Jeopardy IM 2

My heart will go on

100

Recommended duration of dual antiplatelet therapy after placement DES/BMS 

6-12 months 

200

Patient is 14 months post PCI with DES on DAPT, is now planned for CABG. The surgeon states you must stop ??? 7 days before surgery and continue ??? throughout the perioperative window. 

clopidogrel/prasugrel/ticagrelor 

aspirin 

300

Nocturnal arrhythmias induced by OSA are generally a result of 

hypoxia 

abnormal autonomic tone due to arousal 

400

This can be found on echocardiogram in a patient with persistent tachycardia as a result of uncontrolled atrial fibrillation. 

left ventricular systolic dysfunction 

reduced LVEF

500

3 days after STEMI a patient develops severe shortness of breath, flash pulmonary edema, hypotension and tachycardia. There is a systolic murmur at the apex. Dx: 

Papillary Muscle Rupture causing severe mitral regurgitation 

Pt in Rheum #...

100

Most specific antibiotic in diagnosis of RA 

anti-CCP antibody

200

First line therapy for primary Raynaud Phenomenon 

calcium channel blockers 

300

In a patient with ankylosis spondylitis, this is the most common murmur. 

Aortic Regurgitation

400

Age > 50y

New onset localized headache with fevers and visual disturbance 

ESR > 50

Giant cell arteritis 

500

Antibodies associated with CREST Syndrome

anti-Centromere antibodies 

Lungevityy

100

Daily implementation of this can reduce the # of ventilated days and # of days in ICU in intubated patients. 

Sedation Vacation 

200

In a severe COPD patient on 4lpm supplemental O2 and triple therapy, who has daily dyspnea worsened by walking two flat blocks, who can no longer complete his own groceries, this will improve his overall quality of life. 

Pulmonary Rehabilitation 

300

In stable COPD patients on LABA therapy, addition of ICS can increase their risk of this. 

Pneumonia. 

400

A ventilated patient with ARDS on low tidal volume protocol, has a morning blood gas revealing a PaO2 48. 

Vent settings are 

TV 6ml/kg, PEEP 8cmH2O, FiO2 60%. 

The intensivist asks you to increase this on the VENT. 

the PEEP

500

This measurement during a code can theoretically eliminate the need to check for palpable pulse to ensure ROSC. 

Rise in EtCO2. 

Neuro

100

A crescent shaped density on low resolution CT brain in a patient 79-year-old female who was found wandering the grocery store for hours. 

Subdural Hematoma 

200

A patient presents with fatigue, diplopia, dysphagia, has an anterior mediastinal mass on CT.  The biopsy of the mass reveals this. 

Thymoma

Myasthenia gravis 

300

26 yoF with: 

Headache

Nausea and vomiting 

Visual changes 

Papilledema 

BMI >30 

Pseudotumor Cerebri

400

Daily symptoms of RLS disturbing sleep onset in a 55yo male with normal iron studies including ferritin, can be best managed with 

Gabapentin 

Pregablin 

500

Antileptic medication used for migraine prevention 

Topiramate 

Depakote 

Sleep Aides

100

Hypnotic associated with sleep walking and retrograde amnesia 

Ambien

200

This defines moderate OSA 

AHI > 15/hr

300

The gradient between the IPAP/EPAP

Pressure Support 

400

Mode of NIV that delivers a set tidal volume by way of pressure support 

AVAPS

500

A patient with CHF with EF <20%, BMI 32, Serum bicarb 21, who has severe sleep apnea (AHI 35/hr) whose obstructive apnea hypopnea index = 5/hr likely has this 

CSR 

Central Apnea