"Toxic" (Poisoning and Metabolic Emergencies)
"Cuts Like a Knife" (Procedures)
"Broken" (Orthopedic Injuries)
"Crash into Me" (Trauma)
"Night Fever" (Infectious Diseases)
100

The antidote for acetaminophen poisoning

What is N-acetylcysteine? 

100

Landmark for lumbar puncture

What is the L4/L5 interspace between the posterior superior iliac crests? (aka intercristal line)

100

The reduction of this orthopedic injury is accomplished by hyper-pronating the extended forearm or supinating the forearm followed by flexion of the elbow

What is Nursemaid's elbow? 

100

Compression rate during CPR

What is 100-120 compressions per minute? 

100

Empiric antibiotic treatment for neonatal sepsis (< 1 month old)

What are Ampicillin and Ceftazidime? 

200

Overdose of this drug can lead to respiratory alkalosis and anion gap metabolic acidosis

What are salicylates? 

200

Contraindications to closure of a laceration with sutures

What are animal bites (especially in non-cosmetic areas), deep puncture wounds, an actively bleeding laceration, superficial laceration involving only epidermis?

200

Fracture type characterized by crush injury (compression) to the growth plate without bony fracture

What is a Salter Harris Type 5 fracture? 

200

Blood behind the tympanic membrane and clear nasal discharge suggests this type of skull injury

What is a basilar skull fracture? 

200

Empiric antibiotic therapy for bacterial meningitis in children

What are Ceftriaxone and Vancomycin? 

300

Electrolyte abnormalities in diabetic ketoacidosis

What are hyperglycemia, hyponatremia, hypokalemia, metabolic acidosis?

300

Management for this


What is immediate endoscopic removal? 

300

Tenderness and swelling over the anatomic snuffbox after a fall on an outstretched hand

What is a scaphoid fracture? 

300

Initial management for chest wall trauma with decreased breath sounds and blood pressure of 60/40

What is needle thoracostomy/needle decompression? (Location: midclavicular line, 2nd intercostal space)

300

The only medical therapy for severe COVID that has been shown to reduce mortality

What is Dexamethasone? 

400

Timing of endoscopy after ingestion of a household cleaning product

What is 12-24 hours post-ingestion? 

400

Technique for incision and drainage of an abscess 

Entry directly into the abscess, over the center of the abscess, along the long axis of the fluid collection, parallel to existing lines of skin tension, control of scalpel during the stab to avoid puncturing back wall of the abscess, create enough access for hemostat to break up loculations and insert packing, gentle irrigation of the abscess cavity

400

Patterns of child physical abuse

What is changing history, mechanism inconsistent with developmental stage of the child, unexplained delay in seeking care, any injury in non-mobile child, patterned cutaneous injuries, posterior rib fractures?

400

Left shoulder pain following blunt abdominal trauma is concerning for this type of injury

What is splenic rupture? 

400

Management of a racoon bite in a child with unknown immunization status

What is tetanus vaccine, tetanus immunoglobulin, rabies vaccine, rabies immunoglobulin, and antibiotics? 

500

Treatment for symptomatic overdose of SSRI

What is supportive care (treatment of autonomic instability, IV fluids, control of hyperthermia), benzodiazepines, and cyproheptadine? 

500

The management for this injury


What is trephination? (also XR, and antibiotics if broken)

500

Management of finger dislocation

What is digital nerve block and reduction? (accomplished by tugging)

500

Volume = 4 x weight (kg) x % body surface area

What is the Parkland formula? 

500

Antibiotic coverage for a cat bite in a penicillin-allergic child

What are Bactrim and Clindamycin? 

M
e
n
u