Who's Got the Rhythm?
Cant Miss This!
Contraindicated Mess
100

First degree AV block is characterized by a PR interval of at least how many ms?

200

100

This condition must be suspected in a patient with acute chest pain, pulse deficits, and a widened mediastinum.

What is aortic dissection?

100

This class of antihypertensives should generally be avoided in pregnancy.

What are ACE inhibitors and ARBs?

200

This is the first line treatment for hemodynamically stable Torsades De Pointes

What is IV magnesium sulfate?

200

This complication of an MI classically presents with hypotension, JVD, and muffled heart sounds.

 What is cardiac tamponade?

200

This medication is contraindicated in patients taking nitrates because of the risk of profound hypotension.

What are PDE-5 inhibitors (e.g., sildenafil)?

300
Name two causes of wide complex tachycardia that are NOT VT. 

Antidromic AVRT
SVT with Aberrancy
A fib with Aberrancy

300

This is the must-not-miss diagnosis in an older patient with abdominal pain out of proportion to examination findings who also has atrial fibrillation.

What is acute mesenteric ischemia? (Do NOT accept colonic ischemia)

300

This medication should not be given in atrial fibrillation with pre-excitation (WPW) because it may precipitate ventricular fibrillation.

What is an AV nodal blocker, such as verapamil, diltiazem, a beta-blocker, digoxin, or adenosine?

400

This class of antiarrhythmics is first line for patients with a fib WITHOUT underlying CAD or structural heart disease.

Class IC antiarrhythmics (flecainide and propafenone).

400

This endocrine emergency presents with hypotension, abdominal pain, hyponatremia, and hyperkalemia.

What is adrenal crisis?

400

This antibiotic combination can cause severe hyperkalemia when combined with ACE inhibitors or ARBs, especially in older adults or patients with CKD.

What is trimethoprim-sulfamethoxazole?

500

This nonselective beta-blocker is first-line therapy for preventing arrhythmic events in patients with congenital long QT syndrome.

What is propranolol?

500

This is the most common cause of sudden cardiac death in young athletes.

What is hypertrophic cardiomyopathy?

500

This medication is contraindicated in patients with a history of medullary thyroid carcinoma or MEN2.

What are GLP-1 receptor agonists?