Heart Breaker
Hi Calcium
My aching heart!
Oh how sweet it is!
Four letter words about Autumn
100
What did the left heart cath show?
Occlusion of RCA
(inferior STEMI)
100
What do you need to correct for, when correcting calcium?
albumin
100
Name 3 causes for GI related chest pain?
-GERD
-peptic ulcer disease
-esophageal spasm
-biliary colic
-pancreatitis
100
What are the 3 colors in normal candy corn?
yellow, orange, white
100
What is another name for autumn
fall
200
What is the abnormality here:
RBBB
200
What 3 lab values are helpful to determine the cause when someone has hypercalcemia (in addition to calcium)
PTH
Phos
Vit D (1,25 OH)
200
What is the pathophysiology behind what causes a STEMI?
-thrombosis
-plaque rupture
200
What company makes M and Ms?
Mars Inc
200
What falls off the trees this time of year?
leaf
300
Describe the rhythm
3rd degree heart block
300
Name 2 medications that affect calcium level in the blood (causing calcium to be high)?
-thiazide
-bisphosphonates
-lithium
-calcium carbonate (Tums)
300
What two types of chest pain improve with nitrates?
-cardiac
-esophogeal spasm
300
What is the different between mounds and almond joy?
almond joy: almonds and milk chocolate
mounds: coconut and dark chocolate
300
The weather is changing from warm to .....
cool
400
What is the rate and rhythm?
Sinus tachycardia
400
Why does granulomatous disease cause hypercalcemia?
ectopic secretion of Vit D (1, 25 OH)
400
How do you tell unstable angina from NSTEMI?
NSTEMI has leak of troponin
400
Name this candy:
butter finger
400
This is what happens to a pie while it is in the oven
bake
500
Name one treatment options if you see this on the EKG:
1. vagal
2. adenosine
3. cardioversion (if unstable)
500
Name 3 categories that are PTH independent causes for hypercalcemia?
1. Meds (milk alkali, thiazide, vit A/D toxicity)
2. Malignancy (breast, lung, MM)
3. Endocrine (acromegaly, thryoid)
4. Granulomatous disease
5. Other (rhabdo, immobility)
500
What 3 things are needed for typical angina?
1. substernal
2. present with exertion, relieved with rest
3. relieved with nitro
500
What is the best selling candy bar in the world?
snickers
500
Name a type of apple with 4 letters
Gala
Fuji