All Stopped Up
Capped from CAP
Not All There
Heart Attack (ack ack ack ack ack)
Grab Bag
100
NYHA class where patients are comfortable at rest but develop symptoms of heart failure with ordinary physical activity.
What is NYHA class II?
100
Two of the "atypical" pathogens that can cause pneumonia, named due to the difficulty of identication using standard tests.
What are M. pneumoniae/Legionella spp/C. pneumoniae/C. psittaci.
100
The first thing to evaluate when patient is/becomes obtunded/non-responsive.
What is ABC (airway, breathing, circulation)?
100
The three criteria for typical chest pain.
What is substernal, relieved by rest or NTG, exacerbated by physical activity/stress?
100
This NBA player is known as the "Greek Freak"
Who is Giannis Antetokounmpo?
200
Signs and symptoms of this type of heart failure include dependent edema, hepatomegaly, and JVD.
What is right-sided heart failure/cor pulmonale?
200
Criteria for macrolide monotherapy for CAP.
What is outpatient setting, low resistance area (<25%)?
200
Three common metabolic causes of acute encephalopathy.
What is hyponatremia/uremia/AKI/hepatic/thyroid/urinary retention/constipation?
200
The goal maximum time from health care encounter to cath lab for PCI in STEMI patients.
What is 90 minutes?
200
This city is the Pork Barbecue Capital of the world.
What is Memphis?
300
Switch to this from an ACEI or ARB to reduce mortality in patients with NYHA class II-III symptoms
What is Sacubitril-Valsartan (Entresto)?
300
The five CURB-65 criteria.
What is confusion/uremia/RR>30/hypotension/age>=65?
300
Three common symptoms of anticholinergic toxicity.
What is flushing/anhidrosis/dry mucous membranes/ mydriasis/altered mental status/fever/urinary retention?
(“red as a beet, dry as a bone, blind as a bat, mad as a hatter, hot as a hare, full as a flask”)
300
ST elevation (in mm) for a 64 year old man for leads V2-V3 to meet criteria for STEMI.
What is > 2?
300
The winner of the national spelling bee, Zaila Avant-garde, also holds this record.
Actually holds 3 Guinness World Records
1) Most dribbled basketballs at once (6)
2) Most basketball bounces in 30 seconds
3) Most basketballs juggled in 1 min (4)
400
Add this to improve mortality in patients on an ACEI/ARB and beta-blocker who have an EF less than 35%.
What is aldosterone antagonist? (spironolactone, eplerenone)
400
Three physical exam findings that are c/w pneumonia.
What is Increased WOB/rales/rhonchi/accessory muscle use/egophony/dullness to percussion/increased tactile fremitus?
400
The maximum amount (in mEq/L) chronic hyponatremia of less than 120 should be corrected over a 24 hour period.
What is 4-6 mEq/L?
400
Loading dose of clopidogrel if going for PCI.
What is 600 mg?
400
Name these 3 drinks
1. Latte
2. Mocha
3. Americano
500
The name of the trial that showed Ivabradine reduced the primary composite outcome of cardiovascular death or hospital admission for selected HF patients.
What is the SHIFT trial?
500
PSI grade of a 62 y/o man with hx of CHF, CVA presenting with SOB and cough, found to have radiographic evidence of RLL pneumonia. Also has RR 33, hematocrit 26, and sodium 127. Otherwise normal vitals, labs.
What is Grade IV? - PSI score of 112
500
The recommended dose of ceftriaxone for meningitis.
What is 2 g q12 hours?
500
Three groups that are most likely to present with atypical symptoms of ACS.
Women/diabetics/elderly/inferior ischemia.
500
Name two of the four artists known as the "Million Dollar Quartet"
Who are Elvis Presley/Johnny Cash/Carl Perkins/Jerry Lee Lewis?