This morning was the ER exam, which meant I spent all of yesterday (with the exception of the time spent going into the medical center to get my flu shot) studying for said exam. Studying for exams usually means sitting around going over a couple hundred practice questions. Here's an example:
A 27-year-old woman with known idiopathic intracranial hypertension (IIH) presents to the ED complaining of a bifrontotemporal headache several times a day for 6 weeks after running out of her medications. She complains of occasional pulsatile tinnitus but no visual disturbances. Fundoscopic exam reveals no papilledema and normal venous pulsations. Which of the following factors determines the need for urgent treatment in patients with idiopathic intracranial hypertension?
a) The presence of papilledema on fundoscopic exam
b) A history of pulsatile tinnitus
c) Presence of an empty sella on CT scan
d) Complaint of visual loss or visual disturbances
e) A history of concomitant minocycline use
The answer is D. A short and sweet explanation is that in emergency medicine, the most top priorities are preservation of life, limb, and eyesight, so anything that threatens those must be thoroughly investigated and treated.
Anyway, so that was my yesterday, and then today I went in to the school, took my 100 question exam (which I'll get the score from in about a week), and then came back here. No plans for the afternoon, which is always nice.
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