“As to diseases, make a habit of two things — to help, or at least, to do no harm.” ― Hippocrates
Let’s get started.
Now to this week’s podcast.
Which of the following antidotes is paired with the correct poisoning?
A. Bupivacaine – Intralipid
B. Hydrofluoric acid – Sodium bicarbonate
C. Lorazepam – Fomepizole
D. Metformin – Octreotide
A 3-year-old girl presents to the ED with altered mental status. She was in her usual state of health until one day prior to presentation when she developed abdominal pain, vomiting, and bloody diarrhea after she was found with a bottle of vitamins from the family’s medicine cabinet. She transiently improved for a few hours then became increasingly lethargic. On arrival, she responds only to painful stimulus. Her blood pressure is 65/40 mm Hg and her heart rate is 160 beats per minute. She appears profoundly dehydrated. Her arterial blood gas demonstrates a metabolic acidosis. What is the most definitive therapy for this patient?
A. Activated charcoal
C. Sodium bicarbonate
D. Whole-bowel irrigation
You are the physician for a patient who is diagnosed with pancreatic adenocarcinoma. The oncologist makes a note of a positive Trousseau’s syndrome in the documentation. Which of the following is she referring to?
A. Nontender palpable gallbladder
B. Palpable left supraclavicular lymph node
C. Popliteal pain with abrupt ankle dorsiflexion
D. Tender migratory thrombophlebitis
A 27-year-old woman presents with a painful rash on both of her legs. What is the most common cause of this condition?
B. Drug hypersensitivity reaction
C. Herpes virus
D. Streptococcal infection
A 15-year-old G1P0 woman at 23 weeks presents with sharp, left lower quadrant abdominal pain for 1 hour. She has had an ultrasound confirming the presence of a single intrauterine pregnancy. The pain is severe and associated with nausea. Pelvic examination reveals tenderness of the left adnexa. The patient’s urinalysis is unremarkable. What test should be ordered to diagnose the patient?
A. Abdominal X-ray
B. CT scan of the abdomen and pelvis
C. Pelvic ultrasound
D. White blood cell count
Which of the following statements is true regarding the diagnosis of Epstein-Barr virus infection?
A. Guillain-Barre syndrome is a possible complication
B. Neutrophilia predominates
C. Splenomegaly occurs in 10% of patients
D. The virus is transmitted via respiratory droplets
That concludes episode 6. We’ll keep new episodes coming throughout the holiday season so make sure to set your favorite podcast player to download them automatically. Also, don’t forget to write a short review for Roshcast on iTunes when you have a minute.
If you’d like to start at episode 1 to hear more of our educational pearls, just follow this link back to Roshcast.
Until next time,
Jeff and Nachi
P.S. Dr. Rosh recently published an article to help residents preparing for the upcoming emergency medicine In-training Exam…you may find it useful to learn How to Increase Your Emergency Medicine In-Training Exam Score by 10 Points.
The post Podcast Ep 6: Bupivacaine Toxicity, Iron Overdose, & More appeared first on RoshReview.com.