I wish to do something great and wonderful, but I must start by doing the little things like they were great and wonderful. -Albert Einstein
The In-Training exam is 92 days away. By consistently studying a little every week and identifying your weaknesses, you can increase your emergency medicine in-training exam score by 10 points.
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Now to this week’s podcast
A 22-year old woman presents with vaginal bleeding. She should be approximately 10 weeks pregnant based on a previous ultrasound, which confirmed an intrauterine pregnancy. On today’s bedside ultrasound, no intrauterine pregnancy is visualized. Her blood type is A negative and the father’s blood type is unknown. Which of the following is true regarding the administration of Rh immunoglobulin?
A. A test dose is administered first because of the risk of an anaphylactoid reaction
B. Rh immunoglobulin 300 micrograms is indicated
C. Rh immunoglobulin is not indicated
D. She can delay Rh immunoglobulin for up to 72 hours
A 22-year-old man presents to the ED with clonus of his neck to the right. Which of the following drugs is he most likely taking?
A patient presents after a chemical splash to the eye. What management is immediately indicated?
A. High volume irrigation
B. Pupil dilation and slit lamp examination
C. Referral to ophthalmology
D. Topical antibiotics and ophthalmology consultation
Which of the following medications most commonly leads to recurrent episodes of hypoglycemia?
A. Glargine insulin
A 34-year-old woman presents complaining of dysuria and vaginal itching. Your speculum exam reveals a vaginal vault filled with a thick, curdy white discharge. Which of the following statements is correct regarding this diagnosis?
A. A fishy odor is present when vaginal discharge is mixed with potassium hydroxide
B. Metronidazole is the recommended treatment
C. Multiple petechiae are often seen on the vaginal wall
D. The pH of the discharge is less than 4.5
E. Vaginal discharge is often foul smelling
An 18-year-old softball player is struck in the face with a softball. The CT shows a fracture of the inferior orbital floor. She has numbness over the anteromedial cheek and upper lip. Which of the following nerves is likely to be affected?
A. Anterior superior alveolar nerve
B. Inferior orbital nerve
C. Supratrochlear nerve
D. Zygomatic branch of the facial nerve
The post Podcast Ep 7: Hypoglycemia, Vaginal Candidiasis, Corneal Burns, & More appeared first on RoshReview.com.