Direct thermal injury to the lungs may occur with smoke inhalation. Clues to significant thermal inhalation injury include:

4 year old with a history of myelomeningocele and ventriculo-peritoneal shunt presents to the ED with headache, nausea, vomiting, and lethargy. The most probable diagnosis is:  

Which of the following patients would be at greatest risk for the development of venous thromboembolism?

You are getting sign out from the overnight team. You are told that the patient is a 19 year old male who is complaining of cough, pleuritic chest pain, and nausea and vomiting. His body temp is 40 C (104 F), RR 28, and pulse ox is 92-95% on 2 L NC O2. A chest X-ray was obtained in the ED before being sent to the floor that showed bilateral diffuse infiltrates. All of the following information would be helpful for making the diagnosis of EVALI except:

You are working in a rural Emergency Department and receive a call about a 6 year old patient who is being transported by EMD with symptoms of diaphoresis, uncontrolled urination, myosis, bradycardia, bronchospasm, emesis, lacrimation, and increased salivation. What substance would you be concerned he may have been exposed to?    

A 3 year old newly diagnosed diabetic presents in DKA and develops acute agitation and confusion during fluid resuscitation. What is the most likely diagnosis?

You are asked to put a CVP line in a patient who has been struck by a car. As you consent the family for this procedure, the mother asks what the risks are. You answer would include what of the following?

Two weeks after undergoing surgical closure of an atrial septal defect, a 2 year old male presents with several days of irritability and anorexia. On physical exam, he is pale and mildly tachypneic. His pulses are weak and irregular. The auscultated heart rate is regular at 160 bpm. The most likely diagnosis is:

A couple comes to you with questions following the diagnosis of Trisomy 21 in their now 18 week fetus. They ask what medical problems may be anticipated for a child who has Down syndrome. Of the following, the medical problem that is encountered most frequently in infants who have Trisomy 21 is

Rhythm Strips   A.    B. C.   D.