Heart Breaker
Eye spy with my little eye
Eye-mages
Can we call a cardiologist?
God bless the Queen
100
What did the left heart cath show?
Occlusion of RCA
(inferior STEMI)
100
A 20 year old female presents described flashes of light and scotomas. Her eye exam and neuro exam was normal.
Most likely diagnosis?
ocular migraine
100
A 40 y/o female comes to the office after being scratched by her cat. Her eye has been watering and burning ever since.
corneal abrasion
100
Name 3 separate causes of pericarditis (like 3 different buckets/categories of etiology)
1. Infectious (viral, bacterial, fungal)
2. Malignant
3. Autoimmune (RA, lupus, Dressler's)
4. Trauma (aortic dissection)
5. Metabolic (uremic, mxyedema)
100
What was the Queen of England with the longest reign's nickname?
Lilibet
her husband called her "cabbage"
200
What is the abnormality here:
RBBB
200
What pathology is associated with amaurosis fugax?
central retinal artery occlusion
200
A 60 year old female presents describing sudden onset of floaters and many bright flashing lights.
This is seen on fundoscopic exam.
retinal detachment
200
What is the first line treatment for pericarditis
NSAIDS + colchicine
200
What type of dogs did the Queen of England have when she died?
Corgis
(she did have one of her corgis bread with her sisters dachshund and they got a new dog, the "dorgi")
300
Describe the rhythm
3rd degree heart block
300
In vision testing you ask a patient to look at a grid and he describes it as:
What is the diagnosis? 
macular degeneration
300
What disease is this associated with?
diabetes
300
What are the EKG findings consistent with pericarditis?
Diffuse ST elevation and PR depression
300
What was the Queen's late husband's name?
Philip
400
What is the rate and rhythm?
Sinus tachycardia
400
This is painful vision loss associated with loss of red/green colors.
optic neuritis
400
Central retinal vein occlusion
400
What is Beck's triad that can be associated with tamponade?
1. hypotension
2. JVD
3. muffled heart sounds
400
How old was the Queen of England when she became Queen?
25 years old
500
Name three treatment options if you see this on the EKG:
1. vagal maneuvers
2. adenosine
3. cardioversion (if unstable)
500
Name 4 causes of painful vision loss.
1. acute angle glaucoma
2. uveitis
3. optic neuritis
4. corneal abrasion
500
What is treatment for this? (assuming it was acute onset)
narrow angle glaucoma
tx: laser iridotomy
can try timolol, pilocarpine (does not work as well as laser)
500
What is the threshold for normal when calculating pulsus paradoxus?
<10 is normal
500
Did the Queen have her driver's license?
no, she is the only person in the UK allowed to drive without her license.
she also was a mechanic on tanks and trucks during WWII.