What is the triad of findings seen in bacterial meningitis?
nuchal rigidity, fever, change in mental status
100
Define abuse versus dependence
abuse is engaging in a substance despite adverse consequences, dependence means there is physical withdrawal symptoms
100
machinery murmur
PDA
100
causes peaked t waves
What is hyperkalemia
100
a blood pressure cuff is placed around the arm and inflated to a pressure greater than the SBP and held in 3 minutes. patient then develops spasm of the muscle of the hand and forearm
What is Trousseau's sign
200
What organism do you need to cover in patients over 50 or with cell mediated immunity suppression?
What is Listeria monocytogenes
200
Define CAGE
C - felt the need to cut on drinking, A - annoyed by questions, G- guilt about use, E - eye opener
200
fixed splitting of S2
What is ASD
200
treatment for torsade
What is magnesium sulfate
200
a clinical dermatological sign that is present when slight rubbing of the skin results in exfoliation of the outermost layer
What is Nikolsky's sign
300
What adjunctive medication should be given to patients with suspected bacterial meningitis?
steroid- deamethasone
300
name 3 PE findings of cocaine intoxication
What is HTN, tachycardia, agitation, mydriasis, hyperthermia
Name that sign seen on chest xray in patients with PE in which an enlarged right descending pulmonary artery is seen
What is Palla's sign
400
name at least 5 CSF labs that you need to order when suspecting meningitis
protein,glucose,cell count and differential, GS and culture, HSV PCR
400
name 2 prognostic factors for mortality in methamphetamine intoxication
What is coma, shock, temp greater than 39, AKI, metabolic acidosis, and hyperkalemia
400
austin flint murmur
What is aortic regurgitation
400
Most important electrolyte to replace in ICU especially if the patient is difficult to wean from the vent
What is hypophosphatemia
400
in Grave's disease: a widened palpebral fissure during fixation
What is Dalrymple's sign
500
Empiric regimen with doses ((young adult) with suspected bacterial meningitis
Ceftri or cefota 2 g IV q12 plus Vanc 15-20 mg/kg q8 to q12; trough 15 to 20
500
your patient is now on methadone. What arrythmia must you be concerned about as a possibility?
QT prolongation, torsade
500
murmur is midsystolic, increases with valsalva and standing but a sustained hand grip decreases it
What is HOCM
500
decreased or absent deep tendon reflexes, bradycardia, decreased respirations, impaired breathing
What is hypermagnesemia
500
when patient's eye are directed downward for 10-20 seconds and the patient is then instructed to make a vertical saccade back to primary position, the upper eye lid elevates and slowly begins to droop or else twitches several times before settling into a stable position