Inservice Review: Word Association And High Yield

Front 1

Cerebral perfusion pressure equation?

Normal value?

Back 1

MAP - ICP

7-15

Front 2

What is the Kleihauer-Betke test?

Back 2

quantifies volume of fetomaternal hemorrhage to determine need for Rh immunoglobulin

Front 3

lunate/perilunate dislocation associated with what nerve injury?

Back 3

Median

Front 4

Colles/Smith fractures associated with what nerve injury?

Back 4

Median

Front 5

Monteggia fracture associated with what nerve injury?

Back 5

Radial

Front 6

Humeral shaft fracture associated with what nerve injury?

Back 6

Radial nerve

Front 7

Galeazzi fracture associated with what nerve injury?

Back 7

Ulnar nerve

Front 8

Proximal humerus fracture associated with what nerve injury?

Back 8

Axillary

Front 9

anterior shoulder dislocation associated wtih what nerve injury

Back 9

Axillary

Front 10

prox humerus fracture associated with what artery injury?

Back 10

Axillary

Front 11

distal humerus fracture associated with what artery injury?

Back 11

Brachial

Front 12

Smith fx fracture associated with what artery injury?

Back 12

Radial

Front 13

tibial plateua fx or knee dislocation associated with what artery injury?

Back 13

Popliteal

Front 14

Long bone fx + petechiae + AMS + hypoxia =

Back 14

fat emboli syndrome

Front 15

Dinner fork deformity-

Back 15

Colles fx (posterior angulation)

Front 16

Garden spade deformity-

Back 16

Smith fx (anterior angulation)

Front 17

Thompson test abnormal

Back 17

achilles tendon rupture

squeeze calf no plantar flexion

Front 18

Bohler’s angle of what degree signifies a fx?

what is the fx of?

Back 18

20 degrees

calcaneus fx

Front 19

Fleck sign

'

Back 19

avulsion fx of 2nd metatarsal

aka Lisfranc fx

Front 20

Migratory septic arthritis in young person

Back 20

Gonorrhea

Front 21

Torsades treatment-

Back 21

Unstable: cardioversion

Stable: Mg or overdrive pacing

Front 22

What type of MI do you see in the following AV block?

1st degree

Back 22

inferior

Front 23

What type of MI do you see in the following AV block?

2nd degree type one

Back 23

inferior

Front 24

What type of MI do you see in the following AV block?

2nd degree type II

Back 24

anteroseptal

Front 25

Multifocal atrial tachycardia cause?

Back 25

COPD/hypoxemia

Front 26

What is a CHADS2 score?

Back 26

risk of stroke in afib patients

CHF

HTN

Age>75

DM

Prior stroke

0-1 points: ASA

2 points: ASA/coumadin

>3: coumadin

Front 27

What increases the HOCM murmur?

Back 27

Valsalva/standing

Front 28

What decreases the HOCM murmur

Back 28

squatting

hand grip

trendelenburg

Front 29

What increases the murmur in Aortic stenosis

Back 29

squatting

hand grip

trendelenburg

Front 30

what decreases the murmur in aortic stenosis

Back 30

valsalva/standing

Front 31

MVP associated with what developmental diseases

Back 31

Marfan's

Ehler-Danlos

Front 32

Jones Criteria for rheumatic fever?

Back 32

Polyarteritis

Carditis

SC nodes

Erythema marginatum

Syndenham's chorea

Front 33

Left sided endocarditis cause

Back 33

Strep viridans

Front 34

Right sided endocarditis cause

Back 34

s. aureus (IVDA)

Front 35

Non-tender plaques on palms/sole in rheumatic fever=?

tender?

Back 35

non-tender=Janeway

tender=Osler

Front 36

Vent settings for ARDS?

Back 36

Low tidal volume (6mL/kg)

High PEEP

Front 37

Vent settings for asthma

Back 37

low tidal volume

low rate

permissive hypercapnea

Front 38

Pna after flu =

Back 38

staph aureus

Front 39

pna during pregnancy =

Back 39

varicella

Front 40

classically bullous myringitis, CXR worse than clinical appearance =

Back 40

mycoplasma

Front 41

Abd pain + abnormal LFTs + pna =

Back 41

Legionella

Front 42

What electrolyte imbalance might you see in legionella pneumonia

Back 42

Hyponatremia

Front 43

Empyema + RUL infiltrate with bulging fissure =

Back 43

Klebsiella

currant jelly sputum

Front 44

Most common cause of abscess/pneumonia?

Back 44

Anaerobes

Front 45

pneumonitis, erythema nodosum, arthritis, arizona/new mexico

Back 45

Coccidiomycosis

Front 46

pna with sheep/goat/cattle

Back 46

Coxiella/Q fever

Front 47

pna with severe headache and pet bird

Back 47

Psittacosis

Front 48

Abd pain + Afib or severe CHF or digoxin or vasopressure use

Back 48

Mesenteric ischemia

Front 49

Alcoholic + vomiting + CP/left pleural effusion

Back 49

Boerhaave's

Front 50

Painless massive lower GI bleed in adult

Back 50

Diverticulosis

Front 51

Esophageal web associated with what deficiency?

Back 51

Iron

Front 52

SBO/ileus associated with what electrolyte problem?

Back 52

hypokalemia

Front 53

Diarrhea, pet turtle/iguana or sickle cell or s/p splenectomy or poultry/eggs, + fecal WBC ->

Back 53

Salmonella

Front 54

D after poultry/meat, no fecal WBC =

Back 54

c. perfringens

Front 55

diarrhea after raw oysters

Back 55

vibrio cholera

Front 56

diarrhea + hepatic abscess

Back 56

entamoeba histolytica

Front 57

Vomiting without diarrhea, low grade fever, lethargy, colicking abd pain, currant jelly stools

Back 57

intussusception

Front 58

newborn with circulatory collapse in first weeks of life that is unresponsive to IVF

Back 58

adrenal crisis

Front 59

Give 5 findings of Kawasaki disease

Back 59

Bilateral non-exudative conjunctivitis

Oral/lip changes (strawberry tongue, fissured lips)

palm/sole erythema

polymorphous rash

unilateral cervical LAD

Front 60

Steeple sign + barking cough =? (and cause)

Back 60

croup

parainfluenzae virus

Front 61

Thumbprint sign=

Back 61

Epiglottitis

Front 62

“Egg on a string” CXR =

Back 62

transposition of great arteries

Front 63

Machine like murmur =

Back 63

patent ductus arteriosus

Front 64

tram track sign on upper GI =

Back 64

pyloric stenosis

Front 65

Slapped cheek rash = (cause and name of disease)

Back 65

Parvo B19

5th disease or erythema infectiosum

Front 66

this pediatric rash is associated with an aplastic crisis in sickle cell

Back 66

Slapped cheek

parvo B19

5th/erythema infectiosum

Front 67

Post auricular adenopathy + rash =

Back 67

rubella

aka german measles

Front 68

Pastia's lines seen in what?

Back 68

Scarlet fever (group a strep)

found on flexor creases

Front 69

Persistent foul smelling rhinorrhea in toddler =

Back 69

foreign body

Front 70

Flashing lights, spider webs, curtain falling, vision loss =

Back 70

retinal detachment

Front 71

Blood and thunder fundus =

Back 71

CRVO

Front 72

Cherry red spot and pale retina =

Back 72

CRAO

Front 73

HA, fever, fatigue, anemia, vision change, high ESR- temporal cell arteritis

what is this associated with

Back 73

polymyalgia rheumatica

Front 74

Spontaneous hyphema assoc with

Back 74

sickle cell disease

Front 75

CN 6 palsy, chemosis, inc IOP, fever-

Back 75

Cavernous sinus thrombosis

Front 76

Hot potato voice

Back 76

peritonsilar abscess

Front 77

Conjunctivitis with pre-auricular adenopathy- (2)

Back 77

viral or gonococcal

Front 78

Hypopyon is associated with what?

Back 78

Corneal ulcer

hypopyon= inflammatory cells in the anterior chamber of eye (white cells)

Front 79

steamy cornea, mid-dilated pupil=

Back 79

acute glaucoma

Front 80

optic neuritis is associated with?

Back 80

MS

Sarcoid

TB

leukemia

Front 81

peaked pupil, Seidel test

Back 81

ruptured globe

Front 82

Name the bug associated with the following:

Human bite

Back 82

Eikenella corrodens

Front 83

Name the bug associated with the following:

Cat bite

Back 83

Pasteurella multocida

Front 84

Name the bug associated with the following:

Cat scratch

Back 84

Bartonella henselae

Front 85

Name the bug associated with the following:

Erythema migrans/target lesion, BL CN7 palsy

Back 85

Lyme dz

also cause 1st degree AV block

Front 86

Name the bug associated with the following:

Gastrocnemius muscle tenderness

Back 86

RMSF

Front 87

lesions in all same stage of evolution =

Back 87

smallpox

Front 88

sx of lyme dz but with leukopenia, thrombocytopenia, elevated LFTs

Back 88

Erichiosis

Front 89

Blindness in AIDs

Back 89

CMV retinitis

Front 90

AIDS + solitary ring enhancing lesion on CT

Back 90

lymphoma

Front 91

AIDS+ multiple ring enhancing lesions on CT=?

Treatment?

Back 91

Toxoplasma

tx:

* Pyrimethamine
* Sulfadiazine

Front 92

Chronic subacute HA + AIDS= ?

Tx?

Back 92

Cryptococcus neoformans

tx: Amp B

Front 93

diseases associated with SAH?

Back 93

PCKD

aortic coarctation

Marfans

Ehler-Danlos

Front 94

Dementia, ataxia, urinary incontinence

Back 94

Normal Pressure Hydrocephalus

Front 95

Ipsilateral motor weakness and vibration loss, contralateral pain/temp loss-

Back 95

Brown Sequard

Front 96

Sensory impairment, paraplegia, sphincter dysfunction=

Back 96

transverse myelitis

Front 97

Disease processes assoc with carpal tunnel?

Back 97

DM

Pregnancy

hypothyroid

Front 98

CSF with oligoclonal bands of IgG, increased temp worsens symptoms, intranuclear ophthalmoplegia-

Back 98

MS

Front 99

Lewy bodies=?

Back 99

Parkinsons

in substantia nigra

look for cogwheel rigidity and resting tremor

Front 100

Neuro sx + la belle indifference-

Back 100

Conversion disorder

Front 101

Submandibular gland enlargement, calluses over dorsal fingers-

Back 101

bulimia

Front 102

Malignancy + constipation due to what?

Back 102

Hypercalcemia

Front 103

Malignancy + hypotension, JVD, SOB

Back 103

tamponade or SVC syndrome

Front 104

Malignancy + hypoglycemia

Back 104

adrenal insufficiency

Front 105

Malignancy + hyponatremia

Back 105

adrenal insufficiency or SIADH

Front 106

Malignancy + back pain

Back 106

cord compression

Front 107

Heinz bodies on peripheral smear =

Back 107

G6PD deficiency

watch for sulfa drugs

Front 108

polycythemia vera associated with what cancer?

Back 108

renal

Front 109

Chocolate brown blood, cyanosis that fails to improve with O2

Back 109

methemoglobinemia

Front 110

abd pain, hematuria, palpable purpura

Back 110

HSP

Front 111

Paroxysmal A-tach with AV block (classic) or bidirectional Vtach (specific) =

Back 111

dig toxicity

Front 112

hint: toxic overdose

Back 112

Dig tox

bidirectional V tach

Front 113

hint: toxic overdose

Back 113

TCA overdose

sodium bicarb

Front 114

anion gap =

Back 114

(Na + K) - (Cl + HCO3)

Front 115

Anion gap acidosis + resp alkalosis, fever, hypoglycemia, hypokalemia

Back 115

ASA tox

Front 116

metabolic disturbance seen in ASA tox

Back 116

primary resp alkalosis (first)

primary metabolic acidosis (second)

Front 117

Snow field vision/blind drunk-

Back 117

methanol tox

Front 118

Elevated ammonia due to what tox?

Back 118

valproic acid tox

Front 119

Sudden sniffing death due to?

Back 119

hydrocarbons

Front 120

glass etching, rust remover due to?

tx?

Back 120

Hydroflouric acid

tx: topical calcium gluconate

Front 121

moonshine + motor neuropathy =?

tx?

Back 121

Lead poisoning

Dimercarporol, EDTA (succimer in kids)

Front 122

use of this psych drug chronically can lead to hypothyroid, diabetes insipidus, serotonin syndrome

Back 122

lithium

Front 123

Hypotension + hypothermia + bradycardia-

Back 123

Myxedema coma

Front 124

give the calculation for osmolar gap and some of the causes of elevated osmolar gap

Back 124

ME DIE

Methanol

Etyhlene Glycol

Diuretics

Isopropyl alcohol

Ethanol

Front 125

Periodic paralysis, usually familial =

Back 125

hypokalemia

Front 126

Osborne/J waves

Back 126

hypothermia

Front 127

Back 127

Wellens syndrome

Front 128

Back 128

Dig effect

Front 129

electrical burn to face, be concerned for?

Back 129

labial artery burns, associated with delayed severe bleeding

consider plastics

Front 130

Lichtenberg figures associated with?

Back 130

lightning injury

this is the ferning

Front 131

Diving injury- Petechiae. Associated with ascent or descent?

Back 131

Descent dysbarism

Front 132

what dysrhythmia occurs with immersion syndrome

Back 132

asystole

Front 133

Herald patch, Christmas tree pattern-

Back 133

pityriasiss rosea

Front 134

name 3 things with a positive nikolsy's sign

Back 134

TEN
SSSS

Pemphigus ulgaris

Front 135

Giant cells on Tzanc smear

Back 135

Herpes simplex

Front 136

Prehn sign-

Back 136

epididymitis pain relieved with elevation of scrotum

Front 137

Blue dot sign with tranillumination of scrotal skin

Back 137

torsion of appendix testes

Front 138

Give the crystal shape and birefrignece of gout

Back 138

Needle

Negative

Front 139

Give the crystal shape and birefrignece of pseudogout

Back 139

Rhomboid

Positive

Front 140

give the rule of nines for adults

Back 140

Front 141

give the rule of nines for kids

Back 141

Front 142

What is the Parkland formula?

How much fluid is given when?

Back 142

4 x % surface burned x Kgs = fluids required

1st half over 8 hrs

2nd half over next 16 hours

Front 143

Fracture to the distal third of radial shaft with disruption of the DRUJ

Back 143

Galeazzi fx

ulnar nerve injury

Front 144

Midshaft ulna fx with dislocation of radial head

Back 144

Monteggia fx

Front 145

Give Ransons criteria

Back 145

GA LAW

Glucose>200

AST>250

LDH>350

Age >55

WBC>16000

Front 146

MAP=

Back 146

DP + 1/3(SP-DP)

or DP +1/3Pulse Pressure

where PP= SBP-DBP

Front 147

most common location for pediatric pseudosubluxation?

Back 147

C2-3 (anterior)

Front 148

First line tx for CCB overdose?

Back 148

Calcium chloride

High dose insulin for resistant

Front 149

In tumor lysis syndrome is there a relative increase or decrease in the following-

Ca:

Phos:

K:

Back 149

Ca: decrease

Phos: increase

K: increase

(remember phos and Ca are always inversely related)

Front 150

When do you give steroids to a pt with PCP pna? (2)

Back 150

PaO2<70

A-a >35

Front 151

Tx for iron poisoning

Back 151

Deferoximine

Front 152

Why can't you give Calcium to a dig overdose

Back 152

Causes stoneheart

aka

cardiac standstill by increased intracellular Ca concentration

Front 153

Fever + rash starting on head + conjunctivitis + cough

Back 153

Rubeola (measles)

Front 154

Really high fever then rash =

Back 154

Roseola

Front 155

Fever + rash + tender lyphadenopathy

Back 155

Rubella ("3 day measles")

Front 156

Describe Le Fort 1-3 fxs

Back 156

Front 157

Nursemaid elbow tx

Back 157

Supination + Flexion

or

hyperpronation + extension

Front 158

Treatment for pt with ITP + minor bleeding + low platelets

Back 158

Steroids + IVIG

note: you only give platelets with SEVERE bleeding

Front 159

Dacroadenitis vs Dacrocystitis

Back 159

Dacroadenitis: Above the eye, lacrimal gland INFLAMMATION

Dacrocystitis: Below the eye, lacrimal INFECTION

Front 160

Isolated CN3 palsy (eye down and out, dilated)

Back 160

Aneurysm of posterior communicating artery

Front 161

Give the type of fluid you would give to a hypoglycemic child by age (D10, D25, D50)

Back 161

D10: infants

D25: >1 year

D50: 8-10

Front 162

Trauma + decreased visual acuity + photophobia =?

tx?

Back 162

Traumatic iritis

give cycloplegic (homatropine) which causes dilitation

Front 163

Cause of...

Erythema Multiforme:

Erythema Marginatum:

Erythema Nodusum:

Erythema Mirgans:

Back 163

Erythema Multiforme: hypersensitivity (drugs)

Erythema Marginatum: Rheumatic fever

Erythema Nodusum: many, nonspecific

Erythema Mirgans: Tick

Front 164

Tx for serotonin syndrome?

major symptom seen?

Back 164

Cyproheptadine

in addition to AMS, hyperthermia, look for MYOCLONUS

Front 165

Properly identify a hep B IMMUNIZED patient

HBs Ag:

anti-HBs:

HBe Ag:

Back 165

HBs Ag: negative

anti-HBs: positive

HBe Ag: negative

Front 166

Headache, neck pain, partial horners syndrome =?

tx?

Back 166

Carotid artery dissection

Systemic anticoagulation

Front 167

Centor criteria for strep test vs tx

Back 167

Tonsillar exudates

Tender anterior cervical lymph nodes

Fever

Absence of cough

Age<15

0-1: no test or treat

2-3: test

4: treat

Front 168

What is the 4-2-1 rule for peds fluids

Back 168

4mg x kg for first 10kg

2mg x kg for next 10kg

1mg x kg for each additional kg

ex: kid weighs 13 kg

(4x10) + (2x3)

Front 169

dose of epi for peds in allergic rxn?

Back 169

0.01 mg/kg of 1:1000 IM

max 0.3

Front 170

Glipizide OD tx?

Back 170

Octreotide

Front 171

Cord syndrome: sensory and motor deficit, worse in upper extremities

Back 171

Central cord

Front 172

Cord syndrome: loss of pain and temp and complete loss of motor function, retain proprioception

Back 172

Anterior cord syndrome

Front 173

Lesion in Wellen's syndrome?

Back 173

Proximal LAD

look for biphasic t wave