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PaEasy Emergency Medicine, Emergency Medicine EOR Practice, Emergency Medicine EOR Exam, ER Final, ER Questions With Complete Solutions$23.99
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PaEasy Emergency Medicine, Emergency Medicine EOR
Practice, Emergency Medicine EOR Exam, ER Final, ER
Questions With Complete Solutions
_________is considered the gold standad test for aortic
dissection but is also the most invasive of all the radiographic
studies. What is more normally done in the ED? Correct
Answer Aortography; CT with contrast
________can lead to cardiac tamponade if it is large. Friction
rub noted if secondary to pericarditis. Correct Answer Pleural
effusion.
________triad for finding cerebral perfusion pressure is
CPP=MAP-ICP. Brain ischemia results when pressure is less
than 40mmHg. Correct Answer Cushing triad
_______is the abnormal dilation of large conducting airways -
due to congenital abnormalities (cystic fibrosis) or an acquired
process (alplha-1-antitrypsin deficiency). Correct Answer
Brochiectasis
_______refers to inflammation at any point along the optic
nerve and presents with acute vision loss, with a particular
reduction in color vision. Optic disc appear swollen. Tx: steroids
Correct Answer Optic Neuritis
_______refers to inflammation of the urethra. Gonococcal
produces a thick, purulent urethral discharge and burning with
urination. Nongonococcal presents with dysuria and scant
urethral discharge. May be suggested if urine dipstick test for
,leukocyte esterase is positive and no bladder infection is present.
Correct Answer Urethritis
_______sign is pain with dorsiflexion of the foot. May be
positive with DVT. Correct Answer Homan's
______cysts only cause pain when they leak contents causing
tissue irritation or mechanical pressure on adjacent organs. What
is the diagnostic imaging modality of choice? What patient
requires emergent gynecological surgery? Correct Answer
Ovarian; pelvic/transvaginal ultrasound; patients with
hemoperitonium and/or hypotension
______hematoma often presents with spinal fluid rhinorrhea and
unconsciousness followed by resolution and then later
unconsciousness AFTER a skull fracture. Correct Answer
Epidural
______is a pansystolic, blowing in nature, high pitch, musical
sound. Radiates to left axilla. Correct Answer Mitral
regurgitation
______is a rare complication of otitis media. CP with pain,
swelling, tenderness, and redness behind the ear in the area of
the mastoid bone. Treat the same as otitis media but what is the
difference? Correct Answer Mastoiditis; treat for 3-4 weeks
______is acute inflammation of the lacrimal gland. Tx: observed
and treated with abx if needed. Superior temporal region.
,______is infection of the lacrimal gland. Tx: antibiotics and
relief of the obstruction. Inframedial region. Correct Answer
Dacryoadenitis; Dacryocystitis
______is an uncommon cause of acute renal failure due to
immune complex deposits in the kidney. Dysmorphic RBC and
RBC CASTS are common. Correct Answer
Glomerulonephritis
______presents with a mid-systolic click heard best at apex.
Correct Answer Mitral valve prolapse
______presents with an opening snap in early diastole. Soft,
low-pitched, diastolic rumble heard best at the apex in the left
decubitus position, palpable right ventricular heave. Correct
Answer Mitral stenosis
______presents with sudden onset of eye pain, blurred vision,
h/a, n/v and they may report a "halo around lights". Correct
Answer Acute angle closure glaucoma - an increase in
intraocular pressure and the potential for optic nerve injury
_____angina is brought on by activity/exercise. ____angina may
show transient ST changes and inverted T waves. ____is pain
mainly occurring at rest due to vasospasm of coronary arteries.
Correct Answer Stable, unstable, prinzmetal/variant (responds
well to CCB or nitrates, BB may exacerbate vasospasm)
_____hematoma involves injury to a vein and symptoms
develop later after head injury with headache, confusion, coma,
, and hemiparesis. Often after acceleration-deceleration injuries.
Correct Answer Subdural
_____is a condition defined pathologically as dilation of the air
space distal to the terminal brochiole with destruction of the
interalveolar septa. "pink puffer" CXR - hyperinflated with flat
diaphragms Correct Answer Emphysema
_____is a diastolic murmur heard along left sternal border.
Austin-Flint murmur. What kind of pulse? Correct Answer
Aortic regurgitation; "water hammer" pulses
_____is blowing and musical best heard along left sternal
border. Correct Answer Tricuspid regurgitation
_____is due to deficiency of or resistance to vasopression/anti-
diuretic hormone. S/S are intense thirst, polyuria, dehydration.
Treatment is with what? Correct Answer Diabetes Insipidus;
desmopressin acetate (and possibly HCTZ)
_____is due to reduction in volume of lumbar spinal canal,
causing compression and paralysis - presents w leg weakness,
urinary and anal sphincter control. Correct Answer Cauda
Equina syndrome
_____is inflammation or infection of supraglottic structures ie.
tongue, vallecula, arythenoid, and tonsils. What age is most
commonly affected? Correct Answer Epiglottitis; between 2
and 6 years old
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