Inpatient Medicine
Electrical alternans on ECG plus pulsus paradoxus and hypotension should raise concern for this obstructive process.
CARDIAC TAMPONADE
This vaccine prevents the infection responsible for most cervical cancers.
HPV VACCINE
In septic shock, this vasopressor is first-line per the Surviving Sepsis Campaign guidelines.
NOREPINEPHRINE
A patient with symptomatic bradycardia remains unstable despite atropine. This temporary procedure should be initiated.
TRANSCUTANEOUS PACING
Dustin is a big fan of Harry Potter. He belongs in this Hogwarts house.
Ravenclaw
Intravenous thrombolysis using tissue plasminogen activator (tPA), such as alteplase, is recommended within ____ of stroke symptom onset for eligible patients.
4.5 HOURS
An LDL at or above this level is a class I indication for high-intensity statin therapy independent of risk score.
190
A patient has a regular narrow-complex tachycardia at 180 bpm. Vagal maneuver fails. This medication is typically used next in the ACLS algorithm.
ADENOSINE
A patient develops sudden dyspnea and hypotension immediately after you place a central line. This complication should be suspected.
PNEUMOTHORAX
Dustin enjoys spending time with his family, especially during the holidays. He was born on this holiday.
THANKSGIVING
In cirrhosis with ascites, an ascitic PMN count greater than ____ makes the diagnosis of spontaneous bacterial peritonitis.
250
The four foundational medication classes recommended for HFrEF:
1. ACE/ARB
2. B-BLOCKER
3. MINERAL CORTICOID RECEPTOR ANTAGONIST
4. SGLT2 INHIBITOR
In adults over the age of 50 or immunocompromised patients, empiric meningitis therapy adds ampicillin to cover this food-borne, Gram-positive rod.
LISTERIA MONOCYTOGENES
You arrive to a CODE BLUE and discover a patient has no IV access. Utilizing this procedure can quickly establish IV access for temporary medication administration.
INTRAOSSEOUS PLACEMENT
Dustin believes Survivor is the greatest reality TV show ever created. He has auditioned numerous times and hopes to meet this man some day, the host of the show.
JEFF PROBST
Schistocytes, thrombocytopenia and neurologic changes without a clear alternative cause should trigger urgent plasma exchange for this microangiopathy.
THROMBOTIC THROMBOCYTOPENIA PURPURA (TTP)
This class of oral diabetic medications carries the highest risk of hypoglycemia risk.
HINT: The mechanism of action stimulates insulin secretion from pancreatic beta cells through closure of ATP-sensitive potassium channels.
SULFONYLUREAS
This antidepressant is contraindicated in patients with a seizure disorder, as it lowers the seizure threshold.
BUPROPION
The preferred interspace range for adult lumbar puncture.
L3-L4 ; L4-L5
Dustin plays the piano and was a finalist in the Bill Riley Talent Show. He played Prelude in B-Flat Major, a song by this composer.
RACHMANINOFF
This ratio of respiratory rate to tidal volume, with a threshold of less than 105, predicts spontaneous breathing trial (SBT) success.
RAPID SHALLOW BREATHING INDEX (RSBI)
During the first year of gender-affirming hormone therapy, the Endocrine Society recommends clinical evaluations and lab monitoring at this specific interval.
EVERY 3 MONTHS
A patient wants to start pre-exposure prophylaxis (PrEP). Apart from HIV testing, this additional laboratory test should be checked initially and routinely monitored throughout treatment.
RENAL FUNCTION
You intubate a patient following cardiac arrest. This monitoring technique confirms persistent exhaled CO2 and is used to verify endotracheal tube placement.
WAVEFORM CAPNOGRAPHY
Dustin recently saw one of his favorite artists perform at Red Rock Amphitheater. Some of this artist's most famous songs include "The Joke", "The Story" and "Broken Horses".
HINT: She sang America, The Beautiful at the most recent Super Bowl.
BRANDI CARLILE