CV 6 - RV Infarct, Sepsis

Question 1

Difference in the definition of “septic shock” between S-2 and S-3 criteria.

Answer 1

S-3 requires lactate >2

Question 2

3 components of qSOFA

Answer 2

SBP ≤100 mm Hg, AMS, RR ≥22/min

Question 3

Specific findings of RV infarction on right-sided EKG

Answer 3

ST elevation >1 mm in V4R and/or V5R

Question 4

Initial Tx of RV infarction w/ hypotension

Answer 4

Fluids

Question 5

Tx of RV infarction w/ hypotension if fluids fail

Answer 5

Inotropes

Question 6

Tx of cardiogenic shock 2/2 RV infarction if fluids and inotropes fail

Answer 6

Mechanical assistance (e.g. RVAD)

Question 7

What is the Jod-Basedow effect?

Answer 7

Hyperthyroidism after administration of iodinated contrast

Question 8

preferred beta-blocker for thyroid storm

Answer 8

propranolol

Question 9

Most common reperfusion arrhythmia

Answer 9

Accelerated idioventrivular rhythm

Question 10

Define accelerated idioventricular rhythm

Answer 10

Ventricular rhythm 60-100 bpm

Question 11

RV infarction should be suspected w/ STEMI in this territory.

Answer 11

Inferior

Question 12

EKG finding in inferior STEMI that is highly specific for RV infarction.

Answer 12

ST elevation in V1 + ST depression in V2