Show:
I've got rhythm
Riddle me this
It's caused by all that?
I'm bored with boards
Treatments
100
What are you looking for on an EKG to determine if a patient is in a sinus rhythm?
What is upright p waves in lead II and biphasic p waves in V1
100
How can you predict the long term risk of stroke in a patient with a-fib?
What is the CHADS 2 score? CHF HTN Age>75 DM Stroke/TIA (2 pts)
100
Name at least 8 causes of pancreatitis
What is Gallstones, ETOH, Drugs (lasix, thiazides, sulfa, anti virals, estrogen, ACEI, dapsone, 5-ASA, valproic acid), obstruction (pancreatic/ampullary tumors,mets,stenosis), hypertriglyceridemia, hypercalcemia, infections (coxsackie,mumps,EBV,CMV,HAV,HBV,mycoplasma,TB,toxo,crypto), autoimmune,ischemia (vasculitis, hypovolemic shock),Post ERCP,Trauma,The nasty Trinidad scorpian
100
What is tetralogy of fallot?
What is right ventricular (RV) outflow tract obstruction (RVOTO) (infundibular stenosis), ventricular septal defect (VSD), aorta dextroposition, and RV hypertrophy
100
What are some reasons for dialysis?
What are the vowels? (AEIOU) Acidosis Electrolyte Imbalance Intoxication Overload volume Uremia
200
50 year old white male presents with an irregular heart rate in the 120s. Name three drugs you could treat for his fast heart rate. EKG shows irregular R to R intervals and p waves can not be identified
What is Beta blocker (metoprolol), Ca Channel blocker (cardizem), Amiodarone
200
What is the lesson from the patient with the potassium of 1 who was in the CCU and now on the floor?
What is don't sniff glue?
200
Name 5 reasons why a troponin level can be elevated?
What is myocarditis, severe CHF, HTN crisis, PE, trauma, sepsis, SAH, Demand ischemia, Renal issues, congenital
200
Name some clinical findings of endocarditis
Roth spots Janeway lesions Osler's nodes Splinter hemorrhages Cardiac murmur
200
How do you treat an MI?
MONA Morphine Oxygen Nitro ASA Also beta blocker, ace inhibitor, statin, (even heparin and plavix)
300
What is multifocal tachycardia associated with?
What is Chronic lung dz (COPD) Very sick patient
300
What is the most common lymphoma is a person>65
What is CLL
300
Name 7 causes of dilated cardiomyopathy?
What is ischemia, valve dz, familial, idiopathic, infectious, (CMV, coxsackie, adeno, echovirus), toxic (ETOH, anthracyclines, cycolphosphamide, cocaine, lead, CO poisoning, radiation), Infiltrative (amyloidosis, sarcoidosis, hemochromatosis), Autoimmune ( polymyositis, SLE, scleroderma, RA), hyopthyroidism, acromegaly, pheo, thiamine, sleep apnea, Peripartum
300
A 43 male comes into the ER with rapid HR, diaphoretic,nausea. His BMP results are Na 133, Cl 99, K 4.0, bicarb 18, BUN 30, Creat 1.0, Glucose 498. What is the anion gap? What conditions cause an anion gap acidosis?
What is (Na + K) - (HCO3 + Cl) = 137-117=20 MUDPILES Methanol, Uremia, DKA, Paraldehyde, INH or Isopropyl alcohol, Lactic acidosis, Ethylene glycol, Salicylates (ASA)
300
How much potassium do you need to bump a K of 3.1 to 3.5?
What is roughly 40 meq 10 meq will increase the potassium by .1 Give 10 meq potassium per hour when giving IV
400
Name the atrial arrhythmias? What is the rate for each?
What is 150-250 = atrial tach=SVT=PSVT=PAT 250-350 = atrial flutter >350 = atrial fibrillation
400
What is the dermatologic finding on the knuckles of patients with Dermatomyositis?
What is Gottron's papules
400
Name 5 causes of AR
What is SCREAM Syphilis Congenital Rheumatic fever Endocarditis Aortic Dissection Marfan’s syndrome
400
A 33 male comes to the ER with a rapid HR and mid chest pain. You notice a crack pipe in his pocket and white powder under his nose. He admits to partying it up last night and admits to "sniffing" through all sorts of good stuff. His EKG shows ST elevations and his troponin is elevated. What do you NOT want to give to this party animal?
What is a beta blocker. Unopposed alpha will worsen myocardial ischemia
400
How do you treat hyperkalemia
What is Ca gluconate (careful if secondary to dig toxicity) Insulin follow with an amp of D50 B2 agonist like albuterol Kayexalate Diuretics (lasix) Hemodialysis
500
What can a tall R wave in V1 tell you? Need about 5 for credit
What is 1) RVH 2) RBBB 3) WPW 4) Posterior MI 5) Progressive muscular dystrophy (duchenne atrophy) 6) Dextrocardia 7) Misplaced precordial leads
500
What is the most rented movie on Netflix over the last 6 months?
What is Argo
500
What are the causes of an elevated D-dimer? Name at least 8
What is PE, MI, Stroke, A-fib, DIC, Pre-eclampsia, Tissue ischemia, SIRS/Sepsis, Severe liver/renal dz (secondary to decreased clearance), Malignancy, Pregnancy, Venous malformations, Vasocclusive in sickle cell dz
500
How many mg of morphine is equal to 1 mg of dilaudid?
What is 8
500
A patient who is bed bound secondary to pneumonia is admitted to the unit. What do you want to give for DVT prophylaxsis? What lab value will change your mind to choose one medication over the other?
What is Heparin or Lovenox (do not give if elevated creatine)