Acid-base
Syndromes
It Hurts
Anticoagulation
Things with heart
100

This equation is called

pH = 6.1 + log ([HCO3-] / [pCO2 X 3])

What is the Henderson-Hasselbalch Equation?

100

A 25yo graduate student is evaluated for “yellow eyes.” The patient has no symptoms, no history of previous medical problems, and takes no medications. His lab work shows a total bilirubin of 2.9 and is otherwise wnl

What is Gilbert syndrome?

100

Pain and paresthesias are typically present in a median nerve distribution in this condition.

What is carpal tunnel syndrome?

100

Desired INR in a patient with bileaflet mechanical aortic valve

What is an INR of 2.5?

100

The triad of hypotension, clear lungs and distended neck veins should make you think of

What is RV myocardial infarction?

200

This condition is compensated by a decrease in serum bicarbonate

What is respiratory alkalosis?

200

A middle-aged female has dry eyes, dry mouth, and joint pain. Laboratory findings include positive RF, ANA, anti-Ro/SSA, and anti-La/SSB antibodies.

What is Sjögren syndrome?

200

The side effect of opioids that patients do not develop tolerance to with duration of use.

What is constipation?

200

Warfarin disrupts the liver's production of these clotting factors.

What are II, VII, IX and X?

200

A midsystolic click and late systolic murmur that is enhanced by Valsalva maneuver and standing. 

What is mitral valve prolapse?

300

A patient presents with tinnitus, high anion gap metabolic acidosis, and respiratory alkalosis. The toxicology screen is likely to show

What is salicylate?

300

An elderly man started on Allopurinol for gout 3 weeks ago presents with diffuse maculopapular rash, lymphadenopathy, malaise, fatigue, peripheral eosinophilia and elevated liver enzymes.

What is drug reaction with eosinophilia and systemic symptoms (DRESS) syndrome?

300

The reversal agent for opioid overdose

What is Naloxone (Narcan)?

300

The agent used to reverse the anticoagulant effect of heparin.

What is protamine?

300

The paradoxical increase in the JVP that occurs during inspiration is called

What is Kussumaul's sign?

400

Treatment of Ethylene glycol or methanol poisoning is?

What is Fomepizole (Antizol)?

400

Patient with depression on Sertraline and chronic pain recently started on Tramadol presents with fever, agitation, and confusion with an excessive startle reflex, tremors, tachycardia, hyperreflexia and myoclonus.

What is Serotonin Syndrome?

400

The inflammatory vascular disease that affects medium and small arteries, veins, and nerves in the extremities in predominantly young smokers who present with pain from distal extremity ischemia, ischemic digital ulcers, or digital gangrene.

What is thromboangiitis obliterans (Buerger's disease)?

400

The drug used for reversal of Dabigatran (Pradaxa)

What is Idarucizumab (Praxbind)?

400

6 million adults (2.8%) in the US have this condition, which is responsible for #1 reason for hospitalization above the age of 65 yrs, and after 4 hospitalizations for this condition, median survival is less than 6 months

What is heart failure?

500

7.37/33/17

What is an example of metabolic acidosis with respiratory compensation?

500

The autosomal dominant, gain-of-function mutation in epithelial sodium channel (ENaC) leads to hereditary hypokalemia and hypertension

What is Liddle's syndrome?

500

The three receptors opioid agents bind to.

What are mu, kappa and delta?

500

Normal dose for enoxaparin (Lovenox) for treatment of DVT/PE.

What is 1mg/kg SQ Q12H?

500

CHA2DS2-VASc risk stratification score for a 78-year-old female with diabetes, heart failure, and hypertension

What is 6?

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