Aldeen and Rosenbaum''s 1200 Questions to Help You Pass the Emergency Medicine Boards

Aldeen and Rosenbaum’s 1200 Questions TO HELP YOU PASS THE EMERGENCY MEDICINE BOARD THIRD EDITION Amer Z Aldeen, MD, FACEP Executive Medical Director Center for Emergency Medical Education Vice Chair National Clinical Governance Board US Acute Care Solutions Chicago, Illinois David H Rosenbaum, MD, FACEP, FAAEM Wake Emergency Physicians, P.A WakeMed Health and Hospitals Raleigh, North Carolina Adjunct Professor of Emergency Medicine University of North Carolina at Chapel Hill Chapel Hill, North Carolina Acquisitions Editor: Sharon Zinner Product Development Editor: Ashley Fischer Editorial Assistant: Brian Convery Marketing Manager: Rachel Mante Leung Production Project Manager: Bridgett Dougherty Design Coordinator: Stephen Druding Manufacturing Coordinator: Beth Welsh Prepress Vendor: Aptara, Inc Third edition Copyright © 2017 Wolters Kluwer Copyright © 2012 by LIPPINCOTT WILLIAMS & WILKINS, a WOLTERS KLUWER business Copyright © 2008 Lippincott Williams & Wilkins, a Wolters Kluwer business All rights reserved This book is protected by copyright No part of this book may be reproduced or transmitted in any form or by any means, including as photocopies or scanned-in or other electronic copies, or utilized by any information storage and retrieval system without written permission from the copyright owner, except for brief quotations embodied in critical articles and reviews Materials appearing in this book prepared by individuals as part of their official duties as U.S government employees are not covered by the above-mentioned copyright To request permission, please contact Wolters Kluwer at Two Commerce Square, 2001 Market Street, Philadelphia, PA 19103, via email at permissions@lww.com, or via our website at lww.com (products and services) 987654321 Printed in China Library of Congress Cataloging-in-Publication Data Names: Aldeen, Amer Z., author | Rosenbaum, David H., author Title: Aldeen and Rosenbaum’s 1200 questions to help you pass the emergency medicine boards / Amer Z Aldeen, David H Rosenbaum Other titles: 1200 questions to help you pass the emergency medicine boards Description: Third edition | Philadelphia : Wolters Kluwer, [2017] | Preceded by 1200 questions to help you pass the emergency medicine boards / Amer Z Aldeen, David H Rosenbaum 2nd ed 2012 Identifiers: LCCN 2016049471 | ISBN 9781496343260 Subjects: | MESH: Emergency Treatment–methods | Emergency Medicine–methods | Examination Questions Classification: LCC RC86.9 | NLM WB 18.2 | DDC 616.02/5076–dc23 LC record available at https://lccn.loc.gov/2016049471 This work is provided “as is,” and the publisher disclaims any and all warranties, express or implied, including any warranties as to accuracy, comprehensiveness, or currency of the content of this work This work is no substitute for individual patient assessment based upon healthcare professionals’ examination of each patient and consideration of, among other things, age, weight, gender, current or prior medical conditions, medication history, laboratory data and other factors unique to the patient The publisher does not provide medical advice or guidance and this work is merely a reference tool Healthcare professionals, and not the publisher, are solely responsible for the use of this work including all medical judgments and for any resulting diagnosis and treatments Given continuous, rapid advances in medical science and health information, independent professional verification of medical diagnoses, indications, appropriate pharmaceutical selections and dosages, and treatment options should be made and healthcare professionals should consult a variety of sources When prescribing medication, healthcare professionals are advised to consult the product information sheet (the manufacturer’s package insert) accompanying each drug to verify, among other things, conditions of use, warnings and side effects and identify any changes in dosage schedule or contraindications, particularly if the medication to be administered is new, infrequently used or has a narrow therapeutic range To the maximum extent permitted under applicable law, no responsibility is assumed by the publisher for any injury and/or damage to persons or property, as a matter of products liability, negligence law or otherwise, or from any reference to or use by any person of this work LWW.com To our three beautiful daughters, Arissa, Rania, and Nyla, You are the light of our lives May you create a more tolerant and peaceful world with your knowledge, creativity, and dedication Ameen —AMER Z ALDEEN To Sophie and Lucie, May your joy, energy, and excitement remain untempered, even by your sometimes impatient dad —DAVID H ROSENBAUM Preface The goal of this text is to help prepare you for the American Board of Emergency Medicine’s (ABEM) Written Qualifying Examination The book’s content is based on the ABEM Model of the Clinical Practice of Emergency Medicine This document, which ABEM systematically updates every years to reflect changes and advancements, serves as the blueprint for ABEM’s In-Training, Written Qualifying, Oral Certification, and Continuous Certification (ConCert) examinations In addition to ensuring that we addressed the breadth of ABEM’s Model, we deliberately designed most of our questions to be slightly more difficult than the average question in ABEM’s Written Qualifying Examination As a result, most readers will agree that the questions in this book are moderately hard In our view, it is better to overprepare than be falsely reassured by a bank of practice questions that does not adequately challenge (and add to) the reader’s existing knowledge In this third edition of our work, we added 200 new, mostly case-based questions, many with images We also updated many of our existing questions in response to valuable feedback from readers The pace of new knowledge development in emergency medicine is rapid, and we have attempted to incorporate as much cutting edge information as possible We actively invite your feedback, both positive and critical, to help improve the quality of this work Please not hesitate to contact us via email (ameraldeen@gmail.com or david.h.rosenbaum@gmail.com) should you have any comments or questions Amer Z Aldeen, MD, FACEP David H Rosenbaum, MD, FACEP, FAAEM Acknowledgments I would like to thank my colleagues at US Acute Care Solutions for supporting my interest in education In particular, I am indebted to Drs Tim Corvino, Dominic Bagnoli, Anita Gage, and Jim Augustine I would also like to thank the resident physicians of the Northwestern Department of Emergency Medicine—academic discussions with them while on shift contributed greatly to the genesis of this work Lastly, and most importantly, I owe a debt of gratitude to my wife, Farheen Aldeen, for managing our lives’ many tasks, allowing me time and energy to produce this work Amer Z Aldeen, MD, FACEP I am indebted to my colleagues, Drs Fernando Guarderas, Skylar Lentz, and Robert Sackmann, for their thoughtful editorial comments that helped improve this book I am also grateful to the many inquisitive emergency medicine residents at the University of North Carolina, whose curiosity, passion, and drive not only push me to keep learning, but awaken the joy in it Finally, I would like to thank my many wonderful colleagues at Wake Emergency Physicians—I am fortunate to be part of a practice with so many gifted clinicians David H Rosenbaum, MD, FACEP, FAAEM Contents Preface Acknowledgments Test Test Test Test Test Test Test Test Test Test 10 Test 11 Test 12 Index TEST QUESTIONS A 33-year-old female presents with numbness and weakness in the right side of her face for several days as shown (Fig 1-1) The remainder of her examination is normal and she has no other symptoms Which of the following is the next best step in management? A Valacyclovir B Prednisone C Tissue plasminogen activator D Sour candy E Amoxicillin–clavulanic acid Figure 1-1 A 23-year-old female presents with days of fever and severe right ankle pain and swelling She denies a history of trauma Past medical history is unremarkable Physical examination reveals significant edema, effusion, tenderness, and pain on range of motion in the right ankle Which of the following is the most likely etiology? A S aureus B S pneumoniae C S pyogenes D Salmonella E N gonorrhoeae A 77-year-old male with Parkinson disease is brought to the hospital with obstipation His abdomen is distended and mildly tender with decreased bowel sounds His abdominal x-ray is shown in Figure 12 Which of the following is the most likely diagnosis? A Small bowel ischemia B Viscus perforation C Sigmoid volvulus D Swallowed air E Gastric outlet obstruction 10 phenylephrine, 248, 306 phenytoin, 235, 251–252 pheochromocytoma, 78, 95–96 phimosis, 349 phlegmasia cerulea dolens, 43, 43f, 59 phosgene, 279 phototherapy, in neonatal jaundice, 136, 151 physostigmine, 130, 146, 238 PID See pelvic inflammatory disease pill esophagitis, 195, 211 pilocarpine, in acute angle closure glaucoma, 324, 341 pinguecula, 30 pinworm infection, 263, 278 piperacillin–tazobactam, 117 pityriasis rosea, 112, 256–257, 257f, 271 placental abruption See abruptio placentae placenta previa, 112, 229, 244 plantar fasciitis, 76, 92 plantar wounds, infection of, 226, 241 plasmapheresis, 106, 121 in TTP, 291, 308 plasminogen deficiency, 27 Plasmodium falciparum, 96 platysma, 320, 335 pleural effusion, CHF and, 254, 255f, 268–269 pleurodesis, 303 pneumatosis intestinalis, 64 Pneumocystis, 117 pneumocystis pneumonia (PCP), 76, 93, 102, 117, 346 in AIDS patients, 262, 262f, 276, 364, 378 primaquine/clindamycin for, 227, 241–242 pneumomediastinum, 63 pneumonia See also pneumocystis pneumonia (PCP) in elderly, 83 in nursing home setting, 69, 83–84 pulmonary contusion and, 331, 348 Pneumonia Severity Index (PSI) score, 362, 376 pneumonic plague, 379 pneumothorax, 46, 57, 63 100% oxygen to, 286, 286f, 303 small, 330, 347 podophyllin, 241 poisoning See specific type poison ivy, 188 corticosteroids in, 292, 309 polyarteritis nodosa (PAN), 26 polyethylene glycol, 23, 80, 256, 270 polymicrobial infections, 100, 114 pontine hemorrhage, 324, 341, 364, 379 positive pressure differential (PPD) test, 85 positive pressure ventilation (PPV), 30, 303 postconcussion syndrome, 346 posterior communicating artery (PCOM) aneurysm, 281 516 posterior drawer test, 312 posterior elbow dislocation, 230, 230f, 246 posterior fat pad sign, 233, 249 posterior hip dislocations, 163, 164f, 166, 180, 198, 214 posterior nosebleeds, 226, 241 posterior shoulder dislocations, 11, 28 posterior uveitis, 60 posterior vitreous detachment (PVD), 47, 60, 63 posterior wall MI, EKGs in, 39, 55 postintubation hypotension, in asthmatics, 14, 31 post-MI pericarditis, 226, 240 postpartum hemorrhage, immediate, 97, 112 postpartum preeclampsia, 232, 248 poststreptococcal glomerulonephritis (PSGN), 177 potassium chloride, esophageal irritation by, 35, 52 potassium, in diabetic ketoacidosis, 66, 80 potassium iodide, 31 potassium iodide–iodine (Lugol solution), 213 pouch of Douglas, 23 PPV See positive pressure ventilation pralidoxime, 238–239 and atropine, 101, 115–116 prednisone, 52 in Bell palsy, 1, 17 in poison ivy, 188, 292, 309 preeclampsia and abruptio placentae, 224, 237 and HELLP syndrome, 294, 311 maintenance fluids in, 70, 85 postpartum, 232, 248 pre-excitation pattern, on EKG, 324, 325f, 341–342 pregnancy appendicitis in, 10, 26 blood products transfusion in, 9, 25 findings in, 138, 154 radiographic studies and, 202, 219 urinary tract infections in, 224, 237–238 Prehn sign, 19, 95 premature rupture of membranes (PROM), 44, 60 premature ventricular contractions (PVCs), in digoxin toxicity, 288, 304–305 preseptal cellulitis, 109, 125 priapism, 289, 306 primary adrenal insufficiency, 285, 302 primary spontaneous pneumothorax, 47, 63 primary survey, in trauma, 161, 176 Prinzmetal angina, 194, 210 procainamide, 94 procalcitonin, 262–263, 277–278 prochlorperazine, 260, 274 PROM See premature rupture of membranes promethazine, 150 propafenone, 94 propranolol, 31 517 overdoses, 43, 59–60 prostaglandin E1 infusion, 201, 218 prosthetic heart valves, 100, 115 protein S deficiency, 27 prothrombin complex concentrates (PCCs), 36, 53, 343 proximal DVT, 232, 248 proximal interphalangeal (PIP) joint, 154 pruritus ani, 278 causes of, 300, 316 pseudobulbar palsy, 379 pseudocyst, 95 pseudogout, idiopathic, 195, 210 Pseudomonas aeruginosa, 130, 145, 241 Pseudomonas infections, 363, 378 pseudo-peritoneal signs, 339 pseudotumor cerebri, 34, 50 See idiopathic intracranial hypertension (IIH) psychedelics, 55 psychosis, medical cause of, 105, 119 psyllium fiber therapy, 80 PTA See peritonsillar abscess pterygium, 30, 303 PUD See peptic ulcer disease (PUD) pulmonary anthrax, ciprofloxacin in, 293, 310 pulmonary contusion, 36, 53, 110, 127, 331, 348 pulmonary embolism (PE), 99, 114 cardiac rhythm in, 35, 52 D-dimer test for, 285, 302 risk factors for, 11, 27 sinus tachycardia in, 196, 213 pulmonary fungal infection, 34, 51 pulmonary tuberculosis (TB), 364, 379 pulseless electrical activity (PEA), 319, 335 pulse oximetry, 270 pump thrombosis, 67, 81 Purified protein derivative (PPD), 76, 92 PVD See posterior vitreous detachment pyelonephritis, CT scan in, 12, 28–29 pyloric stenosis, 53 in infants, 225, 240 pyogenic liver abscesses, 124 pyridostigmine, 238, 270 Q QT interval, prolongation of, 37, 55 quick Sepsis-related Organ Function Assessment (qSOFA) score, 111, 127 R rabies, 156–157 transmission by raccoon, 141, 156 raccoon, transmission of rabies by, 141, 156, 187 radial head fractures, 162, 162f, 178 in adults, 225, 232, 239, 249 radial nerve, injuries to, 40, 57 radon gas exposure, 58 518 Ramsay–Hunt syndrome, 17, 90 rapid sequence intubation (RSI), 21 rash, by lightning, 72, 87–88 rattlesnake bite, 134, 149 Raynaud disease, 211 Raynaud phenomenon, 161, 176 in scleroderma, 195, 211 reactive arthritis, 99, 114, 299, 315 reciprocal ST depressions, in acute MI, 41, 58 recombinant von Willebrand factor (VWF), 343 recreational drugs, body packing of, 7, 23 re-expansion pulmonary edema (REPE), 191, 206 refeeding syndrome, 242 Reiter syndrome, 149 See reactive arthritis renal failure, hyperkalemia and, 40–41, 41f, 57 renal injury evaluation for, 11, 27 in trauma, 137, 152 renal ultrasonography, for abdominal masses in infants, 130, 145–146 replantation, indications for, 160, 175 respiratory alkalosis, in asthma exacerbations, 235, 250 Respiratory syncytial virus (RSV), 64, 69, 84 retinal detachment, 44, 60, 63 symptom associated with, 138, 153 retinal hemorrhage, normal birth trauma and, 363, 378 retrograde urethrogram, for urethral injury, 101, 115 retropharyngeal abscesses (RPAs), 78, 95, 208, 363, 377, 377f rewarming/thawing frostbitten tissue, 203, 220 Reynold pentad, 280 rhabdomyolysis acute renal failure due to, 358, 372–373 creatine kinase in, 329, 345 normal saline in, 265, 281 rheumatic fever, 255, 269, 287, 304, 352, 366 EKG in, 228, 243–244 Jones criteria, 366 migratory arthritis of major joints in, 352, 366 rheumatic heart disease, mitral valve in, 287, 304 rheumatoid arthritis (RA), 330, 347–348 rheumatoid factor (RF), 348 rhinitis, 164 Rhus species, 118 ribavirin, 112, 175, 243 rib fractures, 76–77, 93 child abuse and, 167, 183 in elderly, 163 multiple, in children, 163, 180 rib x-rays, 25 Rickettsia rickettsii, 99, 114 rifampin, 50 right coronary artery, 325, 342 right ventricle, 288, 305 right ventricular hypertrophy (RVH), 244 519 right ventricular infarction, 235, 252 Ritter disease, 274 RMSF See Rocky Mountain spotted fever Rocephin, 50 Rocky Mountain spotted fever (RMSF), 68, 82, 99, 99f, 106, 114, 122, 297, 313 Romano–Ward syndrome, 55 roseola, 137, 153, 213 roseola infantum, 295, 312 Rosette test, 61 rotator cuff tears, 130, 146 rotavirus diarrhea, 255, 269 Roux-en-Y gastric bypass, abdominal pain after, 7, 23 RPAs See retropharyngeal abscesses rubella, 2, 18, 112, 304 rubeola (measles), 112 Rubin maneuver, 86 rust rings, 259, 274 S saddle embolus, in pulmonary artery, 297, 297f, 313 SAH See subarachnoid hemorrhage salicylate toxicity, 109, 125 Salmonella, osteomyelitis in sickle cell patients by, 8, 25 Salmonella typhi, 175 Salter–Harris fractures type I, 236, 253 type III fracture of distal radius, 200, 200f, 216–217 type V, 261, 276 sarcoidosis, 171 SBO See small bowel obstruction SBP See spontaneous bacterial peritonitis scabies, treatment for, 73, 89 scaphoid fractures, 157 scapular fracture, 101, 116, 146 scapular manipulation, 22 scarlet fever, and acute rheumatic fever, 255, 269 SCFE See slipped capital femoral epiphysis Schatzki ring, 51 scheduled acetaminophen, in older adults, 299, 315 schizophrenia, 65, 183 negative symptom of, 167, 183 sciatic nerve palsy, 181 scleroderma, Raynaud phenomenon in, 195, 211 scombroid fish poisoning, 11, 28 scrotal elevation, 95 scrotal ultrasonography, 145–146 seatbelt syndrome, 105, 120 seizures after ischemic stroke, 78, 95 in AIDS patients, 320, 336 in bupropion overdose, 201, 218 causes of, 4, 20–21 febrile, 6, 22 520 generalized, 8, 24 generalized tonic-clonic, 101, 115 in infants, 4, 20 medication noncompliance and, 66, 80 neonatal, 164, 166 propanolol overdoses and, 43, 59–60 selective serotonin reuptake inhibitor (SSRI) overdose, 103, 118 Sengstaken–Blakemore tubes, 246 separation pain, from methotrexate use, 2, 18 sepsis, 183 and acute respiratory distress syndrome, 5, 21 mortality in, 140, 155 septic arthritis, 8, 17, 25, 84, 146 joints commonly affected in, 74, 90 synovial WBC count in, 109, 126 septic bursitis, 234, 250 septic shock, 132, 147, 183, 198, 215 antibiotic therapy for, 199, 216 intravenous fluids in, 300, 316 vasopressors in, 321, 337 seronegative spondyloarthropathies, 315 serotonin syndrome, 118, 201, 217, 236, 253 meperidine and, 226, 240 sexual assault, examination findings in, 106, 121 sexually transmitted disease (STD), causes of, 355, 369 sexually transmitted organism, 9, 25 Shigella flexneri, 299, 315 Shigella spp., diarrheal illnesses due to, 109, 125 shingles, 329, 344–345 management of, 105, 119 rash, 14, 30, 106, 120 shin splints, and stress fractures, 290, 306–307 shivering, 26 shock index (SI), 324, 340 shock, in pregnant trauma patient, 199, 216 shoulder dislocation anterior, 6, 22, 205, 222, 357, 357f, 371 posterior, 11, 28 shoulder dystocia, 71, 83, 86 sickle cell disease, 24 aplastic crises in, 8, 24 and osteomyelitis, 8, 25 and sepsis, 260, 274–275 sigmoid diverticulitis, symptoms in, 6, 22 sigmoid volvulus, 1, 1f, 17, 153, 361, 361f, 375 sildenafil, priapism by, 289, 306 sinus bradycardia, 168, 183 sinusitis, 180 complication of, 109, 125 imaging in, 165 SIRS See systemic inflammatory response syndrome sitz baths, 45, 61 skew deviation test, 148 521 slapped cheek rash, 137, 153 SLE See systemic lupus erythematosus (SLE) slipped capital femoral epiphysis (SCFE), 22, 93 obesity and, 235, 250 SLUDGE mnemonic, 116 small bowel obstruction (SBO), 196, 196f, 212 and abdominal distention, 163, 178 abdominal radiography for, 139, 154 due to hernia, 288, 305 smallpox, management in, 78, 95 Smith fracture, 187 smoke inhalation, from building fire, 33, 49 sodium bicarbonate, 53, 158 in tricyclic antidepressant overdose, 77, 94 sodium level, correction of, 261, 276 sodium thiosulfate, 116 in carbon monoxide and cyanide poisoning, 33, 49 solid-organ transplant recipients, risk for infection in, 134, 149 somatization disorder, 196, 212 sour candy, 17 spinal cord compression malignancy-related, 9, 25 motor weakness, 137, 153 spinal epidural hematoma, MRI lumbar spine for, 286, 303 spinal injuries stable, 69, 84 unstable, 69, 84 spinal shock, 147 spinal stenosis, 320, 336 spleen, injury to, in abdominal trauma, 203, 220 spontaneous abortion, 76, 92 spontaneous bacterial peritonitis (SBP), 198, 215 albumin in, 325, 342 diagnostic paracentesis for, 230, 246–247 Escherichia coli in, 203, 220 spontaneous pneumothorax, 263, 263f, 278 SQ emphysema, 63 squeeze test, 23 Standardized Assessment of Concussion (SAC), 187 staphylococcal scalded skin syndrome, 260, 260f, 274 Staphylococcus aureus, 25, 54 osteomyelitis by, 298, 315 right-heart endocarditis by, 10, 27 septic arthritis by, 141, 157 status epilepticus, 115, 256, 270–271 sterile liver abscesses, 124 sternal fractures, 195, 210 sternoclavicular dislocation, 183 anterior, 22 posterior, 6, 22 steroid therapy, for Bell palsy, 1, 17 Stevens–Johnson syndrome (SJS), 4, 19, 296, 313 stirrup ankle brace, 92 522 Streptococcus pneumoniae, 47, 64, 329, 346, 351, 365 CAP by, 99, 99f, 114 pneumonia in alcoholic patients by, 35, 51 therapy for, 34, 50 stroke blood glucose level checking in, 186 and evaluation for hypoglycemia, 6, 22 hypertension and, 102, 117 ischemic, 186 seizures after, 78, 95 strychnine poisoning, 288, 305 Stryker needle device, 184 ST-segment elevation myocardial infarction (STEMI), immediate angioplasty in, 143, 143f, 158 subarachnoid hemorrhage (SAH), 14, 26, 30, 140, 140f, 156 arteriovenous malformation and, 360, 374 blood pressure control in, 230, 245 nimodipine in, 266, 281 and seizures, 230, 230f, 245 smoking and, 204, 222 xanthochromia as indicator of, 107, 123 subconjunctival hemorrhage, 261, 261f, 275 subdural hematoma, 26, 106, 121–122, 156 in elderly patients, 10, 27 seizure prophylaxis in, 290, 307 subfalcine herniation, 238 submersion, and aspiration, 46, 62 submersion injuries, 73, 89 suboccipital craniectomy, 85 subungual hematomas, 70, 85–86 suctioning, neonate’s respiratory effort and, 42, 58 sudden death, in young athletes, 166 sudden infant death syndrome (SIDS), 13 sudden rash, 312 suicide completed, 162, 177–178, 352, 366 elderly white men and, 42, 58 sulfonylurea overdose, 287, 303 sulfur mustard, 279 sumatriptan, 92 superior mesenteric artery (SMA) embolism, 105, 120 superior vena cava syndrome (SVCS) causes of, 188 lung cancer and, 329, 345 supersaturated potassium iodide (SSKI), 213 supplemental oxygenation, in pulmonary contusion, 36, 53 supracondylar fractures, 43, 43f, 60, 178 in children, 225, 232, 239, 249 supraglottitis, 282 supraventricular tachycardia (SVT), 136, 136f, 151 surgical cricothyroidotomy, 207 SVCS See superior vena cava syndrome SVT See supraventricular tachycardia swan neck deformity, 138, 139f, 154 523 swinging penlight test, 135, 151 symmetric polyneuropathies, 191, 206 sympathomimetic crisis, and anticholinergic crisis, 187 symptomatic cholelithiasis See biliary colic syndrome of inappropriate secretion of antidiuretic hormone (SIADH), 324, 340–341 syphilis, 249 systemic inflammatory response syndrome (SIRS) criterion for, 168, 183 fluid resuscitation in, 132, 147 systemic lupus erythematosus (SLE), 7, 23, 74, 89, 133, 148, 357, 371 and pericarditis, 143, 159 T Taenia saginata, 125 Taenia solium, 57, 109, 125 TAI See traumatic aortic injury Takayasu arteritis, 26 tamsulosin, 118 tarantulas, 139, 154 tardive dyskinesia, 189 TB See tuberculosis temporal arteritis, 42, 59, 326, 342, 353, 366 temporomandibular joint (TMJ) syndrome, 256, 271 TEN See toxic epidermal necrolysis tender anterior cervical lymphadenopathy, 321, 337–338 testicular torsion, 3, 12, 19, 29 bilateral orchidopexy in, 33, 49 testicular tumor, 77, 77f, 94–95 tetanus, 162–163, 179 tetany, 189 tetralogy of Fallot (TOF), 359, 373 prostaglandin E1 in, 355, 369 tet spell, 359, 373 theca lutein cyst, 273 therapeutic hyperventilation, PCO2 range for, 67, 81 therapeutic hypothermia, 10, 26, 227, 242 contraindications to, 26 vasopressors, use of, 10, 26 therapeutic paracentesis, 246 thermal burns, 140, 156 thiamine in benzodiazepine overdose, 201, 218 in Wernicke encephalopathy, 298, 315 thiopental, 214 Thompson test, 312, 350 thoracic outlet syndrome, 14, 30, 73, 89 thoracolumbosacral orthosis (TLSO), 56 thromboembolic disease, in pregnancy, 254, 268 thrombophilia, 103, 117 thrombophlebitis, superficial, NSAIDs in, 187 thrombosed hemorrhoids, excision of, 294, 311 thrombotic thrombocytopenic purpura (TTP), 90, 118 plasmapheresis in, 291, 308 524 thrush, 20 thumb metacarpal fracture, 157 thumbprint sign, 282 thumb spica splint, 330, 347 thyroid storm, 196, 213, 247 clinical manifestations of, 247 propranolol administration in, 231, 247 therapy for, 14, 31 thyromegaly, 243 TIA See transient ischemic attack tibial plateau fractures, 202, 202f, 219, 231, 231f, 247 tibial shaft fractures, 198, 214 and hypotension, 16, 32 tick paralysis, 261, 264, 276, 280 tinea capitis, griseofulvin in, 355, 355f, 369 tinea cruris, 20 tinea versicolor, 291, 308–309 Tinel test, 89, 367 tissue plasminogen activator, 17, 52 TLS See tumor lysis syndrome TM perforations, traumatic, 71, 71f, 86 tobacco dust, 60 TOF See tetralogy of Fallot (TOF) tongue swelling, 166, 166f tonsillar exudates, 18 tonsillar herniation, 238 tooth fractures, 79, 96 toxic alcohol ingestions, 34, 50–51, 167, 183 toxic epidermal necrolysis (TEN), 228, 243 urinary tract infection and, 296, 297f, 313 toxicodendron dermatitis, 188 toxic shock syndrome (TSS), 354, 368 toxic synovitis, 84 Toxoplasma gondii, 21 toxoplasmosis, treatment for, 5, 21 tracheal intubation, in pneumonia, 73, 88 tramadol, in fibromyalgia, 141, 157 tranexamic acid, 196, 212 mouth wash, 293, 310 transesophageal echocardiogram (TEE), 28 transient ischemic attack (TIA), 35, 51, 298, 313–314 transient synovitis, 76, 92–93 transverse myelitis, 101, 115, 168, 183–184 transverse process fracture, 69, 84 trauma elderly patients, 10, 27 renal injury in, 11, 27, 137, 152 vascular access for patients, 3, 18 trauma patients, hemodynamically unstable, 332, 349 trauma resuscitation, crystalloid solution for, 229, 244 traumatic aortic injury (TAI), 364, 379 CT angiography for, 288, 305 labetalol in, 265, 280–281 525 traumatic hemothorax, 225, 239 traveler’s diarrhea, causes of, 8, 24 trench mouth, 89 trephination, 70, 85–86 Trichuris trichiura, 125 tricyclic antidepressants biochemical effect of, 322, 338 poisoning, QRS prolongation in, 300, 316 trigeminal neuralgia, 16, 32, 97, 112–113 pain of, 108, 124 trigger finger, 93 trimethoprim–sulfamethoxazole, 18 for Pneumocystis pneumonia, 102, 117 Stevens–Johnson syndrome by, 4, 19 triple-lumen catheters, 19 triptans, for migraine-related headache, 299, 315–316 trismus, 100 trochlear (CN IV) neuropathy, 336 troponin I, in acute MI, 33, 50 Trousseau sign, 272 TSS See toxic shock syndrome TTP See thrombotic thrombocytopenic purpura tuberculosis (TB) extrapulmonary, 43, 60 latent TB infection, 76, 92 tube thoracostomy, 57 and re-expansion pulmonary edema, 191, 206 in traumatic pneumothoraces, 292, 309 tubo-ovarian abscess (TOA), 105, 120 tumor lysis syndrome (TLS), 78, 96, 259, 274, 358, 372 tympanocentesis, 40, 56 tympanostomy tubes, 17 typhoid fever, 160, 175–176 tyramine, 69, 83 U ulnar collateral ligament (UCL), 93 ulnar nerve injury, 230, 230f, 246 zone for testing of, 255, 269 ultrasound, in pregnancy, 69, 84 umbilical cord prolapse, 360, 375 uncal herniation, 224, 238, 322, 338 uncooperative trauma patient, sedation to, 286, 303 upper gastrointestinal bleeding (UGIB), 111, 128–129 continuous pantoprazole infusion in, 231, 246 peptic ulcer disease and, 173, 189 upper motor neuron facial palsy, CT brain in, 139, 154–155 ureterolithiasis, acute, 361, 375–376 urethral catheterization, 233, 249 urethral injuries in men, 33, 49 retrograde urethrogram for, 101, 115 526 urethritis, in men, 195, 211 uric acid stones, 65 urinalysis, 47, 64, 232, 248 in pyelonephritis, 290, 307 urinary antigen testing, in legionellosis, 184 urinary tract infection (UTI) nitrofurantoin in, 353, 367 and painless hematuria, 298, 315 in pregnancy, 224, 237–238 urine dipstick, 64 urticaria, 235, 251 urushiol, 188 US Advisory Committee on Immunization Practices (ACIP), 115, 213 uterine atony, and immediate postpartum hemorrhage, 97, 112 uterine contractions, maternal trauma and, 35, 52 uterine prolapse, 100, 100f manual reduction of, 100, 100f, 114–115 uterine rupture, in pregnancy, 103, 118 uteroplacental insufficiency, 294, 295f, 311 UTI See urinary tract infection uveitis, 114 V vaginal foreign body, 193, 208 valacyclovir, 241 for shingles, 105, 119 vallecula sign, 282 vancomycin, 54 in staphylococcal scalded skin syndrome, 260, 260f, 274 varicella zoster immune globulin, 184 varicella zoster vaccine, 184 varicella zoster virus (VZV), 329, 344 disseminated infection, 168, 168f varicoceles, 189 vascular injury, 223, 237 hard signs, 103, 118, 237 soft signs, 237 vasculitic syndromes, 9, 26 vasopressin, 218 vasopressors, use of, 10, 26 venous blood gas, in cyanide toxicity, 141, 157 venous thromboembolism, treatment of, 135, 150–151 ventilatory strategy, in asthmatic patients, 15, 32 ventricular fibrillation, defibrillation in, 169 ventricular tachycardia (VT), 192, 192f, 206–207 adenosine-sensitive, 323, 340 ventriculoperitoneal shunt infection, 327, 343 verapamil, 24, 240 vertebral arteries, 218 vertebral compression deformity, 39, 56 vertical nystagmus, 266, 282 vertigo, 42, 59, 140, 155–156 nystagmus in, 140, 156 527 vestibule–ocular reflex (VOR), 148, 368 Vibrio parahaemolyticus, 55 victim substance abuse, 116 vincent angina, 89 violation of platysma, 169 viral conjunctivitis, 71, 86 viral gastroenteritis, with dehydration, 259, 273 viral hepatitis, 37, 54, 187 viral-induced myocarditis, and congestive heart failure, 286, 302 viscus perforation, 17 visual loss, causes of, 107, 122 vitamin B12 deficiency, 109, 125 vitamin B6, in pregnancy, 164 vitreous detachment, 47, 63 vitreous hemorrhage, 60, 122, 133, 149 Volkmann ischemic contracture, 60, 246 von Willebrand factor, 129, 144 VT See ventricular tachycardia VZV pneumonitis, 183 W Waldenstrom macroglobulinemia, 121 warfarin, 135, 150–151 warm ischemia, and irreversible damage, 104, 119 WASH regimen, for external hemorrhoids, 74, 90 Waterhouse–Friderichsen syndrome, 175 Weber class B (supination external rotation) fracture, 66, 66f, 80 Wegener granulomatosis, 26 Wellens syndrome, 295, 312 Wells criteria, low-risk patients, 9, 25 Wenckebach phenomenon, 357, 357f, 371 Wernicke encephalopathy, 110, 126, 298, 315 Wernicke–Korsakoff syndrome, 150, 315 Westermark sign, 114 West Nile virus (WNV) infections, 364, 378 wheezes, 188 white blood cells (WBCs) casts, in urine, 290, 307 white strawberry tongue, 269 whooping cough, 326, 342 wine-and-cheese reaction, 69, 83 Wolff–Parkinson–White (WPW) syndrome, 151, 324, 325f, 330, 341–342, 347 procainamide in, 165, 180 Wood corkscrew maneuver, 86 wound conversion, 58 wound infection, 353, 367 X xanthochromia, 107, 123 Y Yersinia enterolitica, terminal ileitis by, 133, 148 Y pestis, 364, 379 Z 528 Zika, 145, 351, 365 529 Mục lục Title Page Copyright Dedication Preface Acknowledgments Content Test Test Test Test Test Test Test Test Test Test 10 Test 11 Test 12 Index 10 50 92 132 172 211 249 289 329 368 408 449 488 530 ... Rosenbaum’s 1200 questions to help you pass the emergency medicine boards / Amer Z Aldeen, David H Rosenbaum Other titles: 1200 questions to help you pass the emergency medicine boards Description:.. .Aldeen and Rosenbaum’s 1200 Questions TO HELP YOU PASS THE EMERGENCY MEDICINE BOARD THIRD EDITION Amer Z Aldeen, MD, FACEP Executive Medical Director Center for Emergency Medical... Preceded by 1200 questions to help you pass the emergency medicine boards / Amer Z Aldeen, David H Rosenbaum 2nd ed 2012 Identifiers: LCCN 2016049471 | ISBN 9781496343260 Subjects: | MESH: Emergency