Emergency Med

Dilated Cardiomyopathy: most common cause is ____. Others? Correct Answer: alcohol; may also be idiopathic, myocarditis, or drugs (doxorubicin) -- 1 in 3 cases of heart failure are caused by dilated cardiomyopathy What PE and EKG changes are seen with dilated cardiomyopathy? Correct Answer: PE: S3, JVD, crackles - possible mitral regurg EKG: nonspecific ST and T wave changes, LBBB Hypertrophic cardiomyopathy: is due to hypertrophy of the _____. PE reveals mitral regurgitation, a ____hea...

what is contraindicated in patient with globe rupture? Correct Answer: measurement of intraocular pressure globe rupture Correct Answer: full-thickness injury to the sclear secondary to blunt or penetrating trauma placing pressure on eye is contraindicated as this may cause further extrusion of intraocular contents diagnosis is by fluroescein staining exam, which will demonsntrate a positive Seidel test (flowing stream of fluroscein down globe) CT can help in diagnosis management:...

What is the treatment of Bell's Palsy? Correct Answer: Prednisone, valacyclovir, and eye care Liberal use of a lubricating ointment during the day and taping of the eye shut at night to prevent corneal drying. What is Ramsay-Hunt syndrome? Correct Answer: Presence of cranial nerve VII palsy plus herpes zoster lesions on the cheek or ear. What occurs with black widow bites? Correct Answer: Envenomation causes the release of acetylcholine and norepinephrine at nerve terminals leading...

A patient presents with dizziness. Romberg testing with the eyes open is normal, but with the eyes closed, the patient sways and almost falls over. Given this Romberg test result, pathology in which of the following systems is most likely? A Cardiovascular B Cerebellar C Vestibular D Visual Correct Answer: Vestibular In the US, what is a common cause of imbalance due to peripheral disease? Correct Answer: Diabetic distal peripheral polyneuropathy An elderly man complains of dizziness...

A 14-year-old boy presents complaining of intense pruritus in his groin, axillae, and between his fingers after returning home from summer camp 1 week ago. He reports several other campers had similar symptoms. On exam, you note excoriations in the inguinal region and axillae surrounding scattered, erythematous papules. Which of the following is the most appropriate treatment? Ketoconazole Lindane Permethrin Prednisone Correct Answer: Correct Answer ( C ) Explanation: This patient has s...

Most patients with a GCS (glasgow coma scale) below what get intubated? A. 7 B. 8 C. 9 D. 10 - B. Which of the following should be done with a patient with a GCS below 8 with trauma or concern for C-spine injury with no signs of airway blockage, oral/nasal bleeding, secretions, or vomiting? A. Chin-lift (Sniffing position) B. Jaw-thrust C. Suction D. Blind Sweeping - B. Which of the following is done with a patient with a GCS below 8 with no signs of cervical injury, trauma, airway ...