Lyte-ning Fast
It's angina, not angina!
I think its broken
North Side 5-2
Kid's Do the Darndest Things
100

What is the initial treatment for hyperkalemia?

Calcium gluconate or chloride

100

What are the H's and T's of ACLS?

Hypoxia

Hypothermia

Hypovolemia

Hypo/hyperkalemia

H+ (acidosis)

Tamponade

Tension pneumothorax

Thrombus (MI/PE)

Trauma

Toxic ingestion

100

What is your preferred method of shoulder reduction?

No technique has been proven superior

FADER

Cunningham

Prone

External rotation

100

What is a contraindication to succinylcholine?

Hyperkalemia

Burns

Trauma

Crush injuries/rhabdomyolysis

Motor neuron disease or muscular dystrophies

Malignant hyperthermia

Spinal cord damage > 1 week

Old stroke

100

What is the diagnosis for a patient presenting with cough, red eyes, runny nose, with a fever, and a rash that spreads from the face down the body

Measles

200

What is the treatment for severe, symptomatic hyponatremia?

100mL bolus of 3% hypertonic saline

200

What are the EKG changes expected with rising potassium?

1. Peaked t-waves

2. PR prolongation

3. QRS widening

4. Bradyarrhytmias

5. Sine wave

200

What are the Ottowa Ankle/Foot rules?

Tenderness at the distal 6cm of the lateral or medial malleolus

Tenderness of the 5th metatarsal

Tenderness of the navicular bone

Non-weibht bearing at the time of injury or 

200

What is the Parkland Burn formula?

4mL x % BSA x Weight

First half administered over first 8 hours, next half administered over the next 16 hours

200

What is a Acute Chest Syndrome?

It is a condition that can occur during a vasocclusive crisis affecting the pulmonary vasculature and causing pulmonary infarction or pneumonia (appears a lobar infiltrate on CXR)

300

What are the electrolyte derrangements in refeeding syndrome?

Hypophosphatemia, hypokalemia, hypomagnesium

300

What is the characteristic change on EKG in a patient with hypercalcemia?

Shortened QT

300

Which bone is fractured in a Galleazzi fracture vs a Monteggia fracture?

MUGeR

Monteggia: fracture of the ulna, dislocated radius

Galleazzi: fracture of the radius, disloated ulnar

300

What are the red flags for back pain?

TUNA FISH

Tumor, unexplained weight loss, neurological deficits, age >50, fever, IVDU, steroid use, history of cancer

300

What is the correct antibiotic and dose for a febrile neonate? (U-Connect guidelines)

Cefepime 50 mg/kg

Gentamicin 50 mg/kg

Vancomycin 15 mg/kg

** HSV is uncommon over 21 days of age. Consider AST/ALT Advise Acyclovir if < 21 days of age and they have seizures, maternal hx of HSV infection, RBCs in CSF with concern for meningitis

400

Why do patients with DKA develop hyperchloremic acidosis?

Normal saline!

400

What are three "can't miss" diagnoses on EKG in young patients with sudden syncope?

Brugada

Long QT

HOCM

ARVD

WPW

400

What are Kanavel's signs of flexor tenosynovitis?

1) fusiform swelling of the digit

2) finger held in flexion

3) pain with passive extension

4) pain along flexor tendon

400

What is the HINTS exam?

Head impulse, nystagmus, test of skew

400

What is included in the WARM score?

Wheezing

Air exchange

Respiratory rate

Muscle use

500

What is the formula for sodium correction in hyperglycemia?

[glucose-100]/100 x 1.6

500

What are de Winter T waves on EKG and what do they suggest?

de Winter t-waves = > 1 mm of upsloping STD and tall symmetric T-waves, most commonly in the precordial leads

Suggests LAD occlusion

500

What are two physical exam techqniues, when positive, suggest a Maisonneuve fracture?

Squeeze test: palpation of the tibia and fibula at the mid-calf level and if it returns positive for tenderness, it suggests a syndesmotic injury

External rotation test: with the foot in a neutral position/dorsiflexion, externally rotate the tibia. If there is tenderness with external rotation, syndesmotic injury is probable

500

What are the PERC criteria?

HAD CLOTS

Hormone use

Age >50

DVT/PE history

Coughing up blood

Leg swelling

O2 sat <=95%

Tachycardia

Surgery/trauma in the past 4 weeks

500

What is the correct dose of lorazepam or diazepam to terminate a seizure in a child?

0.1 mg/kg or 0.15 mg/kg

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