mikenakhla's version from 2016-05-20 22:48


Question Answer
• Thoracic trauma then tachypnea and paradoxical thoracic wall movements (chest wall moves in when you inhale), what is this and how do you treat it?Flail chest, multiple contiguous rib fractures. treat with positive pressure ventillation.
• Nausea, vomitting, abdominal bloating, dilated bowel loops on X ray, sudden onset, hyperactive bowel soundsmall bowel obstruction
• Give this before attempting intubation in a patient with croupracemic epinephrine
• Treat acute glaucoma emergently with what? What do you avoid?mannitol, acetazolamide, pilocarpine, or timolol. Avoid atropine b/c that can dilate the eye!
• Chest trauma then X ray shows bowel in chest, possibly months later if in kidsdiaphragm rupture
• First step after fluid resuscitation in somebody who comes in with blunt abdominal trauma (eg after car accident)intraperitoneal free fluid detection looking for hemorrhage. This is part of the FAST exam (focused assessment with sonography for trauma)
• Patient with severe pain after trauma for example, and hx of opioid abuse, how do you treat their painsame as everyone else bitch
• First choice of fluids with burn patients? Second?(1) Lactated ringer solution (2) Normal saline
• Burns related to a fire, what do you do?give 100% oxygen until carbon monoxide inhalation rules out
• What booster do you give to all burn patients?tetanus unless they have one within past 5 years
• Pain sensation, but pressure sensation intact. Mottled, waxy white skin with ruptured blisters. What severity of burn is this?deep partial thickness.
• Epidermis and dermis, white/gray leathery appearance, do not blanch with pressure. What type of burn is this?full thickness burn
• EKG findings with systemic hypothermia?prominent bradycardia, possible "J waves", positive deflection following a QRS complex
• Treatment of hypothermia? What about if patient is unconscious?warm blankets, warm water gastric and bladder lavage
• Antidote for acetaminophen overdose?acetylcysteine
• Beta blocker antidote?glucagon
• Copper or gold poisoning antidote?penicillamine
• Iron overdose antidote?Deferoxamine
• Lead antidote?EDTA
• Methanol or ethylene glycol antidote?Fomepizole, ethanol
• Muscarinic receptor blocker antidote?physostigmine
• Quinidine or TCAs antidote?Sodium bicarb
• Blunt upper abdominal trauma with bruising but nothing on CT. patient shows up a week later and has chills and pain and poor appetitepancreatic laceration that's abscessed. Can be initially missed on CT scan
• Best initial test for suspected DVT? What do you do first for suspected PE?compression ultrasound, immediately start anticoagulation prior to pursuing a CT angiogram for a PE
• What do you do if someone comes in with lyme disease signs?oral doxy
• High velocity foreign body injury to eye, what do you do if initial pen light exam doesn't reveal any abrasions or foreign bodies?fluorescein exam, to see if they have a corneal abrasion
• Vasopressors can cause spasm and lead to thisischemia of distal fingers and toes.
• Which vaccines should an asplenic person get after splenectomy?Meningococcal, PCV 13 and H flu within 2 weeks of surgery
• Initial choice to diagnose cause of hemoptysis once patient is hemodynamically stable and is adequately ventilated?bronchoscopy
• Tachypnea, tachycardia, after chest trauma, patchy alveolar infiltrate on CXR. Usually develops within minutes and up to first 24 hourspulmonary contusion
• Patient with traumatic spinal cord injury, why do you do a bladder catheter?to assess for urinary retention and prevent acute bladder distention and damage
• Treat someone for smoke inhalation empirically for carbon monoxide poisoning and ____. How do you treat this?cyanide poisoning with hydroxocobalamin or sodium thiosulfate. Nitrites will induce methemoglobinemia and that helps by binding the cyanide in blood stream
• Kid or baby comes in with neck torticollis. What do you do first?x ray first, to make sure no c spine fracture.
• Subcutaneous emphysema, pneumomediastinum, persistent pneumothorax even after chest tube placement in a patient with blunt chest traumatracheobronchial rupture
• Use this to determine presence of active intraperitoneal hemorrhage prior to doing surgery in an abdominal trauma patientDiagnostic peritoneal lavage

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