Family Medicine EOR study guide Grade A+
g g g g g g
-
URGENTgCARE:gRespiratorygarrestghasgag multitudegofgcausesgincludinggpulmonary,gcardiac,gneurologic,gtoxic
/metabolic,getc.gNamegsome.
{{Ans-gCOPD,gasthma,gforeigngobjects,gangioedema,gDKA,gcancergetc.
-Abnormalgbreathgsounds:
isg angairwaygobstruction.g suggestsgobstructiongabovegthegvocalgcordsgandg
gsuggestsgobstructiongbelowgthegvocalgcords.
suggestsg obstructiongbelowgtheglevelgofgthegtrachea.
suggestsg presencegofginteralveolargfluidg(PNA),gpulmonarygfibrosis.
{{Ans-gStridor,ginspiratorygstridor,gexpiratorygstridor;gWheezing;gcracklesg&grales
-
ofg respiratorygarrestgincludesgACS,gacutegheartgfailure,garrhythmia,gpericardialgtamponade,gP
E,gPNA,gCOPD,gasthma,gangioedema,ganaphylaxis,gCOgpoisoning,gtrauma.
{{Ans-gDifferentialg Diagnosis
-D/Dgforg gincludesgDKA,ghypoglycemia,gUTI,gsepsis,gdruggoverdose,gstroke,gandgseizure.
{{Ans-gdeterioratinggmentalgstatusgorgunconsciousgpatient
-D/Dgforg
gincludesgappendicitis,gpancreatitis,gPID,gobstruction,gAAA,gperforatedgviscous,gdiverticuliti
s,gmesentericgischemia,gorginfarction.
{{Ans-gacutegabdomen
-Whatg isgthegtreatmentgforgallergicgreaction?gimmediateg&gsubsequent?
{{Ans-gepig1:1000g IMgqg10g ming0.5mg;gantihistamineg(H1g&gH2),gsteroids,gbronchodilators
-Whatgisgthegrulegofg 9'sgingburngmanagement?
{{Ans-g9ghead,g9gleftgarm,g9g rightgarm,g18g anteriorgtorso,g18g posteriorgtorso,g1ggenitals
-Whatg isgthegParklandgformulagingburngmanagement?
{{Ans-g4gccgLRg perg%g bodygburnedgpergkgg bodygweightg---ginsertg2glargegboreg IV'sgintogunburnedgskin
-Placentagpreviagpresentsgwithg .
{{Ans-gpainlessgvaginalg bleeding.
-Placentagabruptiongpresentsgwithg
.gRF:gmaternalgHTN,gsmoking,gcocaine,gmultiples,gPRO
M,ginheritedgthrombophilia.gLabs:gdecreasedgfibrinogen,gdecreasedgplatelets
{{Ans-gpainfulgvaginalgbleeding.
- isgagsurgicalgemergency.gRF:gpreviousgc/s,gpriorguterinegsurgery,ghyperstimulationgwgoxytoci
,n,gtrauma,gparityg>4.
,{{Ans-gUterinegrupture
- isgbleedinggfromgumbilicalgcordgresultingginglossgofgfetalgblood.
{{Ans-gVasagprevia
-Withgagblackg widowgbite,gwhatgcangbegusedgforgmusclegspasmsg&grigidity?gWhatgaboutgantivenom?
{{Ans-gdiazepam,gcalciumggluconate,grobaxin;gusegantivenomgjudiciously
-Whichgpitgvipergsnakeghasgthegmostg potentgvemom:grattlesnake,g cottonmouth,gorgcopperhead?
{{Ans-g rattlesnake
-Whatgdogyoug applygtogag jellyfishgsting?
{{Ans-gaceticgacidgorgvinegar
-What'sgtheg classicgtriadgofg foreigngbodygaspiration?
{{Ans-ggeneralizedgwheezing,gcough,gdiminishedgbreathgsounds
-ExplaingthegSalter-Harrisgclassificationgofggrowthgplateginjuries?
{{Ans-gIg-g Straight
II -gAbove
III -gLower
IV -gThrough
V -gRam
- isginjurygtog ag ligament.gGradedgI-IIIg(complete).
{{Ans-g Sprain
- =
a. paingatgmedialgmalleolus/distalgfibula/inabilitygtogwalk
b. paingatg midfoot/5thgmetatarsal
c. paingatg naviculargbone/inabilitygtogbeargweightgforg4gsteps
{{Ans-gOttawaganklegrules
- =g tearinggofgmusclegorgtendongfibersgcausedgbygexcessivegstretchgduringgvigorousgactivity.gGraded
gIg-gIVg(complete).
{{Ans-g Strain
-STg ElevationsgingII,gIII,gaVF
{{Ans-gInferiorgMI;grightgcoronarygartery
-STgElevationsgingI,gaVL,gV4,gV5,g V6
{{Ans-glateralgwallgMI,gleftgcircumflexgartery
, -STgElevationsgingV1,gV2,gV3,g V4,gV5g {{Ans-gAnterioseptalgMI,gleftganteriorgdescendinggartery
-STg ElevationsgingV1,gV2g{{Ans-gposteriorgwallg MI,gposteriorgdescendinggartery
-NognitroglyceringingwhichgtypegofgMI?g{{Ans-ginferiorgwallgMIgbcgofgpossibleghypotension
-Whatgaregtheg preghospitalgtreatmentsgforgACS?
{{Ans-gMONA;gmorphine,goxygen,gnitroglycering(0.4mggSLgx3g prn),gaspiring(325mg)
-Whatg twogmedsgshouldgbeggivengtogallgACSgpatientsgthatgdog notghavegcontraindications?
{{Ans-gBBg-gunlessgbradygorgseveregCOPDg-
gthengdogNDCCBg(verapamil/diltiazem)gACEig-gifgcough,gusegARB
-HowglonggshouldgPlavix/Clopidogrelgbegusedgforgbaregmetalgorgdrugg elutinggstents?
{{Ans-gbaregmetalg-g30d-
12mgdruggelutingg-
g>/=12mon
-Whatg medsgshouldgagpatientggoghomegwithgaftergACS?
{{Ans-
gNitroglyceringBB
ACEi
ASA/Clopidogrel
anticoagulantg(upgtog8daysgforgLMWH)galdost
eronegagonist
statin
LIFESTYLEgCHANGES
-CardiacgMarkers:g isg detectablegwithing1-2ghoursgaftergacutegMI.g Durationg<1g day.gLowg specificity.
{{Ans-g Myoglobin
-CardiacgMarkers: _____ sg thegtestgofg choicegandgappearsg2-6g hoursgaftergMIg andg staysgelevatedgforg5-10
days.g{{Ans-gTroponin
-CardiacgMarkers:g appearsg3-6ghoursgaftergMIgandgstaysgelevatedgforg2-
4gdays.gSpecificgtogheartgmuscle.g{{Ans-gCreatinegKinasegMb
-Timeline:
Reperfusiongshouldgtakegplacegbeforeg
hoursgofgsymptomgonset
.gDoorgtogneedlegtimegforgfibrinolysisgisg min.
Doorgtog balloongtimegforgPCIgisg min.
{{Ans-g12ghours;g30g minutes;g90gminutes
g g g g g g
-
URGENTgCARE:gRespiratorygarrestghasgag multitudegofgcausesgincludinggpulmonary,gcardiac,gneurologic,gtoxic
/metabolic,getc.gNamegsome.
{{Ans-gCOPD,gasthma,gforeigngobjects,gangioedema,gDKA,gcancergetc.
-Abnormalgbreathgsounds:
isg angairwaygobstruction.g suggestsgobstructiongabovegthegvocalgcordsgandg
gsuggestsgobstructiongbelowgthegvocalgcords.
suggestsg obstructiongbelowgtheglevelgofgthegtrachea.
suggestsg presencegofginteralveolargfluidg(PNA),gpulmonarygfibrosis.
{{Ans-gStridor,ginspiratorygstridor,gexpiratorygstridor;gWheezing;gcracklesg&grales
-
ofg respiratorygarrestgincludesgACS,gacutegheartgfailure,garrhythmia,gpericardialgtamponade,gP
E,gPNA,gCOPD,gasthma,gangioedema,ganaphylaxis,gCOgpoisoning,gtrauma.
{{Ans-gDifferentialg Diagnosis
-D/Dgforg gincludesgDKA,ghypoglycemia,gUTI,gsepsis,gdruggoverdose,gstroke,gandgseizure.
{{Ans-gdeterioratinggmentalgstatusgorgunconsciousgpatient
-D/Dgforg
gincludesgappendicitis,gpancreatitis,gPID,gobstruction,gAAA,gperforatedgviscous,gdiverticuliti
s,gmesentericgischemia,gorginfarction.
{{Ans-gacutegabdomen
-Whatg isgthegtreatmentgforgallergicgreaction?gimmediateg&gsubsequent?
{{Ans-gepig1:1000g IMgqg10g ming0.5mg;gantihistamineg(H1g&gH2),gsteroids,gbronchodilators
-Whatgisgthegrulegofg 9'sgingburngmanagement?
{{Ans-g9ghead,g9gleftgarm,g9g rightgarm,g18g anteriorgtorso,g18g posteriorgtorso,g1ggenitals
-Whatg isgthegParklandgformulagingburngmanagement?
{{Ans-g4gccgLRg perg%g bodygburnedgpergkgg bodygweightg---ginsertg2glargegboreg IV'sgintogunburnedgskin
-Placentagpreviagpresentsgwithg .
{{Ans-gpainlessgvaginalg bleeding.
-Placentagabruptiongpresentsgwithg
.gRF:gmaternalgHTN,gsmoking,gcocaine,gmultiples,gPRO
M,ginheritedgthrombophilia.gLabs:gdecreasedgfibrinogen,gdecreasedgplatelets
{{Ans-gpainfulgvaginalgbleeding.
- isgagsurgicalgemergency.gRF:gpreviousgc/s,gpriorguterinegsurgery,ghyperstimulationgwgoxytoci
,n,gtrauma,gparityg>4.
,{{Ans-gUterinegrupture
- isgbleedinggfromgumbilicalgcordgresultingginglossgofgfetalgblood.
{{Ans-gVasagprevia
-Withgagblackg widowgbite,gwhatgcangbegusedgforgmusclegspasmsg&grigidity?gWhatgaboutgantivenom?
{{Ans-gdiazepam,gcalciumggluconate,grobaxin;gusegantivenomgjudiciously
-Whichgpitgvipergsnakeghasgthegmostg potentgvemom:grattlesnake,g cottonmouth,gorgcopperhead?
{{Ans-g rattlesnake
-Whatgdogyoug applygtogag jellyfishgsting?
{{Ans-gaceticgacidgorgvinegar
-What'sgtheg classicgtriadgofg foreigngbodygaspiration?
{{Ans-ggeneralizedgwheezing,gcough,gdiminishedgbreathgsounds
-ExplaingthegSalter-Harrisgclassificationgofggrowthgplateginjuries?
{{Ans-gIg-g Straight
II -gAbove
III -gLower
IV -gThrough
V -gRam
- isginjurygtog ag ligament.gGradedgI-IIIg(complete).
{{Ans-g Sprain
- =
a. paingatgmedialgmalleolus/distalgfibula/inabilitygtogwalk
b. paingatg midfoot/5thgmetatarsal
c. paingatg naviculargbone/inabilitygtogbeargweightgforg4gsteps
{{Ans-gOttawaganklegrules
- =g tearinggofgmusclegorgtendongfibersgcausedgbygexcessivegstretchgduringgvigorousgactivity.gGraded
gIg-gIVg(complete).
{{Ans-g Strain
-STg ElevationsgingII,gIII,gaVF
{{Ans-gInferiorgMI;grightgcoronarygartery
-STgElevationsgingI,gaVL,gV4,gV5,g V6
{{Ans-glateralgwallgMI,gleftgcircumflexgartery
, -STgElevationsgingV1,gV2,gV3,g V4,gV5g {{Ans-gAnterioseptalgMI,gleftganteriorgdescendinggartery
-STg ElevationsgingV1,gV2g{{Ans-gposteriorgwallg MI,gposteriorgdescendinggartery
-NognitroglyceringingwhichgtypegofgMI?g{{Ans-ginferiorgwallgMIgbcgofgpossibleghypotension
-Whatgaregtheg preghospitalgtreatmentsgforgACS?
{{Ans-gMONA;gmorphine,goxygen,gnitroglycering(0.4mggSLgx3g prn),gaspiring(325mg)
-Whatg twogmedsgshouldgbeggivengtogallgACSgpatientsgthatgdog notghavegcontraindications?
{{Ans-gBBg-gunlessgbradygorgseveregCOPDg-
gthengdogNDCCBg(verapamil/diltiazem)gACEig-gifgcough,gusegARB
-HowglonggshouldgPlavix/Clopidogrelgbegusedgforgbaregmetalgorgdrugg elutinggstents?
{{Ans-gbaregmetalg-g30d-
12mgdruggelutingg-
g>/=12mon
-Whatg medsgshouldgagpatientggoghomegwithgaftergACS?
{{Ans-
gNitroglyceringBB
ACEi
ASA/Clopidogrel
anticoagulantg(upgtog8daysgforgLMWH)galdost
eronegagonist
statin
LIFESTYLEgCHANGES
-CardiacgMarkers:g isg detectablegwithing1-2ghoursgaftergacutegMI.g Durationg<1g day.gLowg specificity.
{{Ans-g Myoglobin
-CardiacgMarkers: _____ sg thegtestgofg choicegandgappearsg2-6g hoursgaftergMIg andg staysgelevatedgforg5-10
days.g{{Ans-gTroponin
-CardiacgMarkers:g appearsg3-6ghoursgaftergMIgandgstaysgelevatedgforg2-
4gdays.gSpecificgtogheartgmuscle.g{{Ans-gCreatinegKinasegMb
-Timeline:
Reperfusiongshouldgtakegplacegbeforeg
hoursgofgsymptomgonset
.gDoorgtogneedlegtimegforgfibrinolysisgisg min.
Doorgtog balloongtimegforgPCIgisg min.
{{Ans-g12ghours;g30g minutes;g90gminutes
