Cardiovascular Medicine
Anesthesia & Critical Care
Emergency Medicine
Mental and Behavioral Health
Tyler, TX
100

This condition is characterized by reproducible chest discomfort precipitated by exertion or emotional stress without worsening over a period of at least 2 months.

What is stable angina?
100

Also known as cranial nerve 9, this cranial nerve provides sensation to the posterior third of the tongue and the gag reflex.

What is the glossopharyngeal nerve?

100

When treating an ST-elevation myocardial infarction (STEMI), the goal time from first medical contact until primary percutaneous coronary intervention (PPCI) is this length of time or less.

What is 90 minutes?

100

This is first-line treatment for posttraumatic stress disorder (PTSD).

What is cognitive behavioral therapy (CBT)?

100

Tyler is located in this county.

What is Smith county?

200

Guideline-directed medical therapy for heart failure with reduced ejection fraction includes a beta-blocker, an angiotensin receptor-neprilysin inhibitor, an SGLT-2 inhibitor, and this other class of medication.

What is an aldosterone antagonist.

200

A mean arterial pressure of this amount is considered the threshold at which there is sufficient pressure for organ perfusion in most humans.

What is 65 mm Hg?

200

Outpatient empiric therapy for community-acquired pneumonia in otherwise healthy patients includes monotherapy with either doxycycline or this other antibiotic.

What is amoxicillin?

200

This condition is characterized by symptoms of major depressive disorder, mania, or hypomania occurring in autumn/winter and remitting in the spring.

What is Seasonal Affective Disorder?

200

Tyler is known as this flower's Capitol of America.

What is the Rose?

300

This class of medication decreases myocardial oxygen demand, reduces the incidence of ventricular arrhythmias, and improves long-term survival in patients with acute coronary syndrome; however, these agents are contraindicated with cardiogenic shock or high-grade atrioventricular block.

What are beta-blockers?

300

The most common cause of hypoxemic respiratory failure in the ICU is this, which occurs when perfused areas of the lung are not ventilated, whether because of alveolar collapse (atelectasis) or alveolar filling with blood, protein, or water.

What is shunt?

300

This is the recommended as the first vasopressor of choice for septic shock.

What is norepinephrine?

300

This two-question screening tool has high sensitivity and specificity for generalized anxiety disorder.

What is the GAD-2?

300

This "trail" is actually a tour through the residential historic district in Tyler where homes display their gardens in full bloom each spring.

What is the Azalea Trail?

400

Aortic repair should be performed in patients with abdominal aortic aneurysm (AAA) that is rapidly expanding, symptomatic, or this diameter or larger.

What is 5.5 cm?

400

Obesity hyperventilation syndrome is characterized by the presence of obesity, sleep-disordered breathing, and persistent daytime "this" (defined as arterial Pco2 greater than 45 mmHg).

What is hypercapnia?

400

Management of ethylene glycol and methanol ingestion includes competitive inhibition of alcohol dehydrogenase with this drug administered intravenously.

What is fomepizole?

400

The  most common adverse effects of second-generation antipsychotic agents are weight gain (and sequelae of weight gain, such as hyperglycemia), and this metabolic condition.

What is hyperlipidemia?

400

Tyler is home to 28 of these, including Faulkner, Bergfeld, and Southside.

What are parks?

500

Implantable cardioverter-defibrillator (ICD) is recommended in patients with heart failure who have an ejection fraction of this amount or less and New York Heart Association functional class II or III symptoms while taking guideline-directed medical therapy.

What is 35%?

500

The criteria for diagnosis septic shock include hypotension requiring vasopressors to maintain a mean arterial pressure of greater than 65 mm Hg, and a serum lactate level of greater than this amount despite adequate fluid resuscitation.

What is 2 mEq/L

500

Hereditary angioedema is caused by activation of the complement cascade because of the lack or dysfunction of this.

What is C1 esterase inhibitor?

500

This intranasal medication can be added to oral antidepressant agents for treatment-resistant major depressive disorder and, unlike other antidepressant therapies, it has an almost immediate effect on depression symptoms.

What is esketamine?

500

Tyler is the birthplace of this football legend who won the Heisman Trophy in 1977, and now has a parkway named in his honor.

Who is Earl Campbell?

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