Adolescent patient presents after an MVC; alert and oriented. Which is an indication to obtain imaging of cervical spine per nexus criteria?
A. Fentanyl given by EMS
B. Loss of consciousness
C. Open femur fracture
D. Speed at impact
What is C. open femur fracture?
Metabolic disturbance seen in aspirin toxicity
What is mixed respiratory alkalosis and metabolic acidosis?
Preferred induction agent for RSI in patient with asthma exacerbation
What is ketamine?
17 yo female presents with fever, myalgia and headache with rash that started at ankles and wrist and spread toward chest. Most likely diagnosis?
What is Rocky Mountain Spotted Fever?
Most appropriate treatment for this condition?
What is incision, drainage and packing of the septum?
What do you call a group of witches?
What is a coven?
Zone of the neck that contains the parotid gland
What is zone 3?
Clinical endpoint of atropine administration for organophosphate poisoning
What is improvement in bronchial secretions?
55 yo male presents with acute dyspnea. CXR is shown.
Diagnosis?
What is pneumothorax?
At what CD4 count does an HIV positive patient need to start prophylactic bactrim for pneumocystis jirovecii prevention?
What is CD4 count <200?
When is the most appropriate time to attempt rust ring removal?
A. 1 hour
B. 24 to 48 hours
C. 4 to 6 hours
D. 5 to 7 hours
What is B. 24-48 hours?
Name the three Sanderson sisters in the movie "Hocus Pocus"
Who are Winifred, Mary and Sarah?
Spinal cord injury resulting in loss of motor, pain and temperature below level of injury, but retains proprioception and vibratory sense
What is anterior cord syndrome?
Which of the following is the antidote for valproic acid toxicity?
A. Fomepizole
B. L-Carnitine
C. N-acetylcysteine
D. Sodium bicarbonate
What is B. L-Carnitine?
What triad of signs and symptoms suggests a diagnosis of fat embolism syndrome?
A. Chest pain, shortness of breath and syncope
B. Confusion, ophthalmoplegia and ataxia
C. Muffled heart sounds, distended neck veins and hypotension
D. Respiratory distress, confusion and petechial rash
What is D. respiratory distress, confusion and petechial rash?
Which antibiotic is necessary for direct
inhibition of toxin synthesis in this diagnosis?
What is clindamycin?
Which diagnostic study will be inaccurate through intraosseous line?
A. Hemoglobin
B. Cultures
C. pH
D. Potassium
What is D. potassium?
Who wrote the 1818 classic novel "Frankenstein"?
Who is Mary Shelley?
Blast injury category that occurs when someone is thrown into an object
What is tertiary blast injury?
Overdose characterized by hypotension, heart block, bradycardia and hypoglycemia
What is beta blocker overdose?
Preferred tidal volume settings for ARDS
What is tidal volume 4-6 mL/kg ideal body weight?
Treatment for tularemia
What is streptomycin?
Treatment for the following condition
What is lateral canthotomy?
What actor played Laurie Strode in the 1978 movie "Halloween"?
Who is Jamie Lee Curtis?
18 yo male with severe perineal pain after fall while skateboarding down railing; unable to urinate and moderate ecchymosis in the perineal area. Most likely diagnosis?
A. Anterior urethral injury
B. Extraperitoneal bladder rupture
C. Intraperitoneal bladder rupture
D. Posterior urethral injury
What is A. anterior urethral injury?
3 yo female with accidental ingestion of glipizide; initial glucose is 41 and increases to 64 with dextrose. What should be given next?
What is otreotide?
How should hypoxia in a patient with pulmonary hypertension be treated?
A. Supplemental oxygen only
B. Bipap
C. Intubation
What is A. supplemental oxygen only?
Which symptoms are most suggestive of Ramsay Hunt Syndrome?
A. Bilateral petechiae of the palate
B. Ear pain, facial paralysis, hearing loss
C. Lymphangitis with thrombus formation in the internal jugular vein
D. Photophobia and unilateral thoracic vesicular rash
What is B. ear pain, facial paralysis and hearing loss?
Which of the following is a contraindication to performing I&D of peritonsillar abscess in the ED?
A. Drooling
B. Otalgia
C. Severe trismus
D. Voice changes
What is C. severe trismus?
What is another name for a lycanthrope?
What is a werewolf?