Lyte-ning Fast
It's angina, not angina!
I think its broken
North Side 5-2
Kid's Do the Darndest Things
100
What is the initial treatment for hyperkalemia?
Calcium gluconate or chloride
100
What are the H's and T's of ACLS?
Hypoxia
Hypothermia
Hypovolemia
Hypo/hyperkalemia
H+ (acidosis)
Tamponade
Tension pneumothorax
Thrombus (MI/PE)
Trauma
Toxic ingestion
100
What is your preferred method of shoulder reduction?
No technique has been proven superior
FADER
Cunningham
Prone
External rotation
100
What is a contraindication to succinylcholine?
Hyperkalemia
Burns
Trauma
Crush injuries/rhabdomyolysis
Motor neuron disease or muscular dystrophies
Malignant hyperthermia
Spinal cord damage > 1 week
Old stroke
100
What is the diagnosis for a patient presenting with cough, red eyes, runny nose, with a fever, and a rash that spreads from the face down the body
Measles
200
What is the treatment for severe, symptomatic hyponatremia?
100mL bolus of 3% hypertonic saline
200
What are the EKG changes expected with rising potassium?
1. Peaked t-waves
2. PR prolongation
3. QRS widening
4. Bradyarrhytmias
5. Sine wave
200
What are the Ottowa Ankle/Foot rules?
Tenderness at the distal 6cm of the lateral or medial malleolus
Tenderness of the 5th metatarsal
Tenderness of the navicular bone
Non-weibht bearing at the time of injury or
200
What is the Parkland Burn formula?
4mL x % BSA x Weight
First half administered over first 8 hours, next half administered over the next 16 hours
200
What is a Acute Chest Syndrome?
It is a condition that can occur during a vasocclusive crisis affecting the pulmonary vasculature and causing pulmonary infarction or pneumonia (appears a lobar infiltrate on CXR)
300
What are the electrolyte derrangements in refeeding syndrome?
Hypophosphatemia, hypokalemia, hypomagnesium
300
What is the characteristic change on EKG in a patient with hypercalcemia?
Shortened QT
300
Which bone is fractured in a Galleazzi fracture vs a Monteggia fracture?
MUGeR
Monteggia: fracture of the ulna, dislocated radius
Galleazzi: fracture of the radius, disloated ulnar
300
What are the red flags for back pain?
TUNA FISH
Tumor, unexplained weight loss, neurological deficits, age >50, fever, IVDU, steroid use, history of cancer
300
What is the correct antibiotic and dose for a febrile neonate? (U-Connect guidelines)
Cefepime 50 mg/kg
Gentamicin 50 mg/kg
Vancomycin 15 mg/kg
** HSV is uncommon over 21 days of age. Consider AST/ALT Advise Acyclovir if < 21 days of age and they have seizures, maternal hx of HSV infection, RBCs in CSF with concern for meningitis
400
Why do patients with DKA develop hyperchloremic acidosis?
Normal saline!
400
What are three "can't miss" diagnoses on EKG in young patients with sudden syncope?
Brugada
Long QT
HOCM
ARVD
WPW
400
What are Kanavel's signs of flexor tenosynovitis?
1) fusiform swelling of the digit
2) finger held in flexion
3) pain with passive extension
4) pain along flexor tendon
400
What is the HINTS exam?
Head impulse, nystagmus, test of skew
400
What is included in the WARM score?
Wheezing
Air exchange
Respiratory rate
Muscle use
500
What is the formula for sodium correction in hyperglycemia?
[glucose-100]/100 x 1.6
500
What are de Winter T waves on EKG and what do they suggest?
de Winter t-waves = > 1 mm of upsloping STD and tall symmetric T-waves, most commonly in the precordial leads
Suggests LAD occlusion
500
What are two physical exam techqniues, when positive, suggest a Maisonneuve fracture?
Squeeze test: palpation of the tibia and fibula at the mid-calf level and if it returns positive for tenderness, it suggests a syndesmotic injury
External rotation test: with the foot in a neutral position/dorsiflexion, externally rotate the tibia. If there is tenderness with external rotation, syndesmotic injury is probable
500
What are the PERC criteria?
HAD CLOTS
Hormone use
Age >50
DVT/PE history
Coughing up blood
Leg swelling
O2 sat <=95%
Tachycardia
Surgery/trauma in the past 4 weeks
500
What is the correct dose of lorazepam or diazepam to terminate a seizure in a child?
0.1 mg/kg or 0.15 mg/kg