Pimp Questions

[Brandon O]

Tee hee... I was mainly curious what people would come up with for the third. But the main three I had in mind were...

1. Tamponade proximal flow, reducing hydrostatic pressure (i.e. pinching the hose)

2. [As dbo said] Produce stasis at site of injury, allowing platelets to aggregate and adhere (i.e. "hey, don't go, the party's right here!")

3. Degranulates platelets by direct squishing, stimulating further activation (releasing all their juicy components like serotonin, ADP, thromboxane, etc). Also squeezes some good stuff from other tissue, such as tissue factor.

And perhaps, with gauze or a similar dressing...

4. Provides a suitably rough surface for platelet adhesion.

 

[phideux]

http://i758.photobucket.com/albums/...0-B124-4C86AF39DD4D-1335-000000D4CDDC6430.jpg

Front Butt. :rofl::rofl::rofl:

 

[medichopeful]

http://i758.photobucket.com/albums/...0-B124-4C86AF39DD4D-1335-000000D4CDDC6430.jpg

Front Butt. :rofl::rofl::rofl:

Thanks for the contribution!

 

[VFlutter]

What is a Chiari malformation? What other congenital disorder usually occurs with it?

 

[abckidsmom]

What is a Chiari malformation? What other congenital disorder usually occurs with it?

When the cerebellum protrudes through the foramen magnum as part of a fetal development anomaly.

Spina bifida.

 

[VFlutter]

When the cerebellum protrudes through the foramen magnum as part of a fetal development anomaly.

Spina bifida.

Correct. Spina bifida is also known as Myelomeningocele. It confused me my first Peds test.

What prenatal supplement can be taken to help prevent neural tube defects?

 

[abckidsmom]

Correct. Spina bifida is also known as Myelomeningocele. It confused me my first Peds test.

What prenatal supplement can be taken to help prevent neural tube defects?

Folate. And it doesn't take much. Foods rich in folate are fortified commercial breads, dark green veggies, beans and legumes, citrus fruits and liver.

Very easy to get enough except by eating at McDs.

 

[mycrofft]

A common lower back complaint is hyperlordosis. What are the major causes?

1. high-heeled shoes
2. prolonged leaning forwards to use computer*, esp. if seat is too low
3. Marfanoid trait





*or kyphosis

 

[mycrofft]

Correct.

The build up of ______ in the blood causes hepatic encephalopathy? What drug do we give for it?

NH3.
Lactulose

 

[mycrofft]

All your benzos have been stolen and you have a patient seizing, which ACLS drug can you give to try and terminate the seizure?

Do you stock phenobarb?

 

[mycrofft]

and moderating etoh intake

 

[chaz90]

I'm thinking Lidocaine to stop a pt. in seizure with no benzos available. If I recall correctly Lidocaine and Phenytoin are closely related, and Phenytoin can also be used as an anti arrhythmic.

 

[VFlutter]

What do we use to treat seizures in a patient with eclampsia?

 

[NYMedic828]

What do we use to treat seizures in a patient with eclampsia?

Mag sulfate drip.

A protocol based question can't be a pimp question chase! People actually know the answer :lol:



What neurotransmitter stimulates the contraction of muscle fibers? (or more specifically, the myofibrils inside the muscle cell)

 

[JPINFV]

What neurotransmitter stimulates the contraction of muscle fibers? (or more specifically, the myofibrils inside the muscle cell)

Acetylcholine

 

[usalsfyre]

What do we use to treat seizures in a patient with eclampsia?

Benzos. Then you try to treat the toxemia of pregnancy causing the seizures with mag. But benzos to actually treat the seizures.


What common vasopressor works outside the normal adrenergic system and is thus useful in shock refractory to other agents?

 

[VFlutter]

Benzos. Then you try to treat the toxemia of pregnancy causing the seizures with mag. But benzos to actually treat the seizures.


What common vasopressor works outside the normal adrenergic system and is thus useful in shock refractory to other agents?

Vasopressin and maybe Phenylephrine?

 

[Anjel]

Mag sulfate drip.

A protocol based question can't be a pimp question chase! People actually know the answer :lol:

Ours is an IVP.

 

[STXmedic]

Seconded on vasopressin. Not leaning towards phenyl, though.

 

[Brandon O]

What common vasopressor works outside the normal adrenergic system and is thus useful in shock refractory to other agents?

You probably didn't mean this, but there's methylene blue...