Botulism
Sleepy Time
Name that baby mama and daddy
Syndrome of Affluence?
FAST FOOD slogan
100
How do you confirm the diagnosis of infant botulism?
Stool, enema, and gastric aspirates for culture or toxin assay. Serum toxin is positive only in 1% of cases, so it is not useful. EMG is not useful either.
100
According to American Anesthesiologists 2002 guidelines, this is the level of sedation characterized by a controlled state of depressed consciousness during which airway reflexes and airway patency are maintained, and patient response appropriately to commands.
What is moderate sedation (or conscious sedation)?
100
Saint
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100
1. When you’re seeing an obese patient in clinic, these are questions you ask to assess for glucose intolerance. (Give 2 answers)
What is 1. Polyuria? 2. Polydipsia? 3. Polyphagia? 4. Weight loss?
100
Better ingredients, better pizza
Papa John's is the third largest take-out and delivery pizza chain in the United States. Every Papa John's commercial ends with "Better ingredients, better pizza. Papa John's.
200
What is the treatment of botulism?
Intensive supportive care and antitoxin administration (BabyBIG for infant botulism or heptavalent antitoxin type A to G for food borne botulism in adults). Contact the California Department of Public Health for the antitoxin and alert your local health department as well
200
According to the Mallampati scoring system, a patient would belong to this Class if she has visibility of soft palate, hard palate, and base of the uvula but no visibility of tonsils.
What is Class III?
200
Apple
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200
2. This factor is thought to play a key role in the development of metabolic syndrome.
What is insulin resistance?
200
Think outside the bun
Taco Bell
300
Name 3 foods that can cause botulism.
Canned vegetables, fruits, condiments, “illegally fermented potato-fruit juice alcohol,” and fermented fish can contain botulism toxin which cause food borne botulism. Honey is the most commonly associated with 20% of infant botulism, but fruits and vegetables can also cause infant botulism.
300
This is the minimum fasting period that patient on a regular solid diet should be NPO before sedation.
What is 8 hours?
300
Maddox
Angelina Jolie and Brad Pitt
300
3. These are the characteristic clinical features of MetS. (Give 3 answers)
What is 1. Obesity 2. Dyslipidemia 3. Hypertension 4. Glucose Intolerance/T2D 5. Nonalcoholic fatty liver disease 6 Polycystic ovary syndrome 7. Inflammatory markers
300
Eat Fresh
Subway
400
Name the clinical features of botulism and name 4 signs or symptoms.
Multiple symmetric bulbar paralysis that progresses to symmetric descending acute flaccid paralysis that can progress to respiratory compromise. Signs/symptoms: constipation, diarrhea, vomiting, dry mouth, doploplia, ptosis, blurred vision, floppiness, facial weakness, extremity weakness, lethargy, weak cry, difficulty swallowing, poor head control decreased gag reflex, hyporeflexia. - The toxin does not cross the blood brain barrier, so there is no affect on sensation.
400
This opioid is no longer recommended in pediatrics due to the finding that 3-5% of the population over-metabolizes it leading to potentially catastrophic overdose.
What is codeine?
400
Royal Reign
Lil' Kim
400
4. These reasons help explain why it's so difficult to define metabolic syndrome in pediatric populations. (Give 2 answers)
What is a. MetS was never well-defined in adult populations b. Some degree of insulin resistance is a natural occurrence during puberty, which influences weight gain and metabolism c. Normal ranges for lipid profiles vary greatly by age group, thus, it is difficult to assign standard cut-off values d. There’s no consensus on waist circumference cut-off values for central adiposity (again, values vary greatly by age group)
400
America Runs on...
Dunkin donuts
500
Which type of antibiotic should be avoided in infants with suspected sepsis or possible botulism?
Aminoglycosides. They can exacerbate the paralysis since they are weak pharmacologic neuromuscular blocking agents.
500
In the SOAP IM acronym used to help anesthesiologists remember setup for airway management during sedation, the "S" stands for this.
What is suction? (Suction, Oxygen, Airway, Pharmacy, IV access/IVF, Monitors)
500
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Christina Aguilera and Matthew Rutler
500
5. These risk factors are associated with developing MetS. (Give 4 answers)
What is a. Parents with MetS b. Hispanic c. Male adolescent d. Increased television viewing e. Smoking f. Fat accumulation of the liver g. Early and late menarche
500
I'm lovin' it
McDonalds
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