Classic, triads, etc

Question 1

AS classic triad

Answer 1

SAD AS 352 (survival years respectfully)

- syncope, angina, dyspnea

Question 2

pulse pressure in AS

Answer 2

“narrow AS pulse pressure”

Question 3

hallmark of systolic heart failure:

Answer 3

• decreased EF

- increased EDV

Question 4

defining characteristics of diastolic dysfunction

Answer 4

-symptomatic heart failure
-normal EF
(contractility preserved until late stage)

Question 5

beck’s triad

Answer 5

hypotension
muffled heart sounds
JVD

Question 6

3 determinants of blood flow through LVOT (important for SAM/OHCM)

Answer 6

1. systolic LV volume
2. force of LV contraction
3. transmural pressure gradient

Question 7

greatest risk of re-stenosis post CAD w new STENTS

Answer 7

first 30 days

Question 8

classic triad of AAA rupture

Answer 8

1. hypotension
2. back pain
3. pulsatile abd mass

Question 9

classic signs of Anterior Spinal Artery Syndrome (aka Beck’s Syndrome)

Answer 9

1. flaccid/paralysis LE
2. B and B dysfx
3. loss pain & temp sens
4. PRESERVED touch and proprioception

Question 10

essential triad of anesthetic action (volatile anesthetic lecture)

Answer 10

1. amnesia
2. loss of consciousness
3. immobility

Question 11

clinical presentation that is highly suggestive of methemoglobinemia

Answer 11

cyanosis in presence of normal PaO2

Question 12

classic presentation of pulmonary artery rupture (PA cath insertion)

Answer 12

hemoptysis

Question 13

gold standard for assessing myocardial function

Answer 13

TEE

Question 14

treatment of choice for WPW + afib

Answer 14

procainamide (if stable)

cardioversion (if unstable)

Question 15

definitive treatment of WPW

Answer 15

ablation of accessory pathway

Question 16

curshigs triad of ICHtn

Answer 16

hypertension
bradycardia
irregular respirations

Question 17

greatest risk for parkinsons

Answer 17

old age

Question 18

neurogenic shock triad

Answer 18

-low BP
-low HR
-low Temp
(sympathectomy below injury)
pink extremeties (compared to hypovolemic shock - cold extremities and tachycardia)

Question 19

classic presentation of autonomic hyperreflexia

Answer 19

HTN

bradycardia

Question 20

definitive test for diagnosing MH

Answer 20

halothane contracture test

Question 21

hallmark of RA

Answer 21

morning stiffness

usually improves with activity

Question 22

lethal triad of trauma

Answer 22

Hypothermia
Acidosis
Coagulopathy

Question 23

1st line treatment for Uremic Bleeding (in CKD)

Answer 23

desmopressin

Question 24

TURP syndrome triad

Answer 24

HTN
Bradycardia (reflex)
Mental status change

Question 25

best volatile agent to preserve hepatic blood flow

Answer 25

iso

Question 26

definitive tx for hepatorenal syndrome

Answer 26

liver transplant

Question 27

IVF choice for acute adrenal crisis for volume expansion

Answer 27

D5NS

Question 28

classic triad of diabetes

Answer 28

polyuria
dehydration
polydipsia

Question 29

classic triad of pre-eclampsia

Answer 29

HTN
Proteinuria
Edema

Question 30

preferred anesthetic for accreta, etc

Answer 30

GA

Question 31

best induction agent for tetralogy of fallot

Answer 31

ketamine (increases SVR)

Question 32

best blood transfusion practice for DiGeorge Syndrome

Answer 32

if giving blood, do leukocyte-depleted irradiated (due to thymus hypoplasia)

Question 33

TAP block 3 landmarks that for the triangle of Petit

Answer 33

1. external oblique
2. Latissimus dorsi
3. iliac crest

Question 34

1st line of treatment for BCIS (bone cement implantation syndrome)

Answer 34

100 O2, IVF, neo

Question 35

timeframe for greatest risk for fat embolism

Answer 35

< 72 hours

Question 36

TRIAD of fat embolism syndrome

Answer 36

1. respiratory insuff
2. neuro (confused, coma)
3. petechial rash (neck, axilla, oral, conjunctiva)

Question 37

Samter’s triad

Answer 37

nasal polyps
allergic rhinitis
asthma
(bronchospasm if given ASA!)

Question 38

classic triad of dysfunctional sleep

Answer 38

1. apnea or snoring with hypopnea
2. arousal from sleep
3. daytime somnolence

Question 39

definitive test for OSA

Answer 39

polysomnography

Question 40

diagnostic criteria for OHS (phickwickian)

Answer 40

1. BMI > 30
2. Awake CO2 > 45
3. dysfunctional breathing during sleep