文件以及对emrap计划更深入了解回答问题.pdfVIP

Board Review Answers June 2013 EM:RAP Challenging ABEM style questions for enhanced learning and deeper understanding of the EM:RAP program Answer to Question #1 The correct answer is blood cultures, urine culture, chest x-ray, and lumbar puncture. Even with a ed source of infection, young infants poorly localize infections and the recommendation is to continue with the remainder of the work-up. 1. Blood cultures, urine culture, chest x-ray and lumbar puncture. 2. Discharge home with PO antibiotics and close follow-up 3. Single dose of IV ceftriaxone with discharge home on PO antibiotics Answer to Question #2 According to the Surviving Sepsis n, the correct answer is norepinephrine (levophed). This is recommended based on a 2010 study in the NEJM which compared Dopamine and Norepinephrine. There was no significant difference in mortality, however dopamine was associated with more adverse events. 1. Dopamine 2. Dobutamine 3. Epinephrine 4. Norepinephrine Answer to Question #3 The correct answer is blood transfusion. According to Early Goal Directed Therapy, if the ScvO2 is 70% and the hematocrit is less than 30, transfuse until the hematocrit is above 30. The next step would be to start a vasoactive agent. 1. Blood transfusion 2. reased PEEP 3. reased FiO2 4. Vasoactive agents ! Board Review Answers June 2013 EM:RAP Challenging ABEM style questions for enhanced learning and deeper understanding of the EM:RAP program Answer to Question #1 The correct answer is blood cultures, urine culture, chest x-ray, and lumbar puncture. Even with a ed source of infection, young infants poorly localize infections and the recommendation is to continue with the remainder of the work-up. 1. Blood cultures, urine culture, chest x-ray and lumbar puncture. 2. Discharge home with PO antibiotics and close follow-up 3. Single d