20. Miscellaneous

Question 1

Seizures can lead to what type of shoulder dislocation?

Answer 1

Posterior shoulder dislocation

Question 2

Serum sickness-like reaction is most commonly caused by what drugs? Sx?

Answer 2

b-lactams and sulfa drugs.
Occurs 1-2 wks after exposure and include fever, urticarial rash, arthralgia, and lymphadenopathy. Resolve with withdrawal of the offending agent

Question 3

What antiemetics have the side effect of extrapyramidal sx (acute dystonias, akathisia, parkinsonism)?

Answer 3

Dopamine agonists: metoclopramide, prochlorperazine, promethazine

Question 4

Why does congenital lymphedema occur in patients with Turner syndrome?

Answer 4

Abnormal development of the lymphatic system –> accum protein-rich interstitial fluids