Acronyms
OPQRST
Onset
Palliation/Provocation
Quality
Radiation
Severity
Timing
Quantitative values for bradycardia and tachycardia
Bradycardia less than 60 BPM
Tachycardia greater than 100 BPM
The anterior & posterior drawer tests (knee) evaluate: (specify)
Anterior Drawer - Anterior Cruciate Ligament
Posterior - Posterior Cruciate Ligament
What is the correct maximum daily dosing for Ibuprofen?
800mg PO TID with food or milk
What do X-rays, CT scans, and MRI's treat?
Nothing!
SAMPLE
Signs/Symptoms
Allergies
Medications
Pertinent past Hx
Last oral intake
Events leading to incident
The sensation of motion when there is no motion or an exaggerated sense of motion in response to motion.
Vertigo
Rotator Cuff muscles
Supraspinatus
Infraspinatus
Teres minor
Subscapularis
For what is Loperamide used?
What is the correct dosing?
What is the maximum daily dose?
Uncomplicated diarrhea.
4 mg PO followed by 2 mg after each loose stool.
Maximum of 16 mg/day.
(Usually comes in 2 mg tabs)
What is a Boxer's Fracture? How is it usually sustained?
Fracture of the 5th, or sometimes 4th, metacarpal.
Typically from punching something.
DCAPBTLS
Deformaties
Contusions
Abrasions
Punctures/Penatrations
Burns
Tenderness
Lacerations
Swelling
The Centor Criteria
Exudate or swelling on tonsils
Tender/Swollen anterior cervical lymph nodes
Temperature greater than 100.4 (low grade also acceptable)Absence of cough
Age (Modified) 3-14 years oldDemonstrate a Tinel's test. What qualifies as a positive finding?
Demonstrate - Percuss over a nerve
Positive - "pins and needles" sensation or shock like sensation within nerve distribution.
What is the dosing directions for Oxymetazoline?
Double points: What condition can improper use cause?
aka Afrin nasal spray - 1 spray in each nostril q 12 hours for no more than 3 days.
*Rhinitis medicamentosa
Medical Terminology: What body part/organ is being referred to with the following prefixes?
Hemo-
Hepato-
Oto-
Double points Cholecysto-
Hemo - Blood (hemostasis)
Hepato - Liver (hepatomegaly)
Oto - ear (otoscope)
Cholecysto - gallbladder (cholecystectomy)
The 5 P's of neurovascular assessment
Pain
Palor
Pulse
Paresthesia
Paralysis
Ottawa Ankle Criteria
Bony TTP along:
Distal 6 cm of Fibula (lateral Malleolus)Distal 6 cm of Tibia (medial Malleolus)
Base of the 5th metatarsalNavicular
Inability to bear weight both immediately after injury or in the ER.
Name at least 4 Red Flags for back pain.
Hint: TUNAFISH
T - Trauma
U - unexplained weight loss
N - Neurological Deficit (loss bowel/bladder function,...)
A - Age > 50
F - Fever
I - IV Drug user
S - steroid use (corticosteroid)
H - history of malignancy
DAILY DOUBLE
What are the 6 R's of medication administration?
Right Patient
Right Medication
Right Dose
Right Time
Right Route
Right Documentation
What composes the lethal triad in reference to severe trauma?
Hypothermia, Coagulopathy, Acidosis
ABCDE (Dermatology)
Asymmetry
Border
Color
Diameter
Elevation/Evolution
Orthostatic Hypotension - Positive
Decrease in systolic BP of 20 mmHg or a decrease in diastolic BP of 10 mm Hg within 2-5 minutes of standing when compared with BP from the sitting or supine position.
*An increase in pulse greater than 30 BMP or greater than 120 is indicative of postural tachycardia syndrome. Usually there is no orthostatic hypotension.
A patient suffers from a FOOSH injury while skateboarding. The injury occurred within the past 24 hours. He/she has anatomical snuffbox TTP, decreased ROM d/t pain, and mild swelling of the wrist. Pt is NVI distally. Radiographs are taken immediately after clinic evaluation and negative for osseous abnormalities. What is the correct treatment plan and why?
Thumb spica splint/cast for 2 weeks with follow up radiograph. (Small fractures may take up to 2 weeks to show on X-rays)
Activity restrictions
NSAID/Pain relief
Given the following injectable medications, in what order would you draw them from the vial into a single syringe? Why?
Bupivacaine 0.25%
Lidocaine w/o epi 1%
Triamcinolone (Kenalog 40)
Lidocaine, Bupivacaine, Triamcinolone.
Always draw most benign/shortest acting first.
Name 4 cranial nerves
Double points for all of them.
the olfactory nerve (I), the optic nerve (II),
oculomotor nerve (III), trochlear nerve (IV),
trigeminal nerve (V), abducens nerve (VI),
facial nerve (VII), vestibulocochlear nerve (VIII),
glossopharyngeal nerve (IX), vagus nerve (X),
accessory nerve (XI), and hypoglossal nerve (XII)