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1
Patient w/ calcium <15 w/ AMS, most important rx?
Saline Diuresis
Calcitonin
Dialysis
Phosphate binders
2
What disease process do this indicate?
Croup
Foreign body in esophagus
Normal Airway
Epiglottis
3
Vaginal discharge, pH >4.5,fishy odor with KOH, & clue cells. What is rx?
Doxycycline
Fluconazole
Ceftriaxone
Metronidazole
4
Patient presents w/ months of diarrhea and weight loss, now AMS, Na 125, K7.5, Glu 55 - definitive Rx?
Dialysis
Hydrocortisone
Fluids, Dextrose, Insulin, Calcium Gluc
Fluid Restriction
5
Patient with LVAD presents with diaphoresis, SOB, and LVAD alarm reading higher power and lower flow rate
Pump Thrombosis
Battery Malfunction
Controller Fault
Drive Line Infection
6
A patient presents 1 wk s/p URI. Now with weakness and absent reflexes of his lower extrems. What will CSF show?
Normal Protein, WBC < 100
High Protein, WBC Variable
High Protein, WBC 0 -5
High Protein, WBC > 1,000
7
Is this a bad snake? Got bit and I feel dizzy.
No - Treat supportively
Yes - Treat Supportively
No - Treat with abx
Yes - Treat with Coral Snake Anitvenmom
8
This fracture would cause what palsy?
Wrist Drop
Paresthesias of first three fingers and radial half of fourth digit
Diminished sensation of palmar surface of hand
Diminished sensation on ring and small finger
9
Which of the following is a contraindication for tPA?
Intracranial surgery 5 months ago
Head Trauma 4 months ago
Previous intracranial hemorrhage 5 months ago
GI hemorrhage 3 months ago
10
Which animal is the largest reservoir for rabies?
Skunks
Foxes
Bats
Raccoons
11
Lab: Elevated ketones w/o an anion gap; what is the ingestion?
Acetone
Isopropyl Alcohol
Ethylene Glycol
Methanol
12
Someone eats a fish then walks outside in the winter and feels hot? What fish?
Red Lobster's Shrimp Scampi
Cigutera
Scombroid
Box Jelly Fish
13
Young person inhales party substance, low sat, cyanosis. Rx?
Sodium Thiosulfate
Methylene Blue
Sodium Nitrite
Pralidoxime
14
A 65 y/o male presents with symptoms of renal colic and has blood in the urine. What is the best next test?
Abdominal US
Urinalysis
CT Abdo/pelv w/o Contrast
BMP
15
Painless presents after cataract surgery w/ cell and flare and ciliary flush. Diagnosis?
Angle closure Glaucoma
Uveitis
Iritis
Endopthalmitis
16
Ate this mushroom, which symptoms most predicts benign corse?
Absence of neurologic symptoms
Dots or scales on the caps of the mushrooms
Normal LFTs on initial presentation
Symptoms occuring within 2 hours of ingestion
17
4 week old boy presents with hypochloremic metabolic alkalosis. Which infxn did the patient likely have in the past?
N. Gonorrhea
C. Trachomatis
Group B Strep Septicemia
Listeria Septicemia
18
What does placing a magnet on an AICD do?
Turns the pacemaker off
Disables defibrillation
Overrides pacing
Resets pacing to value of 70 BPM
19
Most common surgical emergency in pregnancy?
Cholecystitis
Kidney Stone Obstruction
Uterine Perforation
Appendicitis
20
Which induction medication can cause chest and jaw rigidity?
Etomidate
Propofol
Ketamine
Fentanyl
21
Diver surfacing with headache and leg numbness has developed what?
Being a Baby
Decompression Sickness
Arterial air embolism
Nitrogen Narcosis
22
Patient on ACE inhibitor presents w/ SOB, treatment?
Observation
FFP
C1 inhibitor concentrate
PCC
23
Patient w/ lethargy - Na 139, Cl 101 , bicarb 27, BUN 15, Creat 3.1, glu 90, ketone 2.1, serum osm 310, pH 7.42 - Rx?
Dialysis
Fomepazole
Sodium thiosulfate
Supportive
24
Treatement for TTP?
Plasmapheresis
Platelet Transfusion
Thoughts and Prayers
Steroids
25
This rash, hematuria, abdominal pain in a child
Measles
HSP/IGA Vasculitis
Disseminated Neisseria
Rubella
26
What is the appropriate management of a patient with this arrythmia and stable blood pressure?
Procainamide
Diltizaem
Adenosine
Metoprolol
27
Fracture?
Galeazzi
Monteggia
Ulnar Shaft Fracture
The Bad one
28
Patient with this ECG - Rx?
DigiFab
Active Warming
Calcium Gluconate
High Dose Insulin, Dextrose
29
What is the most common cause of the following EKG typically demonstrate?
Electrolyte abnormality
Cardiomyopathy
Dig Toxicity
Reperfusion after acute MI
30
You see this EKG with hypotension, next step
Give Nitroglycerin
Start Betablocker
Give diuretics
Give fluids
31
What is the most sensitive modality for evaluating a 26 wk pregnant pt s/p blunt trauma with abdominal pain?
Cardiotocographic monitoring
Kleinhaver-Betke Test
Serial Abdominal Exams
Pelvic Monitoring
32
Iron Overdose - rx?
Activated Charcoal
Sodium Thiosulfate
Deferoxamine
Dialysis
33
Ate potato then 2 hours started to have vomiting/diarrhea; which bacteria?
Bacillus Cereus
Salmonella
Shigella
Entertoxigenic E. Coli
