8/24/21

Question 1

What agent provides the fastest reversal of warfarin-induced coagulopathy?

Answer 1

Prothrombin complex concentrate or PCC.

Question 2

Heparin reversal in bleeding patients is with _____________

Answer 2

protamine sulfate.

Question 3

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

Answer 3

Argatroban

Question 4

hat is the mechanism of aspirin in acute coronary syndrome?

Answer 4

Decreases platelet aggregation by irreversibly inhibiting cyclooxygenase, which catalyzes the thromboxane enzymes.

Question 5

Ultraviolet Keratitis

Answer 5

• skier or welder
• b/l decreased visual acuity, pain, and redness
• Fluorescein w/ multiple punctate lesions
• Rx: topical NSAIDs/oral pain medication, +/- antibiotics, +/- cycloplegics

Question 6

Which degrees of heart block require transvenous cardiac pacing?

Answer 6

Second-degree Mobitz type II and third-degree heart block.

Question 7

First‐Degree Heart Block PR interval will be

Answer 7

> 0.20 s (200 msec) and constant

Question 8

What other respiratory illness is prevalent in the southwestern United States and is also known as valley fever?

Answer 8

Coccidiomycosis

Question 9

Status epilepticus is defined as

Answer 9

• continuous seizure activity for 5 minutes
  or
  -no return of consciousness
  or
• recurrent seizures (>2) without an intervening period of neurological recovery

Question 10

Status epilepticus rx with doses

Answer 10

1- check BGL
2- 4 mg ativan/ midaz IV OR 10 mg midaz IM
3- Keppra, 2-4 g
4- Pheno/Prop and intubate

Question 11

A unique finding of this toxic alcohol is the elevated ketones without an anion gap.

Answer 11

isopropanol

Question 12

_____________ is a fourth-generation cephalosporin that has appropriate coverage for Pseudomonas aeruginosa.

Answer 12

Cefepime (2 g)

Question 13

Overdose of which class of antihypertensives causes hypotension, bradycardia, and hypoglycemia?

Answer 13

Beta-blockers

Question 14

Rocky Mountain spotted fever (RMSF) treatment

Answer 14

Treatment is ALWAYS doxycycline, even in children

Question 15

ACC/AHA 2017 Hypertension

Normal

Answer 15

Less than 120/80 mm Hg

Question 16

ACC/AHA 2017 Hypertension

Elevated BP

Answer 16

Systolic between 120–129 mm Hg / diastolic less than 80 mm Hg

Question 17

ACC/AHA 2017 Hypertension

Stage I HTN

Answer 17

Systolic between 130–139 mm Hg / diastolic between 80–89 mm Hg

Question 18

ACC/AHA 2017 Hypertension

Stage II HTN

Answer 18

Systolic at least 140 mm Hg or diastolic at least 90 mm Hg

Question 19

What murmur is associated with tricuspid regurgitation?

Answer 19

Holosystolic murmur best heard at the midsternal border. It may be very subtle due to the low flow velocity across the valve.