Potions
Crabb and Goyle got into a potion that is starting to make them have blurry vision. What did they ingest?
Methanol
What kind of fracture are you concerned for?
Basilar skull fracture
Jinny is brought to Madame Pomfrey for evaluation of severe abdominal pain, nausea, vomiting, and muscle cramping. She was feeling well earlier in the day and had helped her family clean the garage. On physical examination, her temperature is 36.7°C, heart rate is 128 beats/min, respiratory rate is 22 breaths/min, and blood pressure is 130/80 mm Hg. She is lying in the fetal position, crying, and appears to be in pain. There is a 2-cm, circular lesion with central pallor and a central punctum on her right hand. The remainder of her physical examination findings are unremarkable.
Of the following, the envenomation MOST likely responsible for this girl’s symptoms is a
A.black widow spider bite
B.brown recluse spider bite
C.emperor scorpion sting
D.yellow jacket sting
A.black widow spider bite
What volume of irrigation should you use in a laceration?
100 mL/cm
Harry has been poisoned with cyanide. Besides the administration of oxygen, what can you give him?
Hydroxycobalamin
Sodium thiosulfate, amyl nitrite
This is the leading cause of child maltreatment deaths.
Head injury
Ron is brought to the emergency department after being bitten by a snake while hunting in the forbidden forest. Photos show a dark brown snake with diamond-shaped marks on its back. Physical examination reveals 2 small puncture wounds on his lower calf, which is swollen, red, ecchymotic, and extremely tender to palpation. The erythema is extending up his calf toward his knee. Shortly after arrival, the boy begins to complain of nausea and has 1 episode of emesis.
Of the following, the BEST next step in the management of this boy is to
A.administer crotalidae polyvalent immune fab
B.apply ice to the puncture wounds
C.apply a tourniquet to the upper thigh to prevent the spread of venom
D.place the leg in a splint and elevate the leg above the level of the patient’s heart
A.administer crotalidae polyvalent immune fab
An first year is brought to the emergency department with right elbow pain after falling from his broomstick. He appears distressed, is holding his right arm, and is crying with severe pain. On physical examination, he has significant swelling and deformity of his right elbow. Intravenous access is obtained and analgesics are administered. A right upper extremity radiograph is obtained (Item Q185 ).
Of the following, the BEST next step in management for this boy is to
A.attempt reduction under conscious sedation
B.consult orthopedic surgery
C.perform a thorough neurovascular examination
D.place a long-arm posterior splint
C.perform a thorough neurovascular examination
An 18-month-old boy is brought to the emergency department by his parents after they found him in the garage coughing and sputtering next to an open bottle of lamp oil. Prior to arrival his parents removed the clothing that was soiled with lamp oil. The boy is awake, alert, and interactive. His vital signs include a heart rate of 125 beats/min, respiratory rate of 35 breaths/min, and blood pressure of 85/60 mm Hg. He has audible wheezing but no stridor and is in mild distress. A chest radiograph is obtained and shown in Item Q81.
Of the following, the BEST intervention for this boy is the administration of
A.activated charcoal
B.corticosteroids
C.ipecac syrup
D.oxygen
D. Oxygen
In the imaging shown, the bleeding is most likely coming from this artery.
What is the middle meningeal artery?
A 7-year-old boy was bitten on the hand by Fluffy, the three-headed dog. His parents immediately washed the hand with soap and water. Today the area is red, swollen, and painful with range of motion. He has not had a fever. The dog was captured by animal control officers; it is acting normally and remains in their custody. The child is up to date with his immunizations and has an allergy to penicillin.
Of the following, the MOST appropriate therapy at this time is
A.amoxicillin-clavulanate orally
B.clindamycin and trimethoprim-sulfamethoxazole orally
C.doxycycline intravenously
D.rabies vaccine and rabies immunoglobulin
B.clindamycin and trimethoprim-sulfamethoxazole orally
Fred Weasley is brought to the emergency department for evaluation of right shoulder pain after falling off his broom stick in Quidditch practice. On physical exam, there is no skin tenting. His right arm is neurovascularly intact. The remainder of the adolescent’s physical examination findings are unremarkable. Appropriate analgesia is administered, and right shoulder and clavicle radiographs are obtained.
Of the following, the BEST next step in this adolescent’s management is
A.closed reduction, analgesia, immobilization, and follow-up with an orthopedic surgeon in 4 weeks
B.rest, ice, compression bandage, analgesia, and follow-up with an orthopedic surgeon in 2 weeks
C.urgent referral to an orthopedic surgeon for open reduction and internal fixation
D.use of arm sling, analgesia, and follow-up with the pediatrician in 2 weeks
D.use of arm sling, analgesia, and follow-up with Madame Pomfrey in 2 weeks
Draco Malfoy is experiencing abdominal pain, headaches, and blush-black edging of the teeth. What do you expect to see on the neurologic exam? What do you expect to see on peripheral smear?
1. Bilateral wrist drop/ankle drop
2. Basophilic stippling
A 6-year-old girl is hospitalized after a house fire, in which she sustained second- and third-degree burns. On the day of admission to the hospital, the child develops a fever and tachycardia.
Of the following, the finding that would be MOST consistent with this diagnosis is
A.105 bacteria per gram of tissue from a burn wound biopsy
B.erythema and tenderness of the skin surrounding the burned tissue
C.a positive bacterial culture from a swab of the center of the burn
D.a temperature ≥38.5°C
A.105 bacteria per gram of tissue from a burn wound biopsy
Ron punches Malfoy in the face and has a several superficial lacerations over his hand. He does not have any allergies. Should prophylactic antibiotics be administered? If so, which kind?
Yes.
Amoxicillin/clavulanate
A 7-year-old boy is brought to the emergency department for evaluation of right leg pain. Two days ago, he sustained a closed right distal tibia fracture after being hit by a car while riding his bicycle. He was evaluated at a local emergency department and underwent fracture reduction and cast placement under sedation. Initially, the boy required only occasional acetaminophen for pain. However, over the past 12 hours, he has had increasing pain. His parents have given him 2 doses of hydrocodone, but he has become increasingly difficult to console. On physical examination, the boy appears agitated. He has a cast on his right lower extremity. The boy is able to move his toes, which appear pink and well perfused. The remainder of his physical examination findings are normal.
Of the following, the boy’s MOST likely diagnosis is
A.acute compartment syndrome
B.cellulitis
C.displacement of fracture fragments
D.nerve entrapment
A.acute compartment syndrome