemiparesis greater in leg Memory loss, confusion Incontinence

Question 30

PCA

Answer 30

Hemiplegia Pur Hemi sensory loss Down and out eye/homonymous hemianopsia Cortical blindness, visual agnosia, memory loss

Question 31

Vertebral artery stroke

Answer 31

Gait, ataxia, dysarthria, dysphagia, vertigo

Question 32

Basilar strike

Answer 32

Diplopia or vision loss

Question 33

Headss questionnaire

Answer 33

``` Home and enviro Education and employment Activities Drugs Sexuality Suicide or depression ```

Question 35

Difference between cytotoxic and vasogenic cerebral edema

Answer 35

Cytotoxic - intravellular, lactic acid | Vasogenic - interstitial, leaky bbb

Question 36

Lacunar stroke sign

Answer 36

asymp but can have pure senosry or motor loss contralateral

Question 37

Vertebrobasilar sichemia signs

Answer 37

dizzy, diplopia, ataxia, bilateral motor/sens, veritcal nystagmus

Question 38

basilar stroke

Answer 38

locked in syndrome. massive damage. bad.

Question 39

PCA stroke

Answer 39

contra hemiparesis and decrease proprioception leg contra weakness contra homonymous hemianopsia

Question 40

ASA Stroke

Answer 40

tongue deviates to same side as stroke | contra hemiparesis & decrease proprioception leg

Question 41

PICA/VA sroke

Answer 41

vomiting, vertigo, nystagmus, ataxia | Horners v Wallenberg

Question 42

AICA stroke

Answer 42

decreased taste and corneal reflex, Horners

Question 43

COnduction aphasia location of lesion?

Answer 43

arcuate fasciculus

Question 44

Which type of stroke has hyperdense sign?

Answer 44

MCA

Question 45

most common cause of IPH?

Answer 45

uncontrolled hypertension

Question 46

most common cause of SAH?

Answer 46

berry aneurysm rupture

Question 47

possible complication of SAH?

Answer 47

vasospasm & rebleed

Question 48

cause of venous thrombosis?

Answer 48

hypercoagulable state

Question 49

Charcot Bouchard aneurysm?

Answer 49

chronic HTN, small vessels in BG or thalamus

Question 50

Berry aneurysm location?

Answer 50

circule of willis - anterior communicating.

Question 51

Mycotic aneurysm

Answer 51

septic embolism, distal vessels @ cortical surface

Question 52

significant complication of Mycotic aneurysm

Answer 52

SAH

Question 53

gram neg cocci causing meningitits?

Answer 53

meningoccocci

Question 54

gram pos cocci causing meningitis?

Answer 54

strep pneumococcus

Question 55

gram neg rod causing meningitis?

Answer 55

h influenza

Question 56

gram pos rod causing meningitis?

Answer 56

listeria

Question 57

meningococcal meningitis distinguishing things?

Answer 57

purulent spinal fluid, purpuric rash | C5-9 deficiency (neisseria) GROUP B

Question 58

pneumococcal meningitis distinguishing things?

Answer 58

most common one in adults! test for HIV | no rash but purpura fulminans & overwhelming spesis

Question 59

listeria meningitis distinguishing things?

Answer 59

preceding GI illnes | HOdgkin, HIV, pregnancy

Question 60

cryptococaal meningitis distinguishing things?

Answer 60

pigeon droppings, construction worker