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There are two ways of spreading light: to be the candle or the mirror that reflects it.
-Edith WhartonNow onto this week’s podcast.
Question 1
A 72-year-old man complains of decreased painless vision in his left eye associated with flashing lights and floaters. Visual acuity in the left eye is 20/200 and in the right eye is 20/30. Which of the following is the most likely diagnosis?
A. Acute angle-closure glaucoma
B. Optic neuritis
C. Retinal detachment
D. Temporal arteritis
Teaching Image
Question 2
What is the most common causative organism of meningitis in a 1-week-old child?
A. Group B streptococci
B. Haemophilus influenzae
C. Listeria monocytogenes
D. Staphylococcus aureus
Teaching Image
Question 3
A 17-year-old man presents to the ED 30 minutes after intentionally ingesting an unknown amount of drain cleaner. The active ingredient is sodium hydroxide; the pH of the product is 13. Upon arrival, the patient is afebrile, heart rate is 120 beats per minute, blood pressure 130/70 mm Hg, respirations 22 breaths per minute, and oxygen saturation 97% on room air. He appears uncomfortable and reports chest discomfort. There are superficial burns of the oral mucosa and inflammation in the posterior oropharynx, but he is in no respiratory distress. Which of the following is true regarding this patient’s care?
A. Activated charcoal should be administered because the patient presented within an hour of ingestion
B. Dilution with milk or water may be performed
C. Gastric lavage should be performed to prevent systemic toxicity
D. He should be kept NPO in preparation for endoscopy
E. Induction of vomiting with ipecac may be attempted
Teaching Image
Question 4
A 45-year-old man is rescued from a house fire. He was unresponsive at the scene and was intubated by paramedics. Upon arrival, he is afebrile, tachycardic to 130 with a blood pressure of 90/60. His arterial blood gas is significant for a pH of 7.16, a carboxyhemoglobin level of 20%, and a lactate level of 11.5 mmol/L. What is the most appropriate treatment for potential cyanide toxicity in this patient.
A. Administer hydroxocobalamin as a 5 g IV infusion
B. Administer sodium bicarbonate to correct the acidosis
C. Administer the cyanide antidote kit (amyl nitrate, sodium nitrite, sodium thiosulfate)
D. Arrange for the patient to receive immediate hyperbaric oxygen therapy
E. Hyperventilate the patient and maintain FiO2 at 100%
Question 5
An 85-year-old man presents via ambulance after a reported fall. He is non-verbal, bed-bound, and incontinent of urine and stool at baseline. He requires round-the-clock care, which is primarily provided by his daughter, a retired nurse. There are also several grandchildren that assist with his care on a daily basis. The EMS team is concerned for elder abuse and alerts you of their concerns on arrival to the ED. Which of the following factors is associated with a greater likelihood of underlying elder abuse?
A. Daughter’s occupation
B. History of incontinence
C. Male sex
D. Support by the grandchildren
Teaching Image
Question 6
Which of the following is true regarding the characteristic rash of chickenpox?
A. Lesions appear over 2–4 weeks with multiple stages present at once
B. Lesions appear over 2–4 weeks with one stage present at a time
C. Lesions appear over days and fade by the third day
D. Lesions appear over days with multiple stages present at once
Teaching Image
That wraps up Episode 26. As always, feel free to submit questions for us to review. Don’t forget to listen for the trauma phone ring tone in the coming weeks for a chance to win a Rosh Review Subscription. Remember to tweet us @Roshcast or email us at [email protected] the exact time you hear the ring to win the prize.
Until next time,
Jeff and Nachi
The post Podcast Ep 26: Retinal Detachment, Meningitis, Chicken Pox & More appeared first on RoshReview.com.
4.6
101101 ratings
There are two ways of spreading light: to be the candle or the mirror that reflects it.
-Edith WhartonNow onto this week’s podcast.
Question 1
A 72-year-old man complains of decreased painless vision in his left eye associated with flashing lights and floaters. Visual acuity in the left eye is 20/200 and in the right eye is 20/30. Which of the following is the most likely diagnosis?
A. Acute angle-closure glaucoma
B. Optic neuritis
C. Retinal detachment
D. Temporal arteritis
Teaching Image
Question 2
What is the most common causative organism of meningitis in a 1-week-old child?
A. Group B streptococci
B. Haemophilus influenzae
C. Listeria monocytogenes
D. Staphylococcus aureus
Teaching Image
Question 3
A 17-year-old man presents to the ED 30 minutes after intentionally ingesting an unknown amount of drain cleaner. The active ingredient is sodium hydroxide; the pH of the product is 13. Upon arrival, the patient is afebrile, heart rate is 120 beats per minute, blood pressure 130/70 mm Hg, respirations 22 breaths per minute, and oxygen saturation 97% on room air. He appears uncomfortable and reports chest discomfort. There are superficial burns of the oral mucosa and inflammation in the posterior oropharynx, but he is in no respiratory distress. Which of the following is true regarding this patient’s care?
A. Activated charcoal should be administered because the patient presented within an hour of ingestion
B. Dilution with milk or water may be performed
C. Gastric lavage should be performed to prevent systemic toxicity
D. He should be kept NPO in preparation for endoscopy
E. Induction of vomiting with ipecac may be attempted
Teaching Image
Question 4
A 45-year-old man is rescued from a house fire. He was unresponsive at the scene and was intubated by paramedics. Upon arrival, he is afebrile, tachycardic to 130 with a blood pressure of 90/60. His arterial blood gas is significant for a pH of 7.16, a carboxyhemoglobin level of 20%, and a lactate level of 11.5 mmol/L. What is the most appropriate treatment for potential cyanide toxicity in this patient.
A. Administer hydroxocobalamin as a 5 g IV infusion
B. Administer sodium bicarbonate to correct the acidosis
C. Administer the cyanide antidote kit (amyl nitrate, sodium nitrite, sodium thiosulfate)
D. Arrange for the patient to receive immediate hyperbaric oxygen therapy
E. Hyperventilate the patient and maintain FiO2 at 100%
Question 5
An 85-year-old man presents via ambulance after a reported fall. He is non-verbal, bed-bound, and incontinent of urine and stool at baseline. He requires round-the-clock care, which is primarily provided by his daughter, a retired nurse. There are also several grandchildren that assist with his care on a daily basis. The EMS team is concerned for elder abuse and alerts you of their concerns on arrival to the ED. Which of the following factors is associated with a greater likelihood of underlying elder abuse?
A. Daughter’s occupation
B. History of incontinence
C. Male sex
D. Support by the grandchildren
Teaching Image
Question 6
Which of the following is true regarding the characteristic rash of chickenpox?
A. Lesions appear over 2–4 weeks with multiple stages present at once
B. Lesions appear over 2–4 weeks with one stage present at a time
C. Lesions appear over days and fade by the third day
D. Lesions appear over days with multiple stages present at once
Teaching Image
That wraps up Episode 26. As always, feel free to submit questions for us to review. Don’t forget to listen for the trauma phone ring tone in the coming weeks for a chance to win a Rosh Review Subscription. Remember to tweet us @Roshcast or email us at [email protected] the exact time you hear the ring to win the prize.
Until next time,
Jeff and Nachi
The post Podcast Ep 26: Retinal Detachment, Meningitis, Chicken Pox & More appeared first on RoshReview.com.
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