Arrhythmias
Potpourri
Rad Rads
Talk that Tox
Derm
100
ACLS NEXT STEP TREATMENT for:
Hemodynamically stable bradycardia
Atropine 1mg
q3-5min
Up to 3 doses
100
True or false:
Patients with asthma may have normal airflow on spirometry
True
Methacholine challenge: provoke bronchoconstriction and a/f airway obstruction
100
Name this sign AND what it raises concern for:
Deep sulcus sign
Raises concern for pneumothorax (supine: air accumulates in nondependent parts of pleura)
100
Medication to treat opioid overdose
Narcan (naloxone)
100
Name this classic skin finding in patients with dermatomyositis:
Heliotrope rash
Other classic skin findings: Gottron's papules, shawl sign
200
Name this rhythm
Torsades de Pointes
200
What are the SIRS Criteria?
Temperature >38C or <36C
HR>90
RR>20 or PaCO2<32 mmHg
WBC>12,000/mm3 or <4000/mm3, or >10% bands
200
Name this finding AND what it suggests:
Air bronchogram
Normally: bronchi=surrounded by alveoli also filled with gas -- can't tell bronchi from alveoli
Alveolar filling (water, pus, etc) --> bronchogram
Atelectasis: tends to not have air bronchograms
Pleural fluid: does not have air bronchograms
200
This flower is used to make a cardiac med and is poisonous to humans if ingested
Foxglove
(used to make digoxin)
200
Shortly after starting IV antibiotics for purulent cellulitis, new erythematous pruritic rash develops over face/neck/chest
What antibiotic? What is going on?
Vancomycin
Red man syndrome
300
ACLS NEXT STEP TREATMENT for:
Hemodynamically stable narrow, regular, complex tachycardia
Adenosine 6mg
Second dose if needed: 12mg
300
What is this ECG finding (arrow) called/classically associated with?
Osborn Wave
Hypothermia
300
Name this sign AND what it indicates:
Spine sign
PNA, mass, fluid, etc. -- anything with sufficient density to attenuate XR beams passing through the lower thoracic spine
300
Medication that may be used to treat serotonin syndrome
Cyproheptadine
Other supportive cares:
BZD
BP gtts
Sedation
Cooling
300
"Doc, I get these itchy blisters on my elbows and knees -- it really seems to flare when I eat bread"
What medicine is first line treatment?
Dapsone
(for dermatitis herpetiformis)
400
Treatment for:
Hemodynamically stable Afib in the setting of WPW syndrome (preexcited AF)
IV procainamide
400
Name the syndrome:
Bilateral hilar adenopathy, erythema nodosum, polyarthralgia (or polyarthritis)
Lofgren's syndrome
Acute form of sarcoidosis
400
Name the (iatrogenic) abnormality:
Aberrant CVC placement
Cross-sectional imaging: through-and-through IJ --> carotid --> tip in aortic arch
400
What are symptoms of organophosphate toxicity?
Cholinergic toxicity
DUMBBELS
defection, urination, miosis, bronchospasm, bradycardia, emesis, lacrimation, salivation
400
Name this skin condition (hint: 6Ps)
Lichen planus
Purple, planar, polygonal, pruritic, pupules, plaques
Bonus: What are the white lines admixed in LP lesions called?
500
True or false:
Extreme axis deviation (northwest axis) is a feature of SVT with aberrancy
False
500
A patient presents with this skin finding following a cardiac catheterization, what histopathologic findings would likely be seen on biopsy of the toe?
Cholesterol clefts in arterial lumen
500
Describe what causes this sign:
RV free wall akinesis to hypokinesis, with sparing of apex
a/w acute RV strain
500
Willow bark contains the active ingredient of what medication
Aspirin
500
Name the vitamin deficiency associated with this finding:
Niacin (B3) deficiency
Casal necklace
Diarrhea, dementia, dermatitis (photo-sensitive, symmetric, well-demarcated), death