Show:
I'm having a coronary!
Playing the Card(iti)s you're dealt
To AIR is human...
Aorta go get some help...
Somebody Tamponade these jokes, please
100
Your patient has EKG findings that are classic for an anterior wall MI. THESE leads may show ST-elevation.
What is V1-V6?
100
You are worried that your patient may have some sort of inflammatory cardiac condition. These are 3 possible diagnoses.
What are pericarditis, endocarditis, and myocarditis?
100
You laugh at people who think chest pain only comes from cardiac problems. You can think of at least THESE 3 lung-related causes.
What are PE, pneumothorax, collapsed lung, pleurisy, pulmonary hypertension, pneumonia, tracheitis, bronchitis, and asthma exacerbations?
100
Aortic dissection typically begins with a tear in the inner layer of the aortic wall, allowing blood to track between the inner layer and the middle layer. THESE are the terms for the inner layer and the middle layer of a blood vessel.
What are the intima and the media?
100
Your patient is in the ED after a traumatic motor vehicle collision. You see evidence of chest wall trauma, and you notice elevated JVP and tachypnea. Based on your suspected diagnosis, THIS procedure is likely to relieve his symptoms.
What is pericardiocentesis?
200
Your patient has had chest pain that resulted in reversible myocardial ischemia without injury. What is this chest pain called?
What is unstable angina?
200
You're pretty sure that your patient has pericarditis. Even a helpless medical student knows to tell the patient to change to THIS position to make themselves feel better.
What is sitting up and bending forward?
200
THESE people tend to be the unlucky patients who end up with a primary spontaneous pneumothorax.
Who are tall, thin, younger males?
200
Your patient is suspected to have an aortic dissection. He most likely has THIS problem in his past medical history.
What is systemic hypertension?
200
THIS physical exam finding is so common in costochondritis that the diagnosis should be reconsidered in its absence.
What is local tenderness to palpation?
300
Afraid that your patient with chest pain has an MI, you order an EKG and cardiac enzymes. You expect this enzyme (the most sensitive cardiac enzyme) to show initial elevation around 3-6 hours and stay elevated for 14 days.
What is troponin? Troponin stays elevated for 14 days, and CK-MB drops after 2-3 days.
300
Your patient tells you that they recently had Rheumatic fever. They are most likely to have THIS type of inflammatory cardiac condition.
What is endocarditis?
300
Your patient is diagnosed with a PE. You quickly begin THIS pharmacologic treatment.
What is unfractionated heparin or low-molecular weight heparin?
300
THIS kind of imaging study is good for patients with suspected aortic dissection who are too unstable for CT.
What is transesophageal echocardiography?
300
These are 2 causes classically known for causing mediastinitis. (Name 1.)
What are cardiovascular surgery and esophageal perforation?
400
Your patient with ACS tells you that her name is Mona, which you find very ironic because you are about to give her THESE 4 treatments.
What are morphine, oxygen, nitroglycerin and aspirin?
400
You whip out your stethoscope and listen to your patient's heart. You're pretty sure you hear THIS, the classic sound of pericarditis.
What is a friction rub?
400
These are reasons you would NOT immediately start your patient on anti-coagulation therapy.
What is active bleeding or previous reaction to heparin treatments?
400
THIS physical exam finding would increase your suspicion for aortic dissection.
What is an interarm blood pressure differential greater than 20 mm Hg?
400
Your patient tells you a story about excessive vomiting and the name Boerhaave pops into your head. You call your friend the gastroenterologist and she recommends THIS test to confirm your concern.
What is contrast esophagram (Gastrograffin)?
500
This vessel is known as "the widow maker."
What is the Left Anterior Descending (LAD) artery?
500
Your patient is under 10 years old, and you remember that THIS is the most common viral cause of pericarditis.
What is coxsackievirus?
500
On your way home from the hospital, you get in a wreck. You begin to have trouble breathing and your pulse is racing; you diagnose yourself with a tension pneumothorax. It's a good thing you keep a handy dandy angiocatheter in your back pocket, and you quickly puncture yourself into THIS space.
What is the 2nd intercostal space at the midclavicular line?
500
This test helps to differentiate between an MI and an aortic dissection.
What is and EKG?
500
Your patient with chest pain has gotten you totally stumped. She is a 38-year-old female presenting to the ER for the second time in 4 weeks with sudden-onset chest pain, tachycardia, shortness of breath, dizziness, and sweating. Her entire cardiac workup has been negative at both visits, and H&P are inconsistent with any pulmonary, GI, or MSK cause. Her toxicology screen is negative, and you finally figure out that THIS is her diagnosis.
What is a panic attack?