cardio/pulm/GI pictures

Question 1

Answer 1

rbbb
MARROW

Question 2

Answer 2

WILLIAM
Left bundle branch block

Question 3

Answer 3

Question 4

how to treat

Answer 4

sick sinus syndrome

atropine 1st line. dopamine, epi.

pacemaker long term

Question 5

Answer 5

1st degree AV block

Question 6

Answer 6

2nd degree AV block, type 1

wenkebach

PR lengthens

Question 7

Answer 7

2nd degree AV block, type 2

Pr interval consistent

Question 8

tx?

Answer 8

3rd AV block

transcutaneous pacing

Question 9

tx if stable and unstable

Answer 9

atrial flutter

bb or ccb(d/v)

direct CV

Question 10

Answer 10

ashman phenomenon/ afib

Question 11

Answer 11

afib

Question 12

tx for 2 types

Answer 12

psvt
narrow qrs: vagal, adenosine

Wide amiodarone ?

Question 13

tx

avoid what

Answer 13

wpw

procainimide. or amiodarone.

avoid AV nodal blocking agents

Question 14

Answer 14

pvc

Question 15

Answer 15

bigeminy

Question 16

tx:

Answer 16

V tach
stable: PAL (procain, amiod, lido)
unstable with pulse: synch CV
no pulse: defib, CPR, unsyn CV

Question 17

describe MOA of tx

Answer 17

torsades. iv mag to prevent and terminate arrthymia. it suppresses early afterdepolarizations

Question 18

tx

Answer 18

v fib. UNsynchronized CV and CPR, initiate ACLS

Answer 19

brugada.

Question 20

which echo to get

Answer 20

patent foramen ovale

TTE usually performed 1st

TEE is more sensitive

Question 21

wide, FIXED S2.

systolic ejection C/D

heard best where

when to fix

Answer 21

pulmonic

ASD

does not vary with inspirations

> 5mm

Question 22

Answer 22

Question 23

opening snap

pt has rheumatoid heart disease

tx

Answer 23

MS; valvotomy in young pts

Question 24

wide split S2

radiates to axilla

Answer 24

MR

Question 25

wide bounding pulse pressure water hammer de mussets

Answer 25

AR

Question 26

Flattened diaphram

Answer 26

emphysema pink puffer

Question 27

Answer 27

chr bronchitis blue bloater

Question 28

signet ring tram track Get what studies

Answer 28

bronchiectasis high resolution CT imaging of choice pft gold standard

Question 29

PFT? labs?

Answer 29

sarcoidosis restrictive inc ACE

Question 30

shaggy heart pft? honeycombing

Answer 30

pulm fibrosis restrictive

Question 31

organism? med for tx? breathing sounds like what

Answer 31

croup parainfluenza seal like cough, inspiratory stridor dexmethasone

Question 32

s/s organism? med for tx?

Answer 32

epiglottitis strep pneumo or group A strep maintain airway!! ceftriaxone or cefotaxime. rifampin for close contacts

Answer 33

atypical pneumonia

Question 34

Answer 34

typical pneumonia

Question 35

diffuse bil interstitial infiltrates tx if pt has G6PD def

Answer 35

pcp atovaquine

Question 36

discuss upper lobe and lower lobe significance

Answer 36

TB upper lobe: reactivation lower lobe: primary TB

Question 37

what syndrome is assoc with this

Answer 37

pancoast horner: miosis, ptosis, anhidrosis

Question 38

blunting of costophrenic angle

Answer 38

pleural effusion

Question 39

visceral pleural line

Answer 39

pneumothorax

Question 40

Answer 40

Pulm embolism

Question 41

Answer 41

Pulm embolism

Question 42

Answer 42

Pulm embolism

Question 43

PCWP?

Answer 43

cardiogenic pulm edema pcwp>18 mmHg

Question 44

bronchograms no kerley b lines

Answer 44

ards

Question 45

Answer 45

Question 46

RF

Answer 46

polyhydraminos duodenal atresia

Question 47

Answer 47

Question 48

pleural plaques shaggy heart pft

Answer 48

asbestosis restrictive

Question 49

eggshell calcifications from what work

Answer 49

upper lung lobes silicosis quarry, granite, sandblasting

Question 50

small nodules in upper lung fields. hyperinflation of LL. pft

Answer 50

coal workers lung obstructive

Question 51

Answer 51

Question 52

Answer 52