Hajar's Most Commons ER II Chart

Question 1

how long do opioids last in body

Answer 1

4 hr

Question 2

coma cocktail

Answer 2

O2
wernickes: thiamine 100 mg IV

Opiod: narcan 0.01 mg/ kg IV

Hypoglycemia: glucose/dextrose 50 g IV

Question 3

hyperthermia causes

Answer 3

serotonin syndrome
stimulants
anticholinergic toxidrome

Question 4

hypothermia causes

Answer 4

narcotic or sedative hypnotic

Question 5

population most affected by salicylate OD

Answer 5

elderly - chronic toxicity

Question 6

NAC contraindications

Answer 6

none - if in doubt give it out!

Question 7

large pupils

Answer 7

anticholinergic or sympathomimetic

Question 8

small pupils

Answer 8

cholinergic

Question 9

pinpoint pupils

Answer 9

opiods

Question 10

nystagumus horizantle

Answer 10

ethanol

ketamine

Question 11

nystagmus rotary/vertical

Answer 11

PCP

stimulants - some

Question 12

RF for wernickes encephalopahty

Answer 12

pregnancy, EToH, OD

Question 13

common cause of death in sickle cell dz

Answer 13

acute chest syndrome

Question 14

sympathomimetic of tx

Answer 14

BZD

Question 15

salicylate toxicity can mimic..

Answer 15

DKA, delirium, CVA, MI, HF, sepsis

Question 16

amphetamines

Answer 16

ephedrine, bath salts, Ritalin, khat

Question 17

time when peak Etoh hits

Answer 17

20-60 min

Question 18

things to look for with opiod od

Answer 18

track marks, abscess, rhabdo, compartment syndrome

Question 19

isopropanol OD sx

Answer 19

fruity breath, ketosis without acidosis osmolar gap

Question 20

ethylene glycol od sx

Answer 20

glowing urine, QT prolonged, peaked T waves with rhabdo

Question 21

lethal dose of ethylene glycol

Answer 21

2 ml/kg

Question 22

hamptoms hump on CXR

Answer 22

PE

Question 23

most common surgery in elderly besides hip

Answer 23

biliary issues

Question 24

common cause of fourneirs gangrene

Answer 24

diverticular dz, septic abortions, DM< abscesses in women

technically any infection of rectum, urethra, or skin of perineum

Question 25

leading cause of death in 1st trimester

Answer 25

ectopic

Question 26

most common type of priapism

Answer 26

ischemic

caused by: malaria, spider toxin, cocaine, alpha blockers, antidepressants, ADHD

Question 27

3rd leading cause of death with pregnancy

Answer 27

PE

Question 28

testicular torsion has __ time before permanent damage

Answer 28

6 hrs before

Question 29

2nd most common ER complaint

Answer 29

CP

Question 30

role of CK mb in CP workup

Answer 30

CK: will be elevated 4-8 hours, peak at 12-24 and 3-4 days be normal

CK mb: cleared within 48 hours

Question 31

opiod toxidrome triad sx

Answer 31

miosis + resp depression _ CNS depression

Question 32

smallpox vs chicken pox

Answer 32

small pox all at the same stage

Question 33

4 dx criteria serotonin syndrome

Answer 33

hyperthermia 
MS changes (confusion) 
autonomic instability 
neuromuscular abnormalities (myoclonus, hyperreflexia)

Question 34

ppl most commonly affected by sick sinus syndrome

Answer 34

elderly, esp with ischemic heart disease

Question 35

cardioversion for afib

Answer 35

150-200 joules

Question 36

RF for vfib

Answer 36

severe IHD with or without AMI

Question 37

cardioversion for aflutter

Answer 37

25-50 joules

Question 38

most common presentation of tachydysrhythmias

Answer 38

narrow complex - SVT over 150 bpm

Question 39

RF for atrial flutter

Answer 39

IHD, MI

Question 40

pop most affected by PJC

Answer 40

digitalis toxicity, ischemic heart dz, inf wall MI, elderly