EM EOR | Study guide
1. Organism for osteomyelitis: Staph aureus
2. Renal failure male w 3 fractures in one year: Multiple myeloma
3. Boy with atraumatic epistaxis, what to give: desmopressin or afrin
4. Male with a history of MVA s/p splenectomy 1 year ago presenting with like pneumonia or URI
symptoms, what organism likely: strep.pneumonia
5. Peri-oral numbness + EKG strip, what are they most likely: hyerkalemia, hypocalcemia,
hyperphosph
6. They showed a 12-lead EKG that looked like there were no T waves: hyper- calcemia or
hypokalemia ???
7. Pregnant lady w hydronephrosis, what next step?: Right stent Lay her on her
side
8. Ankle sprain, no fractures. Whats the next step?: early mobilization
9. Patient working in the attic, w bite ?: black widow ( neuro sx), brown recluse (nausea
vomiting)
10.Pt admits to trying new drugs, has dilated pupiles. What drug?: cocaine
11.Man with epistaxis, no blood active bleeding in nose but blood in orophar- ynx exam what
caused his bleeding?: Trauma to kiesselbach
I thought this was posterior bleed bc oropharynx (from Shea)
12.Roulex on smear: MM
13.Pt with punched out hole lesions on lower legs (maybe PVD whats likely on their hx?: Brown
shins
14.What to avoid in patients with asthma?: Beta blockers
15.pt was changing lightbulb, using arm overhead and heard a pop now with shoulder pain. What
muscle was likely involved?: supraspinatus
16.Old man w hx of HLD, PUD, weight loss. What is the diagnosis?: gastric cancer, colon
cancer, pancreatic cancer
17.Old man with Bright red blood in stools, best next dx test?: abdominal XR, upper endoscopy,
abdominal CT w contrast
18.Pt with gout attack asks what kind of diet to eat?: Stir fry chicken with brown rice and veggies
19.Patient presents w/ laceration, in addition to diphtheria and tetanus what else would you
vaccinate for?: pertussis (TDAP)
20.Side effect of putting patch on corneal ulcer?: pseudomonas infection
21.30 y/o pos urine pregnancy, scan shows anechoic spaces and swelling of trophoblastic villi or
something like that??: hydatidiform mole
, EM EOR | Study guide
22.pericarditis tx: NSAIDS
23.post-stemi ST elevation: dressler syndrome
24.Plantar ecchymosis after kicking soccer ball?: lisfranc fracture
, EM EOR | Study guide
25.What do you monitor regularly in pt taking amiodarone?: TSH
26.criteria for DKA: bicarb 12
need to have large amts of ketones to differentiate from HHS
27.Elevated bili, normal alk phos and AST/ALT, pt is jaundiced, what dx?: I put hemolytic anemia,
other options were hepatitis, choledocolithiasis
28.Which abx covers anaerobic and aerobic?: cefuroxime
29.Pt w/ super high BP (>200/>120) w/ syncopal episode, what is DOC to re- duce BP?: Clonidine,
metoprolol, nicardipine, and lasix were options (I put clonidine bc someone else mentioned that
on here but idk)
i thought it was nicardipine = Shea
30.What enzyme is blocked by tamsulosin: alpha 1A
31.Pt w/ angioedema, what med caused it?: ACE - lisinopril
32.Stomach pain w/ defecation, diarrhea 3x/wk for the past two weeks, what dx?: Options were
celiac dz and IBS (I put IBS but not sure)
33.5 days s/p C section, now has tachycardia and elevated RR and pleuritic chest pain, normal
EKG, what is most likely dx?: Options were PE, anxiety d/o (I put PE bc 90% of pt w/ PE have
normal EKG)
34.Acute myasthenia gravis, what tx?: plasmapharesis
35.Pt w rhinitis sx and sinus pressure, what tx?: Options were anti-adrenergic nasal spray and
second gen antihistamine, augmentin?
36.Ekg with no P, inverted T wave, dx?: Options were aflutter, afib, paroxysmal atrial
tachycardia, MAT (not sure which it was, there were no fibrillatory waves or shark tooth
pattern so I don't think it was afib or aflutter but idk)
37.Which abx would you not want to give to pt w/ frequent sun exposure?: -
tetracyclines
38.(+) finnklestein test: de quervain tensynovitis
39.definitive test asthma: PFT
40.MCC for posterior shoulder dislocation: seizures
41.outpatient tx for cluster HA: sumatriptan
42.pt w/ catbite: augmentin
43.biggest rf for placental abruption: HTN
44.child w/ bleeding after recent illness, what test is best initial test?: PLT count
1. Organism for osteomyelitis: Staph aureus
2. Renal failure male w 3 fractures in one year: Multiple myeloma
3. Boy with atraumatic epistaxis, what to give: desmopressin or afrin
4. Male with a history of MVA s/p splenectomy 1 year ago presenting with like pneumonia or URI
symptoms, what organism likely: strep.pneumonia
5. Peri-oral numbness + EKG strip, what are they most likely: hyerkalemia, hypocalcemia,
hyperphosph
6. They showed a 12-lead EKG that looked like there were no T waves: hyper- calcemia or
hypokalemia ???
7. Pregnant lady w hydronephrosis, what next step?: Right stent Lay her on her
side
8. Ankle sprain, no fractures. Whats the next step?: early mobilization
9. Patient working in the attic, w bite ?: black widow ( neuro sx), brown recluse (nausea
vomiting)
10.Pt admits to trying new drugs, has dilated pupiles. What drug?: cocaine
11.Man with epistaxis, no blood active bleeding in nose but blood in orophar- ynx exam what
caused his bleeding?: Trauma to kiesselbach
I thought this was posterior bleed bc oropharynx (from Shea)
12.Roulex on smear: MM
13.Pt with punched out hole lesions on lower legs (maybe PVD whats likely on their hx?: Brown
shins
14.What to avoid in patients with asthma?: Beta blockers
15.pt was changing lightbulb, using arm overhead and heard a pop now with shoulder pain. What
muscle was likely involved?: supraspinatus
16.Old man w hx of HLD, PUD, weight loss. What is the diagnosis?: gastric cancer, colon
cancer, pancreatic cancer
17.Old man with Bright red blood in stools, best next dx test?: abdominal XR, upper endoscopy,
abdominal CT w contrast
18.Pt with gout attack asks what kind of diet to eat?: Stir fry chicken with brown rice and veggies
19.Patient presents w/ laceration, in addition to diphtheria and tetanus what else would you
vaccinate for?: pertussis (TDAP)
20.Side effect of putting patch on corneal ulcer?: pseudomonas infection
21.30 y/o pos urine pregnancy, scan shows anechoic spaces and swelling of trophoblastic villi or
something like that??: hydatidiform mole
, EM EOR | Study guide
22.pericarditis tx: NSAIDS
23.post-stemi ST elevation: dressler syndrome
24.Plantar ecchymosis after kicking soccer ball?: lisfranc fracture
, EM EOR | Study guide
25.What do you monitor regularly in pt taking amiodarone?: TSH
26.criteria for DKA: bicarb 12
need to have large amts of ketones to differentiate from HHS
27.Elevated bili, normal alk phos and AST/ALT, pt is jaundiced, what dx?: I put hemolytic anemia,
other options were hepatitis, choledocolithiasis
28.Which abx covers anaerobic and aerobic?: cefuroxime
29.Pt w/ super high BP (>200/>120) w/ syncopal episode, what is DOC to re- duce BP?: Clonidine,
metoprolol, nicardipine, and lasix were options (I put clonidine bc someone else mentioned that
on here but idk)
i thought it was nicardipine = Shea
30.What enzyme is blocked by tamsulosin: alpha 1A
31.Pt w/ angioedema, what med caused it?: ACE - lisinopril
32.Stomach pain w/ defecation, diarrhea 3x/wk for the past two weeks, what dx?: Options were
celiac dz and IBS (I put IBS but not sure)
33.5 days s/p C section, now has tachycardia and elevated RR and pleuritic chest pain, normal
EKG, what is most likely dx?: Options were PE, anxiety d/o (I put PE bc 90% of pt w/ PE have
normal EKG)
34.Acute myasthenia gravis, what tx?: plasmapharesis
35.Pt w rhinitis sx and sinus pressure, what tx?: Options were anti-adrenergic nasal spray and
second gen antihistamine, augmentin?
36.Ekg with no P, inverted T wave, dx?: Options were aflutter, afib, paroxysmal atrial
tachycardia, MAT (not sure which it was, there were no fibrillatory waves or shark tooth
pattern so I don't think it was afib or aflutter but idk)
37.Which abx would you not want to give to pt w/ frequent sun exposure?: -
tetracyclines
38.(+) finnklestein test: de quervain tensynovitis
39.definitive test asthma: PFT
40.MCC for posterior shoulder dislocation: seizures
41.outpatient tx for cluster HA: sumatriptan
42.pt w/ catbite: augmentin
43.biggest rf for placental abruption: HTN
44.child w/ bleeding after recent illness, what test is best initial test?: PLT count
