CARDIO
RESPIRATORY
RENAL
GI
MYSTERY
100

This medication is contraindicated for STEMI patients who uses sildenafil because concurrent usage could cause excessive hypotension

What are Nitrates?


100

The time window after a DOAC has been taken in which activated charcoal can act as an anticoagulation reversal homeostatic agent

What is 2 hours?

100

This type of AKI reduces renal perfusion.

What is Pre-renal AKI?

100

Patient with liver cirrhosis arrived at the ED is experiencing altered mental status. This is the condition

What is Hepatic encephalopathy?

100

This medication is a first-line treatment for anaphylaxis and should be administered intramuscularly into the lateral thigh.

What is Epinephrine?

200

A life-threatening adverse effect of QT-prolongation medications or electrolyte imbalance that is characterized by rapid, polymorphic EKG

What is torsades de pointes?

200

A medication used as VTE prophylaxis post-major trauma surgery (assume patient has normal CrCl)

What is UFH or Enoxaparin or Dalteparin (If answering LMWH select which one)

200

This medication is administered first in hyperkalemia to stabilize the cardiac membrane but does not lower serum potassium.

What is calcium gluconate?

200

The Quad is the name for this set of medication used to treat H Pylori (need to get all four)

What is the combination of bismuth, tetracycline, metronidazole, and PPI called?

200

Patients should avoid combining this with acetaminophen because it increases the risk of hepatotoxicity

What is alcohol?

300

The first-line diuretic for fluid overload in acute decompensated heart failure

What are loop diuretics?

300

A type of medication that should be given during COPD exacerbation if patients have purulent sputum, positive sputum bacteria culture, or require mechanical ventilation

What is antibiotic?
300

Patient has hypokalemia but after potassium infusion serum level does not increase because the ED team did not correct this mineral level before or together with potassium infusion.

What is Magnesium (Mg)?

300

This is usually the first line therapy that would be prescribed after discharge to manage hepatic encephalopathy

What is lactulose? (30ml (20g) po TID

300

A patient who recently fractured their ankle 3 days ago comes back to the ED and presents with pinpoint pupils, severely slowed breathing, and unconsciousness. These three symptoms are commonly associated with a specific type of overdose. This would have been given

What is Narcan?

400

 A medication indicated for ACS or stroke prevention that could cause brain swelling if used on children after a viral infection.

What is aspirin?

400

This is the primary indication for thrombolytic therapy in a patient with massive pulmonary embolism

What is hemodynamic instability or sustained hypotension (SBP <90 for 15+ mins)?

400
Acronyms of the indications that determines patients need dialysis 

***

What is AEIOU?

400

This medication is used off label to help treat variceal hemorrhage.

What is Octreotide?

400

A patient is admitted to the ED with severe constipation. The physician asks which medication would provide the fastest relief. What is the most appropriate treatment for rapid relief of constipation?

What is a Saline Enema?

500

A lab test used to monitor unfractionated heparin therapy

what is aPTT?

500

The three pharmacological components given to treat an adult asthma exacerbation in the ED

What is 

Oxygen (goal 93-95%), Continuous albuterol + ipratropium (albuterol only accepted), oral corticosteroids


Also accepted: IV magnesium or terbutaline

500

 This group of IV fluids used for hydration and resuscitation contain small molecules that can easily pass through cell membrane.

What is Crystalloids?

500

This is the mechanism of Lactulose.

What medication has the mechanism of allowing bacterial degradation of lactulose to increase pH which converting NH3 to NH4+ so it can not cross the brain blood barrier which is a cause of hepatic encephalopathy?

500

A patient is being discharged after a new diagnosis of AFib. The team wants to start rate control therapy, but the patient also has Hfref. This is the class of antiarrhythmic medications are indicated for AFib rate control but contraindicated in patients with heart failure.

What is Class IV: Non-dihydropyridine calcium channel blockers (verapamil, diltiazem)?