Emergency Medicine Exam #4
Questions and Answers Latest
Versions 2025 A+
seizures have longer duration and are followed by postictal
confusion and significant fatigue
Differences between syncope and seizure
medications
MCC of orthostasis
amiodarone
Management of stable sustained VT
synchronized cardioversion
Managment of unstable VT with a pulse
unsynchronized carioversion + CPR
Management of VT (no pulse)
IV mag
Management of Torsades
unsynchronized cardioversion + CPR
Management of v. fib
>3 cm
Arterial wall diameter considered an aneurysm
epiglottis
Covers the airway
combitube, king LT
What are the esophageal airways?
LMA
Supraglottic airway
CPAP/bipap
Airway that is not an option in an unconscious patient
etomidate
Induction agent that is good if hemodynamically unstable
ketamine
,Induction agent used for COPD, bronchodilation
propofol
Very commonly used induction agent - caution hypotension
succinylcholine
Paralytic with rapid onset; short duration
rocuronium, vecuronium
Paralytics with longer duration
daily cleansing
Blepharitis treatment
warm compress, topical bacitracin/erythromcin
Treatment for both chalazion and hordeolum/style.
white eye, EOMI w/o discomfort
Findings in preseptal cellulitis
postseptal cellulitis
Potentially life threatening orbital/eyelid swelling associated with
URI and undiagnosed sinusitis.
diplopia, red conjunctiva, proptosis, painful EOM
Findings in postseptal cellulitis
fluorescein staining
Should be performed for viral conjunctivitis
bacterial conjunctivitis
Injected conjunctiva, painless d/c in one eye, "stuck shut" in the
morning.
staph, strep
Common cause of bacterial conjunctivitis
thick globular discharge
PE finding in bacterial conjunctivitis
erythyromycin, trimethopri-polymixin B drops
Treatment of bacterial conjunctivitis to shorten course
CRAO, CRVO, retinal detachment
Causes of sudden, painless vision loss
CRAO
Sudden painless unilateral vision loss, afferent pupillary defect,
"boxcars" retinal arterioles, gray retina (infarcted area)
cherry red macula
, Key finding in CRAO
globe pressure/massage, ophtho consult
Treatment for CRAO
CRVO
Sudden painless unilateral vision loss (sometimes gradual) with
blurred disk margin
blood and thunder
Key finding in CRVO
retinal detachment
Sudden painless unilateral vision loss, intermittent
floaters/flashes, distortion over eyes.
curtain over eyes
Key finding in retinal detachment
floating ribbon
Ultrasound finding associated with retinal detachment
acute glaucoma, temporal arteritis, iritis
Causes of painful vision loss
acute narrow angle glaucoma
Red eye/perilimbal injection/conjunctival edema, mild-dilated
poorly reactive pupil
>50 mmHg
Acute narrow angle glaucoma intra-ocular pressure
anterior uveitis
Pain, decreased vision/blurred vision, photophobia, perilimbal
conjunctival injection, small pupil poorly reactive, low IOP
ciliary flush
Key finding in anterior uveitis
+cells/flares or hypopyon
Slit lamp examination finding in anterior uveitis
Homatropine, tropicamide
Mydriatic/cycloplegics used for anterior uveitis treatment.
globe rupture
Tear shape pupil
siedel sign
Finding on slit lamp in globe rupture
Questions and Answers Latest
Versions 2025 A+
seizures have longer duration and are followed by postictal
confusion and significant fatigue
Differences between syncope and seizure
medications
MCC of orthostasis
amiodarone
Management of stable sustained VT
synchronized cardioversion
Managment of unstable VT with a pulse
unsynchronized carioversion + CPR
Management of VT (no pulse)
IV mag
Management of Torsades
unsynchronized cardioversion + CPR
Management of v. fib
>3 cm
Arterial wall diameter considered an aneurysm
epiglottis
Covers the airway
combitube, king LT
What are the esophageal airways?
LMA
Supraglottic airway
CPAP/bipap
Airway that is not an option in an unconscious patient
etomidate
Induction agent that is good if hemodynamically unstable
ketamine
,Induction agent used for COPD, bronchodilation
propofol
Very commonly used induction agent - caution hypotension
succinylcholine
Paralytic with rapid onset; short duration
rocuronium, vecuronium
Paralytics with longer duration
daily cleansing
Blepharitis treatment
warm compress, topical bacitracin/erythromcin
Treatment for both chalazion and hordeolum/style.
white eye, EOMI w/o discomfort
Findings in preseptal cellulitis
postseptal cellulitis
Potentially life threatening orbital/eyelid swelling associated with
URI and undiagnosed sinusitis.
diplopia, red conjunctiva, proptosis, painful EOM
Findings in postseptal cellulitis
fluorescein staining
Should be performed for viral conjunctivitis
bacterial conjunctivitis
Injected conjunctiva, painless d/c in one eye, "stuck shut" in the
morning.
staph, strep
Common cause of bacterial conjunctivitis
thick globular discharge
PE finding in bacterial conjunctivitis
erythyromycin, trimethopri-polymixin B drops
Treatment of bacterial conjunctivitis to shorten course
CRAO, CRVO, retinal detachment
Causes of sudden, painless vision loss
CRAO
Sudden painless unilateral vision loss, afferent pupillary defect,
"boxcars" retinal arterioles, gray retina (infarcted area)
cherry red macula
, Key finding in CRAO
globe pressure/massage, ophtho consult
Treatment for CRAO
CRVO
Sudden painless unilateral vision loss (sometimes gradual) with
blurred disk margin
blood and thunder
Key finding in CRVO
retinal detachment
Sudden painless unilateral vision loss, intermittent
floaters/flashes, distortion over eyes.
curtain over eyes
Key finding in retinal detachment
floating ribbon
Ultrasound finding associated with retinal detachment
acute glaucoma, temporal arteritis, iritis
Causes of painful vision loss
acute narrow angle glaucoma
Red eye/perilimbal injection/conjunctival edema, mild-dilated
poorly reactive pupil
>50 mmHg
Acute narrow angle glaucoma intra-ocular pressure
anterior uveitis
Pain, decreased vision/blurred vision, photophobia, perilimbal
conjunctival injection, small pupil poorly reactive, low IOP
ciliary flush
Key finding in anterior uveitis
+cells/flares or hypopyon
Slit lamp examination finding in anterior uveitis
Homatropine, tropicamide
Mydriatic/cycloplegics used for anterior uveitis treatment.
globe rupture
Tear shape pupil
siedel sign
Finding on slit lamp in globe rupture
