What's van Slot Thinking
Cardiology
Pain
Anticoagulation
Diabetes
100

75yo lady with no anemia.  MCV 89.  Reports dropping things.

What is B-12 deficiency?

100

timi score 

sadfasdasda

100

Opioid not recommended due to toxic metabolite causing CNS effects.  Should only be used for rigors.

What is meperidine (Demerol)?

100

Desired INR range is 2.5-3.5 for this condition.

What is either mechanical heart valve or antiphospholipid syndrome?

100

Diabetes medication safe to use in pregnancy

What is insulin?

200

75yo lady with...

What is UTI?

200

cardiac output = HR x ______.

What is stroke volume?

200

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

Diabetes medication that may extend life expectancy even in non-diabetic patients.

What is metformin?

300

U/A with 3+ occult blood, no red cells, Tbili 2.1.

What is hemolysis?

300

Mild troponin elevation without renal failure, reason for stress reaction, no evidence for chest pain, here for RUE anesthesia.

What is CVA?

300

The reason why methadone is used in drug detox programs.

What is a long biphasic half-life?

300

Agent used to reverse the anticoagulant effect of heparin.

What is protamine?

300

4 interventions that have been shown to have mortality benefit in CHF.

1. BPAP, 

2. hydralazine/nitrates, 

3.beta blockers, 

4. ACEI/ARBs?

400

75yo man with encephalopathy of unclear origin, B-12 1100.

What is TSH?

400

GP2B/3A inhibitor approved for use only for PCI.

What is abciximab (Reopro)?

400

What neurotransmitter receptor does methadone hit beside opioid receptors.

What is NMDA?

400

Fondapainux (Arixtra) selectively inhibits the activity of this factor.

What is factor Xa?

400

2009 trial that showed intensive glucose control increased mortality in ICU patients.

What is the NICE-SUGAR trial?

500

Nurse calls about patient here for DKA with intermittent asymptomatic PVCs.

What is the mag?

500

Vasopressor with only alpha 1 action.

What is phenylephrine (Neosynephrine)?

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

The three classic symptoms of metabolic syndrome.

What are hypertension, hyperglycemia and high cholesterol?

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