John Cafaro MD

Board Review: Toxicology

A 30 year-old female presents altered and minimally responsive. She was found next to an empty bottle of Valproic Acid. Her blood pressure is 130/80, heart rate is 90, afebrile and without tachypnea or hypoxia. You stabilize her. Depakote level is 550. What is the treatment of the choice? 

A. L-carnitine 

B. Naloxone

C. Carbapenem

D. Fomepizole

E. N-acetylcysteine 

F. Hemodialysis 

 

 

 

 

 

 

Answer: A, L-carnitine

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MedMalMonthly: Legal Primer

Civil Law:

  • A dispute between two parties.
  • Burden of proof is based on a "preponderance of evidence".
  • Punishment is monetary without threat for incarceration. 

Criminal Law:

  • Government or state brings action against an individual/ entity accused of wrongdoing.
  • Burdern of proof is "beyond a reasonable doubt".
  • Punishment is incarceration or fines. 

Negligence - There are 4 elements. 

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Board Review: Dental Trauma

A 43 year old female is involved in an motor vehicle collision. She complains of facial and dental pain. Exam reveals a broken lateral incisor. A pink spot is noted on the surface of the tooth. What is the diagnosis? 

A. Ellis Class I Dental Fracture

B. Ellis Class II Dental Fracture

C. Ellis Class III Dental Fracture

D. Dental Subluxation

 

 

 

 

 

 

 

 

 

Answer: C - Ellis Class III Dental Fracture

Anatomy:

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