Noon Report
Acute Mitral Regurgitation from Papillary Muscle Rupture will Present with this key feature on physical exam
What is Severe pulmonary Edema
(Heart murmur not acceptable, to non specific)
This should always be the first scoring system you should use to evaluate a patient for an acute pulmonary embolism
What is the PERC score
A panic attack should last no longer than this amount of time
what is 5-10 minutes
These are the three exclusion criteria for starting remdesivir on a covid pneumonia patient requiring oxygen
What are
1: Outside the 10 day window
2: LFTs >10x ULN
3: CrCl <30
This type of malpractice insurance covers you for any claims made against you from a previous job when you were covered by a now terminated insurance policy
What is Nose Coverage
This lab is worth the most points and is critical in evaluating the risk of Necrotizing Soft Tissue Infections
What is CRP
LRINEC Score uses WBC, Hgb, Sodium, Creatinine, Glucose and CRP.
A patient comes in after a single flight from Australia to Washington DC. He is SOB, tachycardic, and tachypnic. Vital signs are normal. This is the length of time frame you should anticoagulate him.
What is 3-6 months.
A patient comes in with severe right sided chest pain. He was hit with a bat during a bar fight. On physical exam a section of the left rib cage moves inward with inspiration. The patient is requiring oxygen but vitals are otherwise stable. What should be your next step in management
consult Cardiothoracic surgery for rib stabalization
The monoclonal antibodies used in COVID are authorized for use in patients who do not require this?
What is oxygen
(They were all studied to prevent acute hypoxia requiring oxygen and thus cannot be used in patients requiring oxygen or requiring an increase in baseline oxygen secondary to covid.)
This song has sold the most copies of any single in US history.
White Christmas by Bing Crosby
Glucose in CSF from a Lumbar Puncture should be close to this ratio with blood glucose
What is 2:3 (2 CSF for 3 Serum)
(Some sources say 0.6 but if you remember it is 2/3 you will be safe)
This is the classification (1 through 5) of Pulmonary Hypertension caused by chronic PE
What is Type 4
1: Arterial, 2: Left heart, 3: Lung, 4: VTE, 5: multifactorial
These are the five classifications of an NSTEMI
1: Thromboembolic
2: Demand Ischemia
3: Sudden Cardiac Death
4: PCI induced damage
5: CABG induced damage
This new medication, still under the emergency use authorization, is combined with Remdesivir. Together it has been shown to decrease the need for this.
(you need the name of the drug and what it is shown to prevent)
What are baricitinib (Olumiant) and intubation
This mutant in the marvel universe is known as "the merc with the mouth"
Who is Deadpool
In a patient with a cerebrovascular accident you are performing a CTA head to evaluate for this diagnosis
What is a Large Vessel Occlusion
A patient comes in with sob, fever, tachycardia, leg swelling, and melena. It is discovered the person has a right colonic bleed, a DVT, and bilateral PE wo right heart strain. This should be placed quickly
What is an Inferior Vena Cava Filter
A patient comes in with chest pain on the right side described as a severe burning sensation that radiates around to the back. It is localized to the right 3-5 rib around to the spin without crossing midline. It is exquisitely sensitive to touch. This is the likely diagnosis.
What is Shingles aka Herpes Zoster
This series of cytokines is hypothesized to be the reason for the severe pulmonary edema seen in covid patients
What is the bradykinen storm
Cytokine storm is not specific enough and will not be accepted.
This is the largest known snake to have ever existed on the planet
What is the titanboa
These are the three indications for antibiotics in an abcess without sepsis.
What are:
1: Abcess >2cm
2: High Risk for IE
3: Presents of implants or grafts
A patient comes in with SOB. Temp 101, HR 120, RR 20, BP 140/80, SpO2 96 on RA. CTA shows bilateral PE wo dilated ventricle. This test is the most useful in evaluating further management decisions.
What is a transthoracic echocardiogram looking for right heart strain.
CTA is not sensitive enough to identify it reliably. TTE is recommended. Trop and BNP can also be used but being negative is not sensitive either. If positive it strongly supports submassive PE but negative results may not be sensitive enough.
A patient with severe substernal chest pain undergoes an EGD for concerns of PUD. During the EGD the gastroenterologist sees the esophagus tighten up so severely he cannot get a manometer in. What is the likely cause of this patient's chest pain
What is a nutcracker esophagus.
There are five monoclonal antibodies that have received emergency use authorization by the FDA. These are just three of them.
What are
Bamlanivimab plus etesevimab (This combination is no longer available because the brazil and south african variants are not affected by it)
Casirivimab plus imdevimab (AKA Regen-Cov but colloquial is Regeneron but that is the name of the company)
Sotrovimab
This law of physics explains how applying a magnetic field to a ferrous circle creates a concurrent electrical current.
What is Lenz's Law