Saturday

Board Review: Dental Problems

A 35 year old female presents to the Emergency Department with sudden onset of right lower dental pain. Patient had a dental extraction for a dental carie 5 days ago. What is the most likely diagnosis?

A. Acute Necrotizing Ulcerative Gingivitis 

B. Pulpitis 

C. Dental Abscess

D. Alveolar Osteitis 

E. Post-Extraction Pain

 

 

 

 

 

 

 

Answer is D - Alveolar Osteitis (Dry Socket)

 

Loss of healing clot leads to pain and inflammation 3-5 days post extraction. 

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Board Review: Anaphylaxis

A 50 year old male with history of atrial fibrillation and a seafood allergy presents after eating seafood. He is on a beta-blocker for rate control. He has facial swelling, hives, trouble breathing and nausea. You give epinephrine x 2 intramuscularly but the patient is not improving. What is your next step in management. 

A. Epinephrine IM

B. Epinephrine IV

C. Glucagon

D. Glucocorticoid 

E. Pepcid

 

 

 

 

 

Answer: C - Glucagon

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Board Review: Toxicology

A 25 year old female presents with plaquenil overdose. She is hypotensive with a systolic blood pressure of 70. She complains of dizziness. EKG shows QRS widening. You initiate 2L of normal saline but her systolic blood pressure persists in the 70s. What is your vasopressor of choice? 

A. Norepinephrine

B. Epinephrine

C. Dobutamine

D. Phenylephrine.

 

 

 

 

 

 

 

 

 

Answer: B - Epinephrine

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Board Review: Orthopedics

A 12 year old female is tackled in a soccer game. She arrives with her knee in flexion and her patella laterally displaced. She is neurovascularly intact. Skin is intact. She cannot extend the knee. What is the diagnosis?

A. Patella Dislocation

B. Knee Dislocation

C. Quad Tendon Rupture

D. Patella Tendon Rupture

 

 

 

 

 

Answer is A - Patella Dislocation

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Board Review: Drowning

A 2 year old boy is brought to the Emergency Department after a drowning event. Bystanders noted the child was underwater for 1 minute but was quickly pulled from the bottom of the pool, he coughed and vomited. On arrival, he is aware and alert and behaving appropriately per parents. His GCS is 15. On examination, he has a heart rate of 110, respiratory rate of 30 breaths/minute SaO2 of 98% on room air. His lungs are clear. What is the next step in management? 

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