Don't Go Breaking My Heart
A patient with crushing chest pain has ST elevations in leads II, III, and aVF.
This coronary artery is most likely occluded.
What is the RCA?
Initial fluid resuscitation in sepsis is generally how many mL/kg?
What is 30 mL/kg?
A sodium of 120 in a patient with seizures requires this immediate treatment.
What is hypertonic saline (3% saline)?
This opportunistic infection classically presents in AIDS patients with CD4 counts below 200 and diffuse ground-glass opacities.
What is Pneumocystis jirovecii pneumonia (PJP)?
Painful vesicular lesions in a unilateral dermatomal distribution suggest this diagnosis.
What is herpes zoster (shingles)?
First-line rate control agents for stable atrial fibrillation with RVR include these two medication classes.
What are beta blockers and calcium channel blockers?
A patient with pancreatitis, hypoxemia, bilateral infiltrates, and noncardiogenic pulmonary edema has developed this syndrome.
What is ARDS?
A low serum osmolarity, high urine sodium, and euvolemia are classic for this condition.
What is SIADH?
This antibiotic complication is associated with tendon rupture and QT prolongation.
What are fluoroquinolones?
A malar “butterfly” rash sparing the nasolabial folds.
What is systemic lupus erythematosus?
A widened mediastinum on chest imaging in a hypertensive patient with tearing chest pain suggests this diagnosis.
What is aortic dissection?
This vasopressor is first-line in septic shock.
What is norepinephrine?
A macrocytic anemia with neurologic symptoms should make you suspect deficiency of this vitamin.
What is vitamin B12?
This toxin-mediated diarrheal illness is associated with pseudomembranes on colonoscopy.
What is Clostridioides difficile?
Velvety hyperpigmented plaques on the neck are associated with insulin resistance.
What is acanthosis nigricans?
This murmur gets louder with Valsalva.
What is hypertrophic obstructive cardiomyopathy?
(Or HOCM)
*Also can accept MVP
This acid-base disorder is seen in salicylate toxicity.
What is mixed respiratory alkalosis and metabolic acidosis?
This acid-base disorder is commonly seen in vomiting.
What is metabolic alkalosis?
A diabetic patient with malignant otitis externa most commonly grows this organism.
What is Pseudomonas aeruginosa?
This rash consists of targetoid lesions and is commonly associated with HSV infection.
What is erythema multiforme?
Electrical alternans on EKG is concerning for this life-threatening condition.
What is cardiac tamponade?
The first-line treatment for unstable ventricular tachycardia with a pulse.
What is synchronized cardioversion?
A low haptoglobin and elevated LDH suggest this process.
What is hemolysis?
A patient with fever, eosinophilia, rash, and kidney injury after antibiotics may have this hypersensitivity syndrome.
What is DRESS syndrome?
A heliotrope rash with proximal muscle weakness suggests this inflammatory condition.
What is dermatomyositis?