Which of the following lab results are consistent with Thrombotic Thrombocytopenic Purpura?
(scroll down for answer)
A) Decreased Platelets, Normal PT/INR, Normal Fibrinogen
B) Increased Platelets, Decreased PT/INR, Increased Fibrinogen
C) Decreased Platelets, Decreased PT/INR, Decreased Fibrinogen
D) Normal Platelets, Normal PT/INR, Increased Fibrinogen
E) Decreased Platelets, Increased PT/INR, Decreased Fibrinogen
A 23 year old male presents to your emergency department with a stab wound to the right side of his lower back. Which of the following below would be consistent with Brown-Sequard Syndrome? (scroll down for answer)
A) Loss of motor function in right leg; loss of temperature sensation in left leg
B) Loss of motor function in left leg; loss of temperature sensation in left leg
C) Loss of motor function in right leg; loss of temperature sensation in right leg
D) Loss of motor function in left leg; loss of temperature sensation in left leg
A 45 year old male presents to your emergency department with 1 day of headache, body aches, nausea and vomiting? On further history you learn that the patient recently returned from a trip to Africa and you suspect Yellow Fever. Which of the following below would increase your suspicion for Yellow Fever? (scroll down for the answer)
A) Low pulse relative to fever
Which anti-epileptic is most likely to cause hyponatremia?
C. Valproic Acid
Answer is A - Carbamazepine or Tegretol
Bonus Question: What is the first line management in Trigeminal Neuralgia?
Answer: Carbamazepine or Tegretol
A 40 year old man presents via ambulance after he was found stumbling around a park on a hot summer day. He is mumbling, not responding to questions appropriately, and very disoriented. His skin is dry and hot to touch. Rectal temperature is 106.1 F. IV access has been obtained and normal saline has been started. What is next most effective immediate treatment for cooling?
A. Rectal Acetaminophen
B. Cooling with fans and skin wetting from a spray bottle.
C. Bladder lavage.
D. Ice packs placed on axillae and groin.
E. Cardiopulmonary bypass/ ECMO.
A 30 year old mechanic presents for a right lower leg injury. He was working on his car when it fell on his right leg. Urinanalysis reveals dark urine with a dipstick positive for large mount of blood. Serum CK is 28,000 units/L. The primary treatment modality is:
A. Sodium Bicarbonate
D. Normal Saline
E. Calcium Gluconate
Answer is D - Normal Saline