Labs
The lab test most correlated in diagnosing MI or heart injury
Bonus: range of normal level count of this lab
What is Troponin?
<0.04
What is Chronic Obstructive Pulmonary Disease?
The number of elements documented in PMFSHx for level 5 chart
Bonus: Examples for each section?
What is 2+?
past history (DM, R knee sx)
family history (MI, htn)
social history (smoker, occasional etoh)
An abnormal “whooshing” sound heard on auscultation of the heart indicating a structural or functional abnormality
Bonus: Spell the term correctly
A common antibiotic ointment used when dressing wounds in the ER
Bonus: Spell the medication correctly
What is Bacitracin?
The lab test most correlated in diagnosing cirrhosis or hepatitis
STEMI stands for
What is ST-Elevation Myocardial Infarction?
The number of elements documented in HPI for level 5 chart
What is 4+?
A type of abnormal respiratory or breath sound heard on auscultation, typically from fluid buildup in congestive heart failure; also known as “crackles”
Bonus: Spell the term correctly
What is Rales?
Commonly used to treat severe allergic reactions; also used to help jump start the heart in cardiac arrest scenarios
Bonus: Spell the medication correctly
What is Epinephrine?
The lab test most correlated in diagnosing CHF (congestive heart failure)
What is BNP (Brain Natriuretic Peptide)?
What is Cerebrovascular accident?
The number of systems documented in ROS for level 5 chart
Bonus: Examples for five systems?
What is 10+
14 different systems:
Constitutional (recent illness, fever, sweating)
Eyes (problem with vision, redness)
Ears, Nose, Mouth, Throat (sore throat)
Cardiovascular (chest pain, palpitations)
Respiratory (cough, shortness of breath)
Gastrointestinal (abdominal pain, N/V)
Genitourinary (LNMP, problems urinating)
Musculoskeletal (back pain, leg pain)
Integumentary [skin and/or breast] (rash)
Neurological (headache, dizzy)
Psychiatric (anxiety, depression)
Endocrine (hyper/hypothyroid, DM)
Hematologic/Lymphatic (swollen glands)
Allergic/Immunologic (anaphylaxis)
A separation of layers, especially the parting of the sutured edges of a surgical wound
Bonus: Spell the term correctly
What is Dehiscence?
Used to treat arrhythmias, especially atrial fibrillation
Bonus: Spell the medication correctly
What is Cardizem/Diltiazem?
The two lab tests most correlated in diagnosing pancreatitis
JVD stands for
What is Jugular Vein Distention?
The number of systems documented and the number of elements per system in PEx for level 5 chart
Bonus:Examples for five systems?
What is 8+ and 2+ elements for each system?
14 different systems:
Constitutional (3 vital signs, alert, distress)
Eyes (scleral icterus, pale conjunctivae)
Ears, Nose, Mouth, (pharyngeal edema, exudate)
Neck (stiff neck, carotid bruit)
Respiratory (wheezes, rales)
Cardiovascular (tachycardia, murmur)
Chest/breasts (masses/lumps, tenderness)
GI/abdomen (tenderness, guarding)
GU (circumcision, discharge)
Lymphatic (tenderness Neck , Axillae)
Integumentary [skin and/or breast] (
Musculoskeletal (unsteady gait, pain with ROM)
Skin (rash, erythema)
Neurological (facial droop, Babinski reflex)
Psychiatric (depressed mood, agitated)
Marked total body swelling due to fluid buildup, typically caused by failure of the liver, kidneys, or heart
Bonus: Spell the term correctly
What is Anasarca?
An injectable blood thinner used to treat and prevent blood clots; also part of the recommended treatment for acute myocardial infarction
Bonus: Spell the medication correctly
What is Heparin?
The lab most correlated in diagnosing Rhabdomyolysis
What is CK (creatine kinase)?
What is Tissue Plasminogen Activator?
PQRSTAC (The 7 elements in the HPI)
What is:
Palliative/provocative (better or worse) ex. laying flat
Quality ex. sharp
Region/radiation ex. RLQ
Severity ex. 7/10 pain
Timing (onset) ex. 1 hour PTA
Associated symptoms ex. vomiting
Context ex. similar episode 3 weeks ago
A chronic general appearance or state characterized by loss of weight, muscle atrophy, fatigue, weakness, and significant loss of appetite in someone who is not actively trying to lose weight; typically seen in patients with any degenerative/wasting disease such as cancer or AIDS
Bonus: Spell the term correctly
What is Cachectic?
Antiarrhythmic commonly used in the chemical cardioversion of supraventricular tachycardia
Bonus: Spell the medication correctly
What is Adenosine?