February 23rd Conference Review Questions

Endocrine Q&A with Priya Gopwani, Toxicology with Dr. Clancy, Transport Review with Dave Mathison and PICU-ED with Nazreen Jamal

Dave's Transport Call Review Summary

CNMC Stroke Pathway


1. You are evaluating a 15 year old M who presents in status epilepticus. His mother is unable to provide a medical history but reports that he was taking demeclocycline for a long time until they had problems refilling his prescription last month. Of the following, which is the least accurate statement regarding this medication:

a) It is a tetracycline antibiotic
b) The patient most likely has a history of SIADH
c) The drug has a side effect of increasing the kidney’s ability to concentrate urine
d) An I-stat sodium should be checked immediately

2. A 17 year old M from India presents in cardiac arrest after attempted suicide by ingestion of multiple aluminum phosphide pellets. All of the following are true regarding this ingestion EXCEPT?

a) Acute poisoning occurs from inhalation of phosphine gas liberated when the phosphide pellets are exposed to moisture in the air
b) Early treatment with sodium bicarbonate can be life-saving
c) The intended use of these pellets is as insecticide to protect grains
d) Inhalation of phosphine gas produces a severe metabolic acidosis

3. You receive a med control call for a 5 week old well appearing M who presents with a fever to 101.2. A full sepsis work-up was done, the patient was treated with antibiotics and the OSH is requesting transfer for further management. You arrange a direct admission to the floor and transport as a P4 Delta. Upon arrival, the team finds that the patient is tachypneic with coarse breath sounds and moderate increased work of breathing consistent with bronchiolitis. All of the following meds can be given by your transport team EXCEPT:

a) Oxygen
b) Albuterol
c) Racemic epinephrine
d) Dexamethasone

4. A previously healthy 13 yo M is brought in with acute onset altered mental status- exam is notable for slurred speech with a right-sided hemiparesis. A CT scan reveals a left MCA infarction. Which of the following is the most common risk factor for arterial ischemic stroke in the pediatric population?

a) Arteriopathy
b) Infection
c) Cardiac disorder
d) Prothrombotic state

5. The patient returns from CT and is awaiting transfer to the PICU. He is currently 100% on RA with a HR of 75, a BP of 130/85 and is otherwise stable. Initial CBC, BMP and coags were within normal limits. Of the following, your treatment priority while awaiting transfer is:

a) Administration of fosphenytoin
b) Administration of D5NS at maintenance
c) Administration of TPA
d) Close monitoring of blood pressure

Answers Here