PC Emergency Procedures & Response 3

Question 1

When managing local anesthetic systemic toxicity (LAST), what is the recommended antidote for refractory cardiovascular collapse?

Accepted Answer

20% lipid emulsion (Intralipid) IV

Answer

20% lipid emulsion therapy (Intralipid) is the specific antidote for LAST by sequestering local anesthetic from cardiac tissue.

Question 2

A patient presents with a puncture wound to the foot and inability to bear weight, with signs of plantar space infection. What imaging is most appropriate initially?

Accepted Answer

Plain radiographs to assess for foreign body and osteomyelitis signs

Answer

Plain radiographs should be obtained first to quickly identify radiopaque foreign bodies and bony changes before advanced imaging.

Question 3

What is the correct adult dose of epinephrine (1:1000) for anaphylaxis via intramuscular injection?

Accepted Answer

0.3–0.5 mg in the anterolateral thigh

Answer

The standard adult IM dose for anaphylaxis is 0.3–0.5 mg of 1:1000 epinephrine administered in the anterolateral thigh for fastest absorption.

Question 4

A 70-year-old patient with a history of atrial fibrillation on apixaban sustains a large laceration during a podiatric procedure. What is the best initial hemostatic strategy?

Accepted Answer

Apply direct pressure, hemostatic agents, and consider andexanet alfa if available

Answer

Direct pressure and hemostatic agents are first-line; andexanet alfa is the reversal agent for factor Xa inhibitors like apixaban if bleeding is severe.

Question 5

Which of the following is the most reliable early clinical sign of acute osteomyelitis in a diabetic foot ulcer that would indicate an emergency?

Accepted Answer

Probe-to-bone test positive

Answer

A positive probe-to-bone test has high predictive value for osteomyelitis in diabetic foot ulcers and necessitates urgent evaluation and management.

(PC) Podiatrist Certification Practice Test

(PC) Podiatrist Certification Practice Test

PC Emergency Procedures & Response 3