Difference between revisions of "Kaji Review Questions (Main)"

 
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'''[[User:Akaji|Amy Kaji MD PhD]], faculty at Harbor-UCLA has created an extraordinary set of Emergency Medicine review questions.  These questions will live on WikEM with eventual incorporation into articles and CME modules. Please help format the questions for wiki quiz format. Copy a question from the below documents and past in this page with formatting according to the example belowThen delete the question from the google document so that future users do not replicate the question.'''
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[[File:kaji-review.jpg|thumbnail]]
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==Background==
 +
[[User:Akaji|Amy Kaji MD PhD]], faculty at [http://www.emedharbor.edu/ Harbor-UCLA], has created an extraordinary set of Emergency Medicine review questions.  Originally appearing on the wiki, the questions were not interactive and functioned poorly with the [[WikEM:Mobile_Apps|mobile apps]].  Since then, the 700+ questions with hundreds of full text articles, videos and images are now available as an [http://www.amazon.com/Kaji-Review-Emergency-Medicine-Clinical-ebook/dp/B00UIEN7IK/ref=sr_1_1?ie=UTF8&qid=1426081773&sr=8-1&keywords=kaji+review ebook]. If your residency program would like a copy of the book for all of the residents please contact us at [mailto:info@wikem.org info@wikem.org]The book is available for [https://www.amazon.com/gp/product/B00NWRMV9G/ku/ref=sr_ku_lm?ie=UTF8&qid=1426094862 free to all Amazon kindle unlimited members].
  
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==Book Description==
 +
[http://www.amazon.com/Kaji-Review-Emergency-Medicine-Clinical-ebook/dp/B00UIEN7IK/ref=sr_1_1?ie=UTF8&qid=1426081773&sr=8-1&keywords=kaji+review The Kaji Review] is an evidence based clinical question book for students, residents, and attending physicians in Emergency Medicine. The book covers core content, life long learning readings, and advanced clinical care topics to advance bedside knowledge, evidence based medicine, and daily clinical practice. There are over 700 questions and hundreds of full text articles, videos, and images.
  
[https://docs.google.com/document/d/1aGKiJ30rzjzTvvj6GPj5kO8bb6hWHfBuGWd-BlT_QdU/edit?usp=sharing Set 1]  ||
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==Free Preview==
[https://docs.google.com/document/d/1zHZ7ZuGgmIg1O-otSG3lMMO3X66jciXbBiINDykErx4/edit?usp=sharing Set 2] ||
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The first two chapters of the book are available for [http://d1smiij77mksjh.cloudfront.net/wp-content/uploads/2015/03/The-Kaji-Review-Free-Preview.pdf free preview]
[https://docs.google.com/document/d/1Ot60Qmtu5t131_lCgOCnZl69GrAml1Cnss8F6E_5QIo/edit?usp=sharing Set 3] ||
 
[https://docs.google.com/document/d/1JV9DfzhKpQS47zx97n9kfjzLZjiWB6rfDUqBNh76Rcs/edit?usp=sharing Set 4]  || 
 
[https://docs.google.com/document/d/1YbwfukqaBVIAKFZue34F_I0W-3QrPsXEf5vrqQEG5kg/edit?usp=sharing Set 5]  || 
 
[https://docs.google.com/document/d/10WQ7m774KO6AppbYn1jGoCTT9fuowb1QXaUidQMowyU/edit?usp=sharing Set 6]  ||
 
[https://docs.google.com/document/d/1uwtnXOnl4O__wfD8RB5uKQ6eTovqmXPV3ZnDptczOHQ/edit?usp=sharing Set 7]  ||
 
[https://docs.google.com/document/d/1sAephvRyF3oGt96g-RRwUs6wUJYBCADudzghqwbWD3Q/edit?usp=sharing Set 8]  ||
 
[https://docs.google.com/document/d/1FxKE5lbcmS93Zl6SL7xkNXd-yPk33-SwXZo2TbUuNDA/edit?usp=sharing Set 9]
 
  
<quiz display=simple>
 
{How many minutes of apnea can a normal, healthy adult tolerate before oxygen desaturation to less than 90% occurs after administration of 100% oxygen for 3 minutes of normal, tidal volume breathing (preoxygenation)?
 
|type="()"}
 
  
-1 minute
 
-3 minutes
 
-5 minutes
 
+8 minutes
 
||This time to desaturation is considerably less in children, obese adults, pregnant women, and in patients with significant comorbidities, and if the patient does not inspire 100% oxygen
 
-10 minutes
 
  
{Regarding testicular torsion (TT), which of the following statements is true
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[[Category:WikEM]] [[Category:Board Review]]
|type="()"}
 
+TT is the 3rd most common cause of a malpractice lawsuit in adolescent males 12-17 years old.
 
|| Unfortunately, the literature confirms that it is NOT possible to consistently and accurately differentiate TT from EO and other scrotal pathologic abnormality by physical examination alone. One of the major tripwires is the belief that the presence of a cremasteric reflex essentially rules out a TT. The cremasteric reflex can be absent in up to 30% of males with normal testicles, and persistence of the cremasteric reflex was reported in 40% of patients with TT. Several experts have taken a strong stance that a testis should not be presumed necrotic and unsalvageable if less than 48 hours have elapsed since the onset of symptoms. Unfortunately, color Doppler ultrasound has failed to establish the diagnosis of TT in up to 24% of patients. The most important finding on ultrasound seems to be the identification of the torsion knot in the spermatic cord.  ?<ref>Mellick LB. Torsion of the testicle – it is time to stop tossing the dice. Ped Emerg Care 2012; 28:80-86.</ref>
 
-In the hands of an experienced emergency physician, it is possible to consistently and accurately differentiate TT from epididymoorchitis (EO) by physical examination alone.
 
-The presence of a cremasteric reflex essentially rules out TT. 
 
-TT that present after 6 hours are not salvageable and no longer need to be evaluated in an emergent manner.
 
-Color Doppler ultrasound is a consistently reliable tool for confirming the diagnosis of testicular torsion.
 
 
 
{If time is insufficient for a full 3 minute preoxygenation phase, how many vital capacity breaths using high-flow oxygen can achieve oxygen saturations and apnea times that match or exceed those obtained with traditional preoxygenation?
 
|type="()"
 
-3
 
-5
 
-6
 
+8
 
||Administration of eight vital capacity breaths with high-flow O2 can match or exceed oxygen saturations and apnea times obtained with traditional preoxygenation.
 
<ref>Baraka A, et.al. Preoxygenation: Comparison of maximal breathing and tidal volume techniques. Anesthesiology 91;612,1999</ref>
 
-10
 
 
 
</quiz>
 
=Sources=
 
<references />
 

Latest revision as of 17:29, 11 March 2015

Kaji-review.jpg

Background

Amy Kaji MD PhD, faculty at Harbor-UCLA, has created an extraordinary set of Emergency Medicine review questions. Originally appearing on the wiki, the questions were not interactive and functioned poorly with the mobile apps. Since then, the 700+ questions with hundreds of full text articles, videos and images are now available as an ebook. If your residency program would like a copy of the book for all of the residents please contact us at info@wikem.org. The book is available for free to all Amazon kindle unlimited members.

Book Description

The Kaji Review is an evidence based clinical question book for students, residents, and attending physicians in Emergency Medicine. The book covers core content, life long learning readings, and advanced clinical care topics to advance bedside knowledge, evidence based medicine, and daily clinical practice. There are over 700 questions and hundreds of full text articles, videos, and images.

Free Preview

The first two chapters of the book are available for free preview