emergency medicine rosh mock 146 exam Questions with 100% Correct Answers | Verified | Latest Update

A 32-year-old woman presents with persistent nausea over the last two weeks. She is approximately 10 weeks pregnant. She has been able to tolerate fluids, but has had decreased food intake. She denies any abdominal or pelvic pain or vaginal bleeding. What medication is considered first-line treatment for this patient? - ️️*Pyridoxine*:1st line tx for NAUSEA in pregnancy! -doesn't help w/vomiting -Pyridoxine is a water-soluble B complex vitamin that is necessary in the metabolism of lipids, amino acids, and carbohydrates #2:add antihistamine(benadryl) or 5HT3 antagonist(zofran:category B); also meclizine(category B), dimendydrinate #3: methylprednisolone or chlorpromazine -Prochlorperazine: category C What electrolyte abnormalities can be seen in patients with hyperemesis gravidarum? - ️️hypokalemia w/hypochloremic metabolic alkalosis A 39-year-old man presents to the Emergency Department with left hand pain. He denies recent trauma, genital or oral lesions, or fever. His medical history is significant for diabetes mellitus and tobacco abuse. His examination is shown above. Which of the following is the most appropriate initial therapy for this patient? - ️️*I&D* DX: felon=pyogenic infection or ABSCESS of the digital subcutaneous tissue and pulp -caused by *Staph aureus* -.If left untreated, the infection may spread to the flexor tendon sheath leading to flexor tenosynovitis, or to the bone leading to osteomyelitis True or false: Incision and drainage should be avoided in cases of herpetic whitlow. - ️️True, as this can lead to secondary bacterial infection