Read e-book online Family Practice Examination and Board Review PDF
By Jason Wilbur, Mark Graber, Brigit Ray
This is often the main entire evaluation source for board and recertification assessment in kin drugs. It comprises a hundred instances and nearly a thousand questions with unique factors, emulating the fashion of the board exam. It covers all parts addressed through the board and recertifying examinations.
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Additional resources for Family Practice Examination and Board Review
Bacillus cereus food poisoning. Ciguatera poisoning. Scombroid poisoning. Seafood allergy. Which of the following is most commonly associated with significant vascular injury? Answer: D 25 A) Pubic ramus fracture. B) Knee dislocation. C) Shoulder dislocation. ), fresh or canned Scombroid CHAPTER 1 EMERGENCY MEDICINE D) Elbow dislocation. E) Ankle dislocation. Answer: B Discussion The correct answer is B. Knee dislocations (not patellar dislocations) are highly associated with injury to the popliteal artery.
Answer A is incorrect because patients with Staphylococcus food poisoning do not develop symptoms quite this quickly and have no flushing, etc. Staphylococcus food poisoning presents with vomiting and, frequently, diarrhea. Answer B is incorrect because Bacillus cereus poisoning occurs after eating rice, especially fried rice, and presents with vomiting and abdominal cramps, with 20–30% having diarrhea. Answer C is incorrect because patients with ciguatera poisoning present with GI symptoms such as cramping, vomiting, and diarrhea followed by nondermatomal neurologic symptoms such as perioral numbness, a feeling that one’s teeth are loose or in the sockets backwards, burning foot pain similar to a neuropathy, ataxia, weakness, and vertigo.
In patients with rhabdomyolysis, try to maintain urine output of 200–300 cc/hour for an adult. Alkalinize the urine using sodium bicarbonate. Remember that in order to alkalinize the urine you have to maintain an adequate serum potassium level, otherwise the body will reabsorb potassium in exchange for hydrogen ions, causing urine acidification. HELPFUL TIP: Which of the following would be typically found in rhabdomyolysis? A) B) C) D) Elevated calcium, decreased phosphate. Decreased potassium, elevated phosphate.