Calculations and Drugs

A 35-year-old male presents after an unfortunate accident involving boiling hot tar while roofing, he has splash tar burns to both of the anterior arms, the entire anterior torso and to the anterior left leg, what is the estimated burn percentage?

36%
27%
18%
45%
12%

A Mechanic working on a ship is involved in a hot water heater explosion, he is burned on the entire left arm, posterior torso, posterior head and both posterior portion of both his legs, what is the estimated burn percentage?

49.5%
32%
10%
19%
24%

A woman cooking dinner accidentally spills a boiling pot across her lower half of the anterior torso, her groin and both anterior legs, what is the estimate burn percentage?

28%
13.5%
40.5%
22.5%
36%

A 5-year-old child is dropped into a scalding hot bath and sustains burns to both legs, his groin, and lower half of his torso circumferentially, what is the estimated burn percentage?

46%
32%
23.5%
13%
54%

A child grabs a hot pan on the stove spilling boiling water down half his anterior head, his anterior right arm, half his anterior torso and down his anterior leg, what is the estimate burn percentage?

24.75%
18%
4.5%
36%
41.5%

What is the lowest GCS score a patient can have?

0
3
6
10
15

What are the three parts of the Glascow coma scale and how many points is each one worth?

Motor 4, Verbal 5, Eye 6
Motor 5, Verbal 6, Eye 4
Motor 5, Verbal 5, Eye 5
Motor 6, Verbal 5, Eye 4
Motor 6, Verbal 4, Eye 5

A patient in a motor vehicle accident is on scene with open eyes looking around, confused with some disorientation and localizes to painful stimuli, what is the GCS?

15
13
9
6
3

A patient falls from a roof estimated to be 45 feet high, he is brought to the ED with decorticate posturing, making incomprehensible sounds and would not open his eyes, what is the GCS?

15
13
9
6
3

A patient is brought to the ED after being struck by a baseball in the head, he opens his eyes when you talk to him, is uttering inappropriate words and withdraws to painful stimuli, what is the GCS?

0
3
6
10
15

What is the highest and the lowest APGAR score a baby can receive?

15 highest, 3 lowest
12 highest, 0 lowest
10 highest, 3 lowest
15 highest, 5 lowest
10 highest, 0 lowest

A newborn is found to be pink throughout, pulse rate of 150, he grimaces on suction, resists extension, and has a weak respiratory effort, what is the APGAR score?

10
8
5
3
0

A newborn is found to have a bluish torso but pink arms and legs, pulse rate of 90, he grimaces on suction, has some flexion, and has a weak respiratory effort, what is the APGAR score?

10
8
5
3
0

A newborn is found to be pink throughout, pulse rate of 190, he has a strong lusty cry with stimulation, and resists extension, what is the APGAR score?

10
8
5
3
0

A newborn is found to be bluish throughout, pulse rate of 90, no response to suction, some flexion is noted, and has a weak irregular respiratory effort, what is the APGAR score?

10
8
5
3
0

When is the due date if a patient’s LMP was on Jan 7th 2014?

10/7/2014
10/14/2014
10/17/2014
10/21/2014
10/28/2014

When is the due date if a patient’s LMP was on Oct 28th 2014?

8/14/2015
8/01/2015
7/7/2015
6/4/2015
8/4/2015

When is the due date if a patient’s LMP was on May 24th 2014?

1/31/2015
2/31/2014
12/1/2015
2/31/2015
3/1/2015

When is the due date if a patient’s LMP was on Nov 27th 2014?

9/3/2014
8/3/2015
9/30/2015
9/3/2015
10/3/2015

When is the due date if a patient’s LMP was on Mar 1st 2014?

12/8/2014
11/8/2015
12/8/2015
11/10/2015
12/1/2015

When is the due date if a patient’s LMP was on June 21st 2014?

3/28/2014
4/27/2015
3/28/2015
3/10/2015
4/31/2014

A 22-year-old male is brought to the ED confused, he has a fruity breath, vitals are stable, his labs reveal a Glucose of 645, Na – 144, Cl – 99, HCo3 – 20, bun – 45, and Creat – 1.7. You suspect DKA, what is the anion gap?

10
15
20
25
30

A patient placed on a medication to prevent altitude sickness presents acutely ill to the ED, an ABG reveals metabolic acidosis and the anion gap is 10, what do you suspect the patient was taking?

Ethylene glycol
Acetylsalicylic Acid
Metformin
Spironolactone
Acetazolamide

Calculate the anion gap. Cl – 110, Na – 135, and Hco3 – 16.

6
9
12
15
18

Calculate the anion gap. Cl – 89, Na – 135, and Hco3 – 18.

18
20
24
28
38

Calculate the anion gap. Cl – 94, Na – 143, and Hco3 – 22.

14
19
24
27
31

What are my ABG findings? ABG results: pH 7.52, PaO2 74, PaCO2 40, HCO3 38

Normal
Metabolic acidosis
Metabolic alkalosis
Respiratory acidosis
Respiratory alkalosis

What are my ABG findings? ABG results: pH 7.38, PaO2 95, PaCO2 40, HCO3 24

Normal
Metabolic acidosis
Metabolic alkalosis
Respiratory acidosis
Respiratory alkalosis

What are my ABG findings? ABG results: pH 7.55, PaO2 82, PaCO2 30, HCO3 25

Normal
Metabolic acidosis
Metabolic alkalosis
Respiratory acidosis
Respiratory alkalosis

What are my ABG findings? ABG results: pH 7.28, PaO2 78, PaCO2 39, HCO3 18

Normal
Metabolic acidosis
Metabolic alkalosis
Respiratory acidosis
Respiratory alkalosis

What are my ABG findings? ABG results: pH 7.23, PaO2 77, PaCO2 50, HCO3

Normal
Metabolic acidosis
Metabolic alkalosis
Respiratory acidosis
Respiratory alkalosis

Overdose of acetaminophen, what is the recommended agent to treat?

N-acetylcysteine
Flumazenil
Naloxone
Glucagon
Sodium bicarbonate

Overdose of MDMA (ecstasy), what is the recommended agent to treat the pyrexia?

N-acetylcysteine
Flumazenil
Naloxone
Salicylic acid
Dantrolene

Overdose of Nifedipine, what is the recommended agent to treat?

Flumazenil
Protamine sulfate
Naloxone
Glucose (D50)
Calcium Chloride

Overdose of digoxin, what is the recommended agent to treat?

N-acetylcysteine
Digibind
Pyridoxine
Glucagon
Sodium bicarbonate

Overdose of Metoprolol, what is the recommended agent to treat?

N-acetylcysteine
Flumazenil
Naloxone
Glucagon
Physostigmine

Overdose of heparin, what is the recommended agent to treat?

Vitamin K
Protamine sulfate
Calcium chloride
Dantrolene
Octreotide

Overdose of warfarin, what is the recommended agent to treat?

Vitamin K
Protamine sulfate
Calcium chloride
Abciximab
Cardizem

Overdose of Isoniazid, what is the recommended agent to treat?

N-acetylcysteine
Pentamadine
Pyridoxine
Glucagon
Pyridium

Overdose of amitriptyline, what is the recommended agent to treat?

N-acetylcysteine
Flumazenil
Naloxone
Glucagon
Sodium bicarbonate

Overdose of acetaminophen, what is the recommended agent to treat?

N-acetylcysteine
Flumazenil
Naloxone
Glucagon
Sodium bicarbonate

Overdose of heroin, what is the recommended agent to treat?

N-acetylcysteine
Flumazenil
Naloxone
Glucose (D50)
Physostigmine

Overdose of lorazepam, what is the recommended agent to treat?

N-acetylcysteine
Flumazenil
Naloxone
Glucagon
Dantrolene

Overdose of Diphenhydramine, what is the recommended agent to treat?

N-acetylcysteine
Diazepam
Naloxone
Atropine
Physostigmine

Overdose of cocaine, what is the recommended agent to treat?

Metoprolol
Lorazepam
Naloxone
Glucagon
Glucose (D50)

Overdose of Enoxaparin, what is the recommended agent to treat?

Vitamin K
Protamine sulfate
Calcium chloride
Dantrolene
Warfarin

What is the recommended agent to counter the effects of anesthesia?

Pentamadine
N-acetylcysteine
Physostigmine
Dantrolene
Octreotide

A patient presents to the ED after using cannabis, what are the expected pupillary changes on examination? Four things to determine:
Constrict or dilate?
Response to light?
Nystagmus present?
Convergence appropriate?

No pupillary changes to drug initially but over time some dilation, normal response to light. No Nystagmus but a lack of convergence is seen.
Contracted pupil with little to no response to light. No Nystagmus unable to note convergence.
Dilated pupil with slow response to light. No Nystagmus and normal convergence.
Contracted pupil with slow response to light. Nystagmus is seen in high doses and a lack of convergence is seen.
Dilated pupil with normal response to light. No Nystagmus and normal convergence.

A patient presents to the ED after using Heroin, what are the expected pupillary changes on examination? Four things to determine:
Constrict or dilate?
Response to light?
Nystagmus present?
Convergence appropriate?

Contracted pupil with little to no response to light. No Nystagmus unable to note convergence.
Dilated pupil with normal response to light. No Nystagmus and normal convergence.
Contracted pupil with slow response to light. Nystagmus is seen in high doses and a lack of convergence is seen.
Dilated pupil with slow response to light. No Nystagmus and normal convergence.
No pupillary changes to drug initially but over time some dilation, normal response to light. No Nystagmus but a lack of convergence is seen.

A patient presents to the ED after using a stimulant his friend gave him, what are the expected pupillary changes on examination? Four things to determine:
Constrict or dilate?
Response to light?
Nystagmus present?
Convergence appropriate?

Dilated pupil with slow response to light. No Nystagmus and normal convergence.
Contracted pupil with slow response to light. Nystagmus is seen in high doses and a lack of convergence is seen.
Dilated pupil with normal response to light. No Nystagmus and normal convergence.
No pupillary changes to drug initially but over time some dilation, normal response to light. No Nystagmus but a lack of convergence is seen.
Contracted pupil with little to no response to light. No Nystagmus unable to note convergence.

A patient presents to the ED after drinking alcohol heavily for the last two days, what are the expected pupillary changes on examination? Four things to determine:
Constrict or dilate?
Response to light?
Nystagmus present?
Convergence appropriate?

Contracted pupil with slow response to light. Nystagmus is seen in high doses and a lack of convergence is seen.
Dilated pupil with normal response to light. No Nystagmus and normal convergence.
Dilated pupil with slow response to light. No Nystagmus and normal convergence.
Contracted pupil with little to no response to light. No Nystagmus unable to note convergence.
No pupillary changes to drug initially but over time some dilation, normal response to light. No Nystagmus but a lack of convergence is seen.

A patient presents to the ED after using a hallucinogenic drug, what are the expected pupillary changes on examination? Four things to determine:
Constrict or dilate?
Response to light?
Nystagmus present?
Convergence appropriate?

Dilated pupil with normal response to light. No Nystagmus and normal convergence.
No pupillary changes to drug initially but over time some dilation, normal response to light. No Nystagmus but a lack of convergence is seen.
Contracted pupil with little to no response to light. No Nystagmus unable to note convergence.
Dilated pupil with slow response to light. No Nystagmus and normal convergence.
Contracted pupil with slow response to light. Nystagmus is seen in high doses and a lack of convergence is seen.

Which of the following drugs will have a possible side effect of malignant hyperthermia?

Succinylcholine
Vinblastine
Quinidine
Procainamide

Which of the following medications is most likely to cause the side effect of sexual dysfunction and serotonin syndrome?

Fluoxetine
Rifampin
Metronidazole
Hydralazine

Which of the following medications is mostly likely to have the side effect of severe rebound headache and hypertension upon abrupt discontinuation?

Clonidine
Lisinopril
Bumetatide
Hydrochlorothiazide

Which of the following medications is most likely to lead to the side effect angioedema?

Lisinopril
Metoprolol
Clonidine
Hydrocholorothiazide

Which of the following drugs is most likely to cause a blue visual change?

Sildenafil
Digoxin
Amiodarone
Ethambutol

Which of the following vitamin deficiencies can lead to pellagra?

Niacin
B12
Folate
Thiamine

Which of the following deficiencies can lead to rickets?

Vitamin D
Niacin
Thiamine
Folate

Which of the following deficiencies can lead to beriberi syndrome?

Thiamine
Vitamin K
Vitamin C
Vitamin D

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