Land Animals
Ahoy, Matey!
Creepy Crawly
Dumb Hobbies
Grab bag
100
This animal bite is most likely to become infected.
Cat
100
This clinical finding before death is a good reason to not pick this animal up.
What is paralysis? (they have tetrodotoxin)
100
This venomous spider can cause abdominal cramping, elevated HR/BP, and is largely treated with benzodiazepines and supportive care.
What is latrodectus mactans (Black widow)?
100
A 50-year-old man develops shortness of breath and dyspnea 2 days into a mountain climbing trip. Attempted descent is not possible due to impending bad weather, and he is brought to base camp for medical evaluation. On physical exam, he has bilateral crackles and a respiratory rate of 30/min. This is the most appropriate treatment for his ailment.
What is supplemental oxygen?
This is HAPE.
100
This is why you shouldn't rewarm extremities first when treating a hypothermic patient.
What is the concept of "after drop"?
warming of the extremities before or simultaneously with the core results in peripheral vasodilation and increased flow of cold acidemic blood from the peripheral to the central circulation, which can precipitate hypotension and “after drop” and worsen a patient’s clinical condition
200
A 15 yo M comes in after being bit by this animal. He has no symptoms 1 hour from the bite. This is the treatment plan.
What is observation? (24 hours)
200
A patient comes in with flushed skin, vomiting, and abdominal cramping after being at an all you can eat sushi restaurant. This is their treatment.
What is antihistamines?
Fish commonly implicated include tuna, mackerel, mahi mahi, escolar, sardine, anchovy, bonito, herring, bluefish, amberjack, and marlin.
histidine -> histamine with bacteria from improper storage of fish
200
This ant's bite is characterized by pustule formation 24 hours after it happens and has been known to kill helpless grandparents who can't get away from them.
What are fire ants?
200
This is the cause of barotitis in scuba divers.
What is increased pressure on the middle ear?
200
When a queen honey bee dies, the larvae is fed this to get it ready to be the next queen.
What is "royal Jelly"?
300
This is the color of the polar bear's skin.
What is black?
300
This is the treatment recommendation for a box jellyfish sting.
What is acetic acid?
300
This venomous spider can cause a bleb with local tissue destruction that is often difficult to distinguish from an abscess/infection. It can also cause a syndrome in children that can be fatal.
What is loxosceles spp of spider (brown recluse spp)?
300
A 30-year-old man presents to the ED with a headache and dizziness that started shortly after arriving at a Rocky Mountain ski resort. Physical exam and vital signs are normal.This is the most appropriate prescription to give him.
What is acetazolamide?
300
This specific lab is the most sensitive marker for radiation sickness.
What are lymphocytes?
400
This is the treatment (two different meds) for a 24 yo female who has severe hypotension and angioedema, which her family states is from a rattlesnake envenomation at a cookout.
what is antivenin (crofab or anavip) plus epinephrine?
400
This is the correct treatment for a lion fish envenomation.
What is hot water immersion?
400
A 2yo in Arizona comes in with fasciculations, drooling, dysconjugate gaze, and elevated HR and BP. Mom states she didn't see or hear the anything. This is the culprit.
What is centuroides sculpuratus (the bark scorpion)?
400
A patient developed cough, shortness of breath, ataxia, and vertigo 1 hour after a long, deep scuba dive. The patient has moderate respiratory distress and reports chest pain and severe dizziness. This is her diagnosis.
What is decompression sickness?
400
This 2 organs are particularly sensitive to heat stroke (name both).
What are brain and liver?
500
These two U.S. snakes are crotalids, but are not rattlesnakes. (scientific or well known common names accepted)
Agkistrodon piscivorous (cottonmouth/water moccasin)
Agkistrodon contortrix (copperhead)
500
In the 1980 film Blue Lagoon, Brooke Shields steps on this fish and is almost fatally envenomated.
What is a stonefish?
500
A child comes in listless to the ED. Parents note ascending paralysis over a few days. No known exposures. A doctor finds a tick on him. This is the toxin that caused his illness.
What is ixobotoxin?
500
This is the altitude at which someone would have to be to worry about high altitude sickness.
What is 8000ft (2440m)?
500
This is the temporary paralysis of the extremities that is from a lightning strike which damages the sympathetic nervous system.
What is keraunoparalysis?