Pulmonology
Cardiology
Neurology
Shock
Emergency Med/Trauma
100
What has the best evidence for minimizing post-op pulmonary complications
Incentive Spirometry
100
What are the top 5 signs and symptoms of Acute Coronary Syndrome
chest pain, sweating, shortness of breath, syncope, arm pain
100
What is the principle of the Monroe Kelly Hypothesis/Doctrine?
80% brain, 10% CSF, 10% blood SPACE AND VOLUME
100
Low CO, high wedge, high SVR
Cardiogenic shock
100
What medication, or class, should be avoided in patients with long bones fractures?
Toradol (NSAIDs)
200
What is the appropriate ventilator tidal volume setting for ARDS patients?
6ml/kg, lung protective strategy
200
What is the initial therapy for someone with presumed ACS?
MONA (morphine, Nitrates, Oxygen, and ASA)
200
What are the 3 components for calculating the Glasgow Coma Scale?
Best eye opening, verbal, and motor response
200
Low CO, low wedge, high SVR
Hypovolemic shock
200
What medication (and dose) can be utilized for reversal of antiplatelet bleeds?
DDAVP 0.3 mcg/kg IV
300
Two methods to determine severity of PNA
PSI or CURB-65
300
What medication can be added if patient still exhibits s/sx of volume overload after diuretic use in heart failure?
Veno-vasodilator
300
What monitoring parameter is utilized for maximizing good outcomes in a patient with TBI?
Cerebral perfusion pressure (CPP)
300
What are the 4 targets of initial resuscitation in early goal-directed therapy?
a. CVP 8 -12 mmHg (non-ventilated) b. MAP ≥ 65 mmHg c. UOP ≥ 0.5 mL/kg/hour d. SCVO2 of 70% or SCO2 of 65%
300
What thrombolytic can be utilized to treat massive pulmonary embolism? (don’t forget the dose!)
Alteplase 100 mg over 2 hours; administer 10 mg bolus followed by 90 mg over 2 hours
400
What is the appropriate duration of antibiotics for health care related or ventilator associated PNA
8 days, but 14 days if pseudomonas
400
Indication, dosage, and half life of Adenosine
Supraventricular tachycardia; Dose: 6 mg and 6 second half life
400
Blood pressure goal for patients with ischemic stroke before initiation of tPA?
Less than 185/110 mmHg
400
Dose and type of steroid that is recommended in the guidelines for patients failing vasopressor therapy with sepsis
Hydrocortisone 200 mg/day via continuous infusion
400
What can be used to decrease risk of death in trauma patients with significant hemorrhage? (medication, dose, and timing)
TXA 1 g over 10 minutes, then 1 g over 8 hours; for patients within 3 hours of injury
500
What are the diagnostic criteria for ARDS?
within 72 hours of insult/cause decreased oxygenation (PaO2/FiO2 < 200) bilateral lung infiltrates PCWP <18 or no evidence of CHF
500
Patients presenting with Aortic Dissection should have what blood pressure target
SBP less than 110 mmHg
500
Medication, dose, and duration utilized to prevent delayed cerebral ischemia after aneurysm?
Nimodipine 60 mg every 4 hours for 21 consecutive days
500
Low or normal PCWP, high CO, low SVR
Distributive shock
500
What guides fluid resuscitation in burn patients?
Parkland equation 4 mL/kg/% burned; administer 50% in first 8 hours and 50% in next 16 hours
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