11/8 2.0

Question 1

Absolute contraindications to adenosine

Answer 1

Absolute contraindications include irregular or polymorphic rhythms and ventricular pre-excitation.

Question 2

For conversion of paroxysmal SVT, ______ are an effective alternative to adenosine.

Answer 2

non-dihydropyridine calcium channel blockers (verapamil and diltiazem)

*If given to patients with VT, calcium channel blockers can cause hemodynamic collapse, whereas adenosine is safe

Question 3

Diltiazem Dose

Answer 3

Dosed at 0.25 mg/kg IV over 2 min

A subsequent dose of 0.35 mg/kg IV is administered if no response is seen and no significant drug-induced adverse event occurs.

Question 4

If stable paroxysmal SVT does not respond to adenosine or a calcium channel blocker, ______________ is indicated.

Answer 4

electrical cardioversion with appropriate sedation

Question 5

If the QRS complex is ________________ AV nodal blockers should be avoided.

Answer 5

widened (or of changing morphology) or the rhythm is irregular

Question 6

______ on ECG is diagnostic of Wolff-Parkinson-White syndrome.

Answer 6

Evidence of shortened PR interval (<120 ms) and delta wave during sinus rhythm

Question 7

Appropriate fluid and volume for pancreatitis

Answer 7

2 L LR

Question 8

IVF to avoid in Hypercalcemia

Answer 8

LR- has a small amount of calcium

Question 9

GCS eye opening

Answer 9

Spontaneous 4
To sound 3
To pain 2
None 1

Question 10

GCS verbal response

Answer 10

Orientated 5
Confused 4
Inappropriate Words 3
Sounds 2
None 1

Question 11

GCS motor

Answer 11

Obeys 6
Localize to pain 5
Withdrawal from pain 4
Flexion to pain 3
Extension to pain 2
None 1

Question 12

Diagnosis of DIC involves a combination of laboratory tests and clinical evaluation. Laboratory findings suggestive of DIC include

Answer 12

low platelets
elevated D-dimer
decreased fibrinogen
prolongation of clotting times ie PT

Question 13

_____________ has long been the first-line drug for anticoagulation in patients with HIT

Answer 13

Argatroban

Question 14

The traditional pentad of fever, microangiopathic hemolytic anemia, thrombocytopenia, renal dysfunction and neurologic deficits reflects?

Answer 14

TTP

Question 15

HUS shares some clinical features with TTP. Both manifest as microangiopathic hemolytic anemia and thrombocytopenia; however, HUS emphasizes renal injury while TTP shows minimal renal injury, instead causing ___________________

Answer 15

neurologic dysfunction in up to 50% of affected patients.

Question 16

Hemolytic uremic syndrome (HUS) - should you use antibiotics?

Answer 16

the current recommendation is not to use antibiotics due to evidence that they may increase shiga toxin production or release