As knowledge increases, wonder deepens.-Charles Morgan
Now onto this week’s podcast
A 23-year-old man presents with chest tightness after intranasal cocaine use. Vital signs are HR 133, BP 155/95, and oxygen saturation 95%. ECG reveals sinus tachycardia with no ischemic changes. What medication should be administered?
C. Calcium channel blocker
Which of the following is the most common type of migraine headache?
A. Basilar-type migraine
B. Migraine with aura
C. Migraine without aura
D. Ophthalmoplegic migraine
A 59-year-old man is found naked under a bridge. He is unresponsive and does not respond to painful stimulation. His rectal temperature is 32ºC. The patient is intubated for airway protection, warm blankets are placed, and active internal rewarming measures are initiated. The patient’s temperature slowly rises to 35ºC, but then begins to fall. Which of the following is most likely responsible for this phenomenon?
A. Cooling of blood during cardiopulmonary circulation
B. Equipment failure
C. Paradoxical splanchnic vasoconstriction
D. Return of cold blood to core from periphery
Which of the following statements regarding drug exposure and overdose in pregnancy is true?
A. Gastric decontamination with charcoal or whole-bowel irrigation should be avoided in pregnancy
B. Iron crosses the placenta and causes direct fetal toxicity
C. Most antidotes should not be given in pregnancy due to the risk of fetal harm
D. Salicylate overdose is associated with poor fetal outcomes
E. The threshold to treat carbon monoxide poisoning is the same in pregnant and nonpregnant women
A 32-year old woman with HIV presents for the evaluation of a headache. She denies fever and her neurologic examination is normal. A CT scan of the head is performed and shown above. Which of the following is true regarding the finding on the CT scan?
A. It is caused by reactivation of a previous infection
B. It is transmitted through dog feces
C. The CD4 count is typically less than 50 cells/mm3
D. The organism is a common cause of meningitis
A woman suffers from an acute attack of vertigo, nausea, and vomiting. You suspect viral labyrinthitis. Which of the following medications is the best choice in treating the vertigo?
That wraps up Episode 20. Don’t forget to follow us on Twitter @Roshcast for updates and high-yield EM pearls in 140 characters or less. We will primarily be posting on material that we have already covered on the podcast to add yet another element of spaced repetition. Be sure to take full advantage! And take a look at our new Teaching Image series on the blog. The first three posts are already up: Cardiac Tamponade, Tinea Versicolor, and Basilar Skull Fracture.
Until next time,
Jeff and Nachi
The post Podcast Ep 20: Cocaine Chest Pain, Migraines, Hypothermia, & More appeared first on RoshReview.com.