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55% of MET calls
Pre op knowledge
Potpourri (Chief lectures)
100
This is the number of neutrophils need to be seen on paracentesis to qualify as SBP
What is 250, how about if the patient uses peritoneal dialysis
100
These are the 4 types of shock
What are obstructive, hypovolemic, distributive, and cardiogenic
100
Name 3 of the most common causes for altered mental status
What are hypoglycemia, infection, delirium, electrolyte imbalances, stroke, substance use
100
This is the primary tool to calculate the risk of a major cardiac event during/after non cardiac surgeries
What is the RCRI (revised cardiac risk index), bonus what score indicates an elevated risk?
100
Formerly known as BOOP, this form of PNA can mimic cancer with B symptoms and does not respond to antibiotics
Cryptogenic organizing pneumonia
200
After a paracentesis of 8L, this much albumin should be given.
What is 48-64g of 25% albumin
200
Apical hypokinesis along with basilar hyperkinesis and a negative heart cath is ussually diagnostic of this cardiac condition
What is Takotsubo cardiomyopathy
200
This is when a urinalysis that shows signs of infection is treated
When is the patient shows signs of infection, ie fever, chills, leukocytosis, leukopenia, pregnancy no matter what
200
This pillar of GDMT must be stopped 3-4 days before surgery
What is an SGLT2i
200
One of two large vessel vasculitides, this one is known for effecting the aorta and its branches
What is Takayasu arteritis
300
This score is used to help in diagnosis of alcoholic hepatitis, bonus what is the number that we typically start coriticosteorids at
What is Maddrey's discriminant function for alcoholic hepatitis, 32 or higher
300
Blue: Yellow: Red:
What are the left ventricle (blue), right atrium (yellow), and pericardial effusion (red)
300
These are the first 3 things you do when activating a code stroke on a vitally stable patient with a clear airway
What are check glucose, perform NIHSS, place order for CT head stat
300
Name one of two ways we can calculate functional capacities of patients when evaluating them preoperatively
What are the DASI (duke activity status index) or METs (metabolic equivalents of task). Bonus what score for DASI and METs indicates good functional capacity
300
Name the general patient population and one clinical symptom that may lead you towards a diagnosis of Takayasu arteritis
What are Asian females under 40, wide pulse pressure, limb claudication, bruits
400
After calculating the SAAG of >1.6 you notice the total protein is 2.8, name 2 or more causes of this
What are heart failure, Budd-Chiari, IVC obstrution, sinusoidal obstruction syndrome, cardiac tamponade
400
27 year old female comes to the ER after having eaten several peanuts on accident, she has a BP of 80/40, a rash around her neck and notable abdominal pain. Fortunately an epipen relieves her symptoms. She was demonstrating what type of shock?
What is distributive?
400
This is the gold standard for determining if a patient has a PFO
What is a TEE with bubble study
400
In patients who have recently undergone DES PCI who have afib please give the duration of triple therapy, double therapy and then monotherapy
What are triple therapy for 1 week-1month, double therapy for a year and then monotherapy with OAC for life
400
This is the initial starting dose of prednisone for cryptogenic organizing pneumonia in a 90kg patient and this is how long they stay at that dose
What is 45-90mg for one month
500
After diagnosis of SBP with a paracentesis of 3L your patient receives ceftriaxone and now albumin. When should the albumin be given and at what doses?
What is albumin 1.5g/kg on day 1 and 1g/kg on day 3
500
What type of shock is likely to occur once tube feeds are started in this patient?
What is obstructive shock from a tension pneumothorax
500
Cardiac CT for evaluation of cardioembolism has been gaining traction. name 2 advantages of this over a TEE
What are less invasive, can be performed during code stroke, equivocal for evaluating structural causes of thrombi, faster, no anesthesia risk
500
A patient has <4 METs, abnormal biomarkers (trop/BNP). Name 2 of the 3 next steps available to us for cardiac preop eval
What are echocardiogram, stress test, and/or CCTA (coronary computed tomography angiography)
500
Yes we are doing steroids but name one of the two medications that is also used to treat mild cases of Takayasu arteritis
What are adalimumab or methotrexate