ITE EMERGENCY MEDICINE EXAM
QUESTIONS & VALID COMPLETE
ANSWERS
What diagnostic studies are accurate on IO lab draw? - CORRECT ANSWER
Hemoglobin
pH, PCO2, bicarb
chloride, BUN, creatinine,
cultures
What lab studies are inaccurate on IO lab draw? - CORRECT ANSWER CBC (other
than Hgb)
K+
Calcium
AST/ALT
blood O2
what adverse side effect is noted with PGE1 - CORRECT ANSWER apnea
L3 nerve root compression - CORRECT ANSWER Sensory loss over anterior thigh
weak hip flexion and adduction
L4 nerve root compression - CORRECT ANSWER Sensory loss anterior aspect of knee
and medial leg
weak knee extension
L5 nerve root compression - CORRECT ANSWER Sensory loss dorsum of foot
Weakness in dorsiflexion of foot and extension of great toe
S1 nerve root compression - CORRECT ANSWER Sensory loss posterolateral aspect
of leg and lateral aspect of foot
Weakness in plantar flexion of foot, leg extension and knee flexion
Reduced ankle reflex
lab findings for adrenal insufficiency - CORRECT ANSWER HYPOnatremia and
HYPERkalemia
Treatment of pinworms> - CORRECT ANSWER albendazole 400mg once then repeat
in 2 weeks
, How long after Group A strep infection does PSGN occur? - CORRECT ANSWER 1-3
weeks
What is a hangman's fracture? - CORRECT ANSWER fracture of the pedicles of C2
caused by hyperextension injury
Where do cardiac myxoma's most commonly present? - CORRECT ANSWER left
atrium
Agent/occupation associated with Beryllium? - CORRECT ANSWER fluorescent lights
dental industry
computer industry
aerospace
agent/occupation associated with Talc? - CORRECT ANSWER ceramics
plastics
rubber
paint
cosmetic industry
agent/occupation associated with Silica? - CORRECT ANSWER mining
quarrying
drilling
sandblasting
How do you treat TTP? - CORRECT ANSWER plasmapharesis (plasma exchange)
Branches of the celiac trunk? - CORRECT ANSWER common hepatic
splenic a.
left gastric a.
steroid therapy for PCP pneumonia? - CORRECT ANSWER PaO2 <70
A-a gradient greater than 35
Antibiotics to treat SBP for peritoneal dialysis? - CORRECT ANSWER vancomycin and
cefepime
Most common lab finding for rhabdomyolysis - CORRECT ANSWER HYPOcalcemia
TB skin test >15 mm positive in who? - CORRECT ANSWER + in immunocompetent
patient
TB skin test >10 mm positive in who? - CORRECT ANSWER health care workers
IV drug users
high risk countries
homeless shelters/prisoners
QUESTIONS & VALID COMPLETE
ANSWERS
What diagnostic studies are accurate on IO lab draw? - CORRECT ANSWER
Hemoglobin
pH, PCO2, bicarb
chloride, BUN, creatinine,
cultures
What lab studies are inaccurate on IO lab draw? - CORRECT ANSWER CBC (other
than Hgb)
K+
Calcium
AST/ALT
blood O2
what adverse side effect is noted with PGE1 - CORRECT ANSWER apnea
L3 nerve root compression - CORRECT ANSWER Sensory loss over anterior thigh
weak hip flexion and adduction
L4 nerve root compression - CORRECT ANSWER Sensory loss anterior aspect of knee
and medial leg
weak knee extension
L5 nerve root compression - CORRECT ANSWER Sensory loss dorsum of foot
Weakness in dorsiflexion of foot and extension of great toe
S1 nerve root compression - CORRECT ANSWER Sensory loss posterolateral aspect
of leg and lateral aspect of foot
Weakness in plantar flexion of foot, leg extension and knee flexion
Reduced ankle reflex
lab findings for adrenal insufficiency - CORRECT ANSWER HYPOnatremia and
HYPERkalemia
Treatment of pinworms> - CORRECT ANSWER albendazole 400mg once then repeat
in 2 weeks
, How long after Group A strep infection does PSGN occur? - CORRECT ANSWER 1-3
weeks
What is a hangman's fracture? - CORRECT ANSWER fracture of the pedicles of C2
caused by hyperextension injury
Where do cardiac myxoma's most commonly present? - CORRECT ANSWER left
atrium
Agent/occupation associated with Beryllium? - CORRECT ANSWER fluorescent lights
dental industry
computer industry
aerospace
agent/occupation associated with Talc? - CORRECT ANSWER ceramics
plastics
rubber
paint
cosmetic industry
agent/occupation associated with Silica? - CORRECT ANSWER mining
quarrying
drilling
sandblasting
How do you treat TTP? - CORRECT ANSWER plasmapharesis (plasma exchange)
Branches of the celiac trunk? - CORRECT ANSWER common hepatic
splenic a.
left gastric a.
steroid therapy for PCP pneumonia? - CORRECT ANSWER PaO2 <70
A-a gradient greater than 35
Antibiotics to treat SBP for peritoneal dialysis? - CORRECT ANSWER vancomycin and
cefepime
Most common lab finding for rhabdomyolysis - CORRECT ANSWER HYPOcalcemia
TB skin test >15 mm positive in who? - CORRECT ANSWER + in immunocompetent
patient
TB skin test >10 mm positive in who? - CORRECT ANSWER health care workers
IV drug users
high risk countries
homeless shelters/prisoners
