Bad blood
Done Fell Out
Brain Hypoxia
Drugs
Grab Bag
100
Potassium level when EKG changes begin to occur
What is K 5.5-6.5
100
Initial test in all patients with syncope
What is an EKG
100
TIA is a
What is transient focal neurologic deficit from ischemia with absence of infarct on neuroimaging
100
Kayexalate (sodium polystyrene sulfonate) significant side effect
What is Intestinal necrosis
100
Camp Lejeune water contamination game from this main source
Dry cleaners
200
Three causes of non anion gap metabolic acidosis.
1.GI HCO3 loss (Diarrhea)
2. Kidney HCO3 loss (Proximal RTA, ileal bladder)
3. Reduced kidney H excretion (distal RTA, type IV RTA)
4. Fanconi
5. carbonic anhydrase inhibitor use
200
Criteria for +Orthostatic vital signs
At least a 20mmHg fall in systolic pressure, at least a 10mmHG fall in diastolic pressure
*HR increase of >30 suggests POTS
200
TIA ABCD2 score to qualify for DAPT if no contra-indications
ABCD2 >4
DAPT for 21 days, then plavix to complete 90 days
200
Name the 4 drugs given for severe hyperkalemia
What is Calcium gluconate, insulin + glucose, albuterol/B agonist, kayexalate/Lokelma
Can do lasix
C BIG K-Drop
200
Congress voted to make this a federal holiday this week
What is Juneteenth
300
Test to order if suspecting pseudohyperkalemia
What is plasma K
300
Major side effect of Megace
What is adrenal suppression
300
The D's of Posterior stroke are
What are Dizziness, Diplopia, Dysarthria, Dysphagia, Dystaxia
300
Daptomycin causes this abnormality on labs
What is elevation of INR
300
JLo's new man
Who is Ben Afflack
400
Two causes of pseudohyperkalemia
What is leukocytosis, thrombocytosis, hemolysis (tight tourniquet) , clotted blood, familial syndrome
400
Three cardiac structural causes of syncope
Aortic stenosis, hypertrophic cardiomyopathy, PE +/- tamponade, pulmonary hypertension
400
Indications for a CEA
What is ipsilateral stenosis 70-90%
400
The preferred anticoagulant for a patient with gastric cancer with VTE
What is LMWH
400
Alex's dogs are named
Who are Barley and Clover
500
Late complication of a large PFO
platypnea-orthopnea
500
Name the 5 components of the TIA risk calculator
A-Age >60
B- BP >140/90
C-Clinical symptoms (dysarthria only +1, weakness on exam +2)
D-Diabetes
D-Duration (>60 min +2, 10-59min +1)
500
Name 3 indications for tPA for an acute stroke
1. Onset of symptoms <4.5 hrs
2. Measurable neurologic deficit
3. Clinical Dx of ischemic stroke
4. No absolute CI
500
What BMI is a NOAC contraindicated?
What is BMI >40
500
Most common adverse effect from PFO closure
What is Afib