Question 1

What labs should be ordered prior to administering HIV post-exposure prophylaxis?

Accepted Answer

CMP & CBC

Question 2

Which of the following is a sign suggestive of intimate partner violence

Accepted Answer

Repeated Suicide Attempts

Question 3

Which of the following is a characteristic suggestive of an organic cause of psychiactric psychosis?

Accepted Answer

Delirium & Agitation

Question 4

In a suspected sexual assault, what laboratory screening should be offered to a patient?

Accepted Answer

HIV screening

Question 5

A 23 y/o pregnant woman enters the ED with neck bruising, ecchymosis on her chest and abdomen and a right ulnar frax. She said her MOI was a fall downstairs.What intervention would not be appropriate?

Accepted Answer

Requiring a Forensic Exam

Question 6

Who should approach an agitated patient initially that needs medical care?

Accepted Answer

Security

Question 7

When should you repeat additional HIV testing for survivors of SA?

Accepted Answer

6 weeks, 3 months, and 6 months

Question 8

When should you vaccinate a patient for Hepatitis B who was sexually assaulted?

Accepted Answer

If the survivor hasnt had post-vaccination testing

Question 9

A patient presenting with dystonia, muscle rigidity and tardive dyskinesia will require what intervention to manage thier symptoms?

Accepted Answer

Diphenydramine and/or Benzodiazepines

Question 10

A patient who was recently prescribed an MAOI was given tramadol. The begin experiencing AMS, myoclonus and diaphoresis. What is the most likely cause of thier symptoms?

Accepted Answer

Serotonin Syndrome

Question 11

What drug class often precipitates, within 1-2 hours, symptoms of overly dry skin, decreased salivary production,  with normal MSK and reflexes?

Accepted Answer

Anticholinergic Toxicity

Question 12

What type of psychosis is a patient suffering from who appears to have fluctuating mood and affect (sad to angry), auditory hallucinations and agitation?

Accepted Answer

Psychiatric Psychosis

Question 13

Who should place physical restraints on a violent patient?

Accepted Answer

Security

Question 14

When should you give an involuntary IM or IV dose of medication to calm an agitated patient?

Accepted Answer

If the patient refuses to control thier behavior

Question 15

When shouldn't you use IV Haloperidol to sedate a patient?

Accepted Answer

Intoxication from CNS Stimulant

Question 16

What is first line sedation therapy if you have a patient with delirium without ETOH or a psychosis episode due to schizophrenia?

Accepted Answer

Risperidone, PO

Emergency Medicine - Intimate Partner Violence & Psych Emergencies

2) Which of the following is a sign suggestive of intimate partner violence

3) Which of the following is a characteristic suggestive of an organic cause of psychiactric psychosis?

4) In a suspected sexual assault, what laboratory screening should be offered to a patient?

5) A 23 y/o pregnant woman enters the ED with neck bruising, ecchymosis on her chest and abdomen and a right ulnar frax. She said her MOI was a fall downstairs.What intervention would not be appropriate?

6) Who should approach an agitated patient initially that needs medical care?

7) When should you repeat additional HIV testing for survivors of SA?

8) When should you vaccinate a patient for Hepatitis B who was sexually assaulted?

9) A patient presenting with dystonia, muscle rigidity and tardive dyskinesia will require what intervention to manage thier symptoms?

10) A patient who was recently prescribed an MAOI was given tramadol. The begin experiencing AMS, myoclonus and diaphoresis. What is the most likely cause of thier symptoms?

11) What drug class often precipitates, within 1-2 hours, symptoms of overly dry skin, decreased salivary production, with normal MSK and reflexes?

12) What type of psychosis is a patient suffering from who appears to have fluctuating mood and affect (sad to angry), auditory hallucinations and agitation?

13) Who should place physical restraints on a violent patient?

14) When should you give an involuntary IM or IV dose of medication to calm an agitated patient?

15) When shouldn't you use IV Haloperidol to sedate a patient?

16) What is first line sedation therapy if you have a patient with delirium without ETOH or a psychosis episode due to schizophrenia?