Category Archives: Uncategorized

Seizure, Questions

1.  Which benzodiazepine do you prefer for the treatment of status epilepticus (SE)? Which do you prefer for pediatric patients? 2. Which second-line agents do you use for treatment of SE? 3. In which adult patients with first-time seizure do … Continue reading

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Trauma, “Answers”

1. When do you use tranexamic acid in trauma? Tranexamic acid (TXA) is a synthetic derivative of the amino acid lysine. It was discovered in the 1950s and has traditionally been employed in surgery to minimize blood loss. TXA works … Continue reading

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Trauma, Questions

1.  When do you use tranexamic acid in trauma? 2.  When you can’t get peripheral access in a trauma patient, do you prefer subclavian, femoral, or IO? 3.  Which trauma patients do you give PCC to over FFP? 4.  In … Continue reading

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DKA, “Answers”

 1. When you are suspicious for DKA do you obtain a VBG or an ABG? How good is a VBG for determining acid/base status? Diabetic ketoacidosis (DKA) is defined by five findings: acidosis (pH < 7.30, serum bicarbonate (HCO3) < … Continue reading

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DKA, Questions

1. When you are suspicious for DKA do you get a VBG or an ABG? How good is a VBG for determining acid/base status? 2. Do you use serum or urine ketones to guide your diagnosis and treatment of DKA? … Continue reading

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Eye Emergencies, “Answers”

1.) Do you prescribe ophthalmic topical anesthetics to patients with corneal abrasions who complain of severe pain? Corneal abrasion is one of the most common acute eye complaints that presents to the ED, accounting for approximately 10% of eye related … Continue reading

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Eye Emergencies, Questions

1. Do you prescribe ophthalmic topical anesthetics to patients with corneal abrasions who complain of severe pain? 2. When do you schedule ophthalmology follow up for patients with corneal abrasions? 3. How soon after presentation do you have a patient … Continue reading

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Monoarticular Arthritis, “Answers”

1. When do you tap a painful swollen joint? When do you obtain imaging before arthrocentesis? Acute monoarticular arthritis is an inflammatory process involving a single joint that develops over a period of less than 2 weeks. The possible etiologies … Continue reading

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Monoarticular Arthritis, Questions

1.  When do you tap a painful, swollen joint? When do you obtain imaging before arthrocentesis? 2.  In a patient with monoarticular arthritis, do you send any serum labs such as WBC, ESR, or CRP? How do they guide your … Continue reading

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GI Imaging, “Answers”

1. When do you get abdominal plain films before CT in suspected SBO? 2. How do plain films guide your management in patients with suspected intraperitoneal free air? With advances in radiologic technology and the increased availability of CT, ultrasound, … Continue reading

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