Term
| Sudden painless loss of vision, usually in 1 eye, and a "Cherry Red Spot" on PE indicates |
|
Definition
| Central Retinal AA occlusion |
|
|
Term
| eye pain and HA, halos around lights and increased IOP indicates what eye d/o |
|
Definition
| Acute Angle closure glaucoma |
|
|
Term
| acute painless vision loss, primarily in one eye with a "blood and thunder fundus" indicates what eye d/o? |
|
Definition
| central retinal VV occlusion |
|
|
Term
eye d/o that is assoc w/ polymyalgia rheumatica, incr sed rate and CRP. presents as acute painless optic ischemia sometimes w/ jaw pain, HA, scalp and temporal aa tenderness.
**Can lead to what? |
|
Definition
Giant Cell Temporal Arteritis
leads to blindness if not treated |
|
|
Term
| neck radiographs show "thumb print sign" indicates what disorder? |
|
Definition
|
|
Term
| epiglottitis is most commonly caused by what pathogen? |
|
Definition
|
|
Term
C.diff is caused by what?
tx w/ what? |
|
Definition
caused by abx usages (clinda or other broad spec abx)
tx w/ flagyl |
|
|
Term
| how many days after abx tx does c diff usually show up? |
|
Definition
|
|
Term
| Priapism can present in patients w/ what disorder? |
|
Definition
|
|
Term
| when pulmonary embolism is suspected what test should be ordered? |
|
Definition
|
|
Term
| kehr sign suggests injury of what organ |
|
Definition
| spleen--> splenic rupture |
|
|
Term
| pain radiating to the left shoulder/back is called is what sign |
|
Definition
| kehr sign (splenic injury) |
|
|
Term
| most commonly injured abdominal organ following blunt trauma? |
|
Definition
|
|
Term
| MVA with abd pain, tender over 9th/10th rib indicates injury of what |
|
Definition
|
|
Term
| most common cause of pnuemo in healthy individuals |
|
Definition
|
|
Term
| most common cause of pnuemo in smokers |
|
Definition
|
|
Term
| what lobe are most pneumos found in? why? |
|
Definition
| RLL-->d/t gravity and anatomy |
|
|
Term
|
Definition
Peaked T-waves
proloned P-R interval
|
|
|
Term
| resp dz in kids that presents w/ fever, stridor, and is worse at night |
|
Definition
|
|
Term
| croup is caused by what pathogen |
|
Definition
|
|
Term
| xray shows "steeple sign" |
|
Definition
|
|
Term
| what is used to tx croup? |
|
Definition
|
|
Term
| nn roots for elbow, wrist, and finger extension |
|
Definition
|
|
Term
| most common fx in children |
|
Definition
|
|
Term
|
Definition
|
|
Term
| what type of fx presents w/ "battle sign", raccoon eyes, hemtypaneum (ear bleed)? |
|
Definition
|
|
Term
| acromioclavicular displacement generally occurs in what direction? |
|
Definition
|
|
Term
| most common direction for glenohumoral dislocation? |
|
Definition
|
|
Term
| what nn is commonly injured in a glenohumoral dislocation? |
|
Definition
|
|
Term
| snuff box tenderness can indicate a fx of what bone? |
|
Definition
|
|
Term
| how do you tx a scaphoid fx? |
|
Definition
|
|
Term
| how do you dx a scaphoid fx? |
|
Definition
by presentation!
X-rays usually negative!
"snuff box" tenderness |
|
|
Term
| what is a risk factor for an untreated scaphoid fx? |
|
Definition
|
|
Term
| most common carpal bone fx |
|
Definition
|
|
Term
| Xray w/ dilated loops of bowel with air--> what do you do next? |
|
Definition
Immediate surg refer
NG tube to decompress
IV access |
|
|
Term
| pt presents w/ PE and cardiac tampenad. what type of shock is present |
|
Definition
Obstructive
(some books lump obstructive and cardiogenic together tho) |
|
|
Term
| reye syndrome mainly affects what organs? |
|
Definition
|
|
Term
| what history suggests reye sx? |
|
Definition
| child w/ viral illness who is given ASA |
|
|
Term
| eye d/o w/ curtain vision and no red light reflex |
|
Definition
retinal detach
(also saw vitreous hemorrhage as poss) |
|
|
Term
| severe unilateral HA, assoc w/ rhinitis and tearing, more common in men, and builds in intensity |
|
Definition
|
|
Term
|
Definition
oxygen
other HA meds such as triptans or ergots |
|
|
Term
| most common cause of met. acidosis w/ incr anion gap |
|
Definition
|
|
Term
| what arrythmia is associated w/ COPD, theophylline and Beta-agonists? |
|
Definition
MAT
(multifocal atrial tachy) |
|
|
Term
| which of the following are NOT assoc w/ high anion gap met acidosis? ethanol, methanol, ketoacidosis, uremia, or ethylene glyocol |
|
Definition
| ETHANOL!--> only causes mild lactic acidosis usually |
|
|
Term
| most common mechanism of ankle injury |
|
Definition
| external rotational force |
|
|
Term
| most commonly injured ligament for external rotation of ankle |
|
Definition
|
|
Term
| most common ligament injured of ALL ankle sprains |
|
Definition
|
|
Term
| ST segment elevation indicates what |
|
Definition
|
|
Term
| ST segment depression indicates what |
|
Definition
|
|
Term
| What BP med is used for pregnancy induced HTN |
|
Definition
|
|
Term
| most specific cardiac enzyme for injury |
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
| most likely pathogen in cat bite |
|
Definition
|
|
Term
| hyperkalemia, hyponatremia, and hypoglycemia are commonly seen with what type of disorder? |
|
Definition
| adrenal insufficiency (addison's, CA ect) |
|
|
Term
| most common cause of nontraumatic cardiac tampenade |
|
Definition
|
|
Term
| peripheral wedge shaped consolidation in a pt w/ PE is called |
|
Definition
|
|
Term
| drug of choice for hypertensive encephalopathy |
|
Definition
|
|
Term
| most common cause of large bowel obstruction in adults |
|
Definition
|
|
Term
| what dermatome level is at the nipple line? |
|
Definition
|
|
Term
| in a pt w/ thyroid storm, what proper sequence of sx treatment? |
|
Definition
1st tx affects of hyperactive thyroid (beta blocker)
2nd inhibit thyroid hormone synthesis (PTU)
3rd stop hormone release (iodine) |
|
|
Term
| Most common cause of bacterial meningitis in newborn-1month |
|
Definition
| Group B strep > e. coli > listeria |
|
|
Term
| most common cause of bacterial meningitis in pt 1 month-3 mos |
|
Definition
|
|
Term
| most common pathogen in bacterial meningitis in pts 3 mos -17 yrs |
|
Definition
|
|
Term
| most common cause of bacterial meningitis in pts 18 yrs and older |
|
Definition
|
|
Term
| 45 yo pt presenting w/ photophobia and smaller unilateral pupil on one side (marcus gunn) most likely caused by? |
|
Definition
| central retinal artery occlusion |
|
|
Term
| pt w/ decr visual acuity, red eye, and "steamy" or hazy cornea is most likely to be suffering from |
|
Definition
|
|
Term
| triad of abdominal pain, arthritis, and non thrombocytopenia purpura is indicative of what disorder? usually also has rash |
|
Definition
|
|
Term
| henoch-scheinlon usually affects what type of pts |
|
Definition
|
|
Term
| painless honey crusted lesions are found in pediatric pts w/ |
|
Definition
|
|
Term
| following upper extremity injury, wrist drop on physical exam indiates injury to what nn? |
|
Definition
|
|
Term
| in a child w/ fever, sore throat, neck pain and a "duck-like" voice you should suspect what d/o |
|
Definition
|
|
Term
| what is the antedote for tylenol overdose? |
|
Definition
|
|
Term
| most common cause of death by hemorrhage in patients w/ hemophilia A |
|
Definition
|
|
Term
| what spinal level controls patellar reflexes? |
|
Definition
|
|
Term
| what test should be performed before performing ABG's on the radial aa |
|
Definition
|
|
Term
| when performing a Lumbar puncture is opening pressure valid if the patient is sitting during the proceedure? |
|
Definition
NO!
must be in the supine position |
|
|
Term
| this entubation technique is used most commonly for pneumothorax and hemothorax. |
|
Definition
|
|
Term
| this type of entubation has NO absolute contraindications |
|
Definition
|
|
Term
| position for inserting tube thoracostomy |
|
Definition
| 5th intercostal space anterior to midaxillary line |
|
|
Term
| 5 rights of the patient for injection techniques |
|
Definition
1. patient
2. drug
3. dose
4. route
5. time |
|
|
Term
| what is the standard approach used to creating an emergent surgical airway? |
|
Definition
|
|
Term
| most common cause of upper airway obstruction |
|
Definition
|
|
Term
| most common cause of cardiac arrest in infants |
|
Definition
|
|
Term
| what imaging technique is used to locate a foreign body in the trache or bronchus |
|
Definition
|
|
Term
| is mechanical ventilation necessary in ARDS? |
|
Definition
|
|
Term
| what must be done immediately on a patient w/ epiglottitis |
|
Definition
airway stabilization
INTUBATE! |
|
|
Term
| drug of choice in cardiac shock? |
|
Definition
|
|
Term
| #1 cause of death in the ICU |
|
Definition
|
|
Term
| septic shock most commonly caused by what type of bacteria |
|
Definition
|
|
Term
| what type of lesions are most common in coma |
|
Definition
|
|
Term
| what is the coma cocktail? |
|
Definition
| thiamine, glucose and naloxone |
|
|
Term
|
Definition
|
|
Term
| myoclonic jerking is indicative of what |
|
Definition
|
|
Term
| in a non-responsive pt what type of imaging should be performed |
|
Definition
| CT w/o contrast--> r/o hemorrhage and mass |
|
|
Term
| is subdural hematoma cause by aa or vv bleeding? |
|
Definition
|
|
Term
| is a lumbar puncture contraindicated in subdural hematoma or subarachnoid hemorrhage |
|
Definition
|
|
Term
| "worst HA of my life" think |
|
Definition
|
|
Term
| if a CT scan is negative for a subarachnoid hemorrhage what should the next step be? |
|
Definition
|
|
Term
| medication used to tx incr intracranial pressure |
|
Definition
mannitol
also raise head of bed! |
|
|
Term
| in a stroke pt what aa is most likely affected when focal signs show hemiparesis |
|
Definition
|
|
Term
| most common type of chronic recurring HA |
|
Definition
|
|
Term
|
Definition
|
|
Term
| most common form of sickle cell crisis in kids |
|
Definition
|
|
Term
| most common acute life-threatening complication of diabetes |
|
Definition
|
|
Term
| #1 sign in thyrotixicosis |
|
Definition
|
|
Term
| what is found in most pts w/ myxedema coma |
|
Definition
|
|
Term
| what acid/base disorder is usually seen in pts w/ COPD and obesity |
|
Definition
|
|
Term
| carbon monoxide poisoning results in hypoxia and lactic acidosis leading to injury of what organ |
|
Definition
|
|
Term
| following lightening burns, what are the most common cause of death |
|
Definition
|
|
Term
| what acid base disorder is always present in drowning victims |
|
Definition
|
|
Term
| in patients w/ V fib what med is given first |
|
Definition
|
|
Term
| most shoulder dislocations occur in what direction |
|
Definition
|
|
Term
| most commonly injured knee ligament |
|
Definition
| medial collateral ligament |
|
|
Term
| what knee ligament injury is associated w/ MVA's |
|
Definition
|
|
Term
| Patellar dislocation almost always occurs in what dirrection |
|
Definition
|
|
Term
| what increased serum level is a good indicator for patients in shock |
|
Definition
|
|
Term
| pt w/ PUD and rigid abdomen should be tx w/ what |
|
Definition
| NG suction to drain gastric acid |
|
|
Term
| possible xray finding of pt w/ perforated peptic ulcer |
|
Definition
|
|
Term
| bloody diarrhea indicated what type of infxn |
|
Definition
|
|
Term
| currant jelly stools indicate what bowel disorder |
|
Definition
|
|
Term
| leading cause of pregnancy related death in first trimester |
|
Definition
|
|
Term
| kleihouer-bertke test is used to detect what? |
|
Definition
fetal blood cells in maternal circulation
(fetal distress) |
|
|
