MCCQE 1 (100% Correct)

HERPETIC WHITLOW correct answers Painful grouped vesicles on an erythematous base located on the distal finger Cause: Infection with HSV Treatment: Self-limiting disease Antiviral (e.g., acyclovir) may be beneficial ONYCHOCRYPTOSIS/ INGROWN NAILS correct answers Inflammation and soft tissue hypertrophy +/− secondary infection occurring when the lateral edge of the nail plate impinges on the nail fold ONYCHOCRYPTOSIS Cause: Onychomycosis Incorrect technique of nail cutting Repetitive trauma Poor foot hygiene; poorly fitting shoes correct answers Treatment Barrier placement between nail plate and nail fold Excision of the portion of nail plate pressing on the nail fold +/− Antibiotics Biphasic Anaphylaxis correct answers Recurrence of Sx 4 to 32 h (mean 10 h) after the initial episode. Occurs in up to 20% of patients and is due to the release of 2◦ mediators and the late-phase response. Protracted Anaphylaxis correct answers Refractory Resp distress or hypotension despite appropriate medical Rx. What Saves Lives? EPI, EPI, EPI correct answers Adults: 0.3 to 0.5 mg IM Children: 0.01 mg/kg IM I V EPI: 0.1 mg, dilute 0.1 mL 1:1,000 in 10 mL N/S Give 1 to 2 mL/min All patients presenting with signs or Sx of anaphylaxis get: correct answers • Measures to stop any continuing Ag exposure • Two large bore I Vs • Supplemental O2 • Cardiac and O2 sat monitoring • EPI IM or I V • Methylprednisolone 125 mg I V