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hfhfhds Flashcards

1
Q

tx for native valve endocarditis

A

amp/sul + gent or gent+ augmentin

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2
Q

tx prosthetic valve endocarditis

A

vanc+gent+rifampin

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3
Q

tx acute AR/MR

A

nitroprusside and dobutamine

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4
Q

acute AR/MR causes

A

endocarditis, trauma, prosthetic valve, and dissection

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5
Q

failure to capture

A

stimulus with no depol after

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6
Q

undersensing

A

pacer spikes within qrs

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7
Q

oversensing

A

pacing inhibited

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8
Q

tx postpartum cardiomyopathy

A

hydralazine

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9
Q

tx dissection

A
  1. HR (<60): esmolol or diltiazem
  2. SBP (<110): nicardipine or nitroprusside
  3. surgery for type a
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10
Q

TPA contraindications in ACS

A

T- trauma
P- pericarditis
A - active internal bleed
I - intracranial pathology
S - stroke (6 months)
B - BP >180
A - allergy
D - dissection

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11
Q

PPx for recurrence of pericarditis

A

colchicine

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12
Q

Myocarditis dx

A

endocardial bx

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13
Q

high risk pericarditis that need admission

A

fever
elevated trop
immunosuppressed
AC
failed NSAIDs
pericardial effusion >2cm

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14
Q

MC complication of LVAD

A

bleeding

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15
Q

cardiac arrest parameters with LVAD

A

MAP <50 and end tidal <20

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16
Q

pump thrombosis of LVAD

A

elevated LDH >1,150
low output state

dx: echo or cardiac CTA

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17
Q

ventricular rhythms with LVAD tx

A

vol resus and cardioversion

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18
Q

suction event LVAD

A

low flow alarm
hypovol

causes: htn emergency, mispositioning, tamponade, sepsis

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19
Q

refractory VF/VT

A

> 3 defibs, >3 epi, 300mg amio

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20
Q

refractory VF/VT tx

A

dual sequence or esmolol

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21
Q

treat torsades

A

magnesium
isoproterenol
overdrive pacing (goal hr 90-120)

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22
Q

high output HF

A

increased CO
decreased SVR

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23
Q

aortoenteric fistula located at

A

duodenum

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24
Q

ToF

A

overriding aorta
VSD
RV hypertrophy
RV outflow obstruction

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25
Q

ToF murmur

A

single 2nd sound with harsh ejection

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26
Q

VSD in kids

A

poor WG
tired with feeding
trouble breathing

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27
Q

PALs badycardia

A
  1. epi
  2. atropine
  3. pacing
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28
Q

boot heart

A

tof

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29
Q

LAST s/sx

A

tinnitus, heart block, metallic taste, resp depression

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30
Q

AS asoc with

A

CHF
do not use nitros

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31
Q

MCC of HTN in peds

A

coarctation of aorta

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32
Q

pseudo PEA

A

sepsis - need resus

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33
Q

PCI time limit

A

<120 mins

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34
Q

Takotsubo

A

apical sparring of LV with myocardial inflammation

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35
Q

tx Takotsubo

A

phenylephrine

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36
Q

hepatojugular reflux indicates

A

R sided HF

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37
Q

MC complication of endocarditis

A

CHF

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38
Q

MC sign of myocarditis

A

tachycardia

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39
Q

MI 2 months ago with persistent STE

A

ventricular aneurysm

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40
Q

most specific sign of CHF

A

S3

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41
Q

dihydro vs non-dihydro CCB tox

A

dihydro: hypotension + tachycardia
non-dihydro: hypotension + bradycardia

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42
Q

what tox overdose do you not want to intubate

A

salicylates

43
Q

CO triad

A

hypoxia
lactic acidosis
hypotension

44
Q

methanol sources

A

antifreeze and windshield fluid

45
Q

ethylene glycol sources

A

de-icing and coolants

46
Q

digitalis poisoning ekg

A

frequent PVCs and bidirectional vtach

47
Q

widened qrs with terminal r axis deviation in avr

A

tca overdose

48
Q

do not give this medication if they are huffers

A

catecholamines

49
Q

salicylate poisoning metab abnorms

A

resp alk and metab acidosis

50
Q

rust remover tx

A

calcium gluconate

51
Q

acute mountain sickness at what elevation

A

> 2500meters or 8,200 feet

52
Q

vp shunt infection tx

A

vanc and cefepime

53
Q

setting sun sign

A

shunt failure
white of eyes above pupils

54
Q

trigeminal neuralgia tx

A

carbamazepine or phenytoin

55
Q

GBS LP

A

albuminocytologic dissoc

56
Q

LP for transverse myelitis

57
Q

LP for acute flaccid myelitis

A

pleocytosis

58
Q

lab for discitis

A

elevated esr

59
Q

tx chorioamnionitis

A

amp + gent

60
Q

deliver baby with pre eclampsia at

A

37 without severe features
33 with severe features

61
Q

discriminatory zone

A

vag >1500
ab >6000

62
Q

admit PID if

A

preggo
abscess
fitz high curtis
sepsis
toa

63
Q

tx for headache while breast feeding

A

ergotamine

64
Q

HSP tx

A

NSAIDS
prednisone
IVIG

65
Q

tx SLE

A

solumedrol and hydrocortisone

66
Q

Kawasaki labs

A

low albumin
pyuria with no urinary sym
increased inflam markers
increased platelets
increased ALT

67
Q

tx priapism

A
  1. aspiration at 2 or 10
  2. terbutaline
  3. phenylephrine
68
Q

UTI tx in pregoo

A

10-14 days
cephalexin, nitrofurantoin, amox

69
Q

tx preseptal cellulitis

A

amox + bactrim

71
Q

Paracentesis contraindications

A

SBO with dilated loops
Severe portal hypertension
Severe coag
An wall infxn

72
Q

String sx

A

Pyloric stenosis

73
Q

Dx sbo

A

Ct with contrast

74
Q

Ppx of sbp

A

Cipro or bactrim

75
Q

Endoscopy indications for gerd

A

> 60
Dysphasia, we, anorexia, persistent vom
Iron deficiency
GI bleed

76
Q

Mcc of diverticulitis

77
Q

Mcc of diverticulitis

78
Q

Tx diverticulitis

A

Flagyl and cipro
Bactrim and flagyl

79
Q

When do you get an ercp

A

Cbd stone
Acute cholangitis
Bilirubin > 4

80
Q

Tx acute chole

A

Flagyl and cipro
If perf: zosyn or flagyl + rocephin

81
Q

Dz that has increased direct bilirubin

A

Dubin Johnson
Rotors
Biliary atresia

82
Q

Indirect hernia

A

Patent process vaginalis

83
Q

Direct hernia

A

Hasslebach triangle

84
Q

Tx radiation proctolitis

A

Steroid enema

85
Q

Intussusception Tx

A

Peds: barium enema
Adults:surgery

86
Q

Tx gastroparesis

A

Metoclopramide

87
Q

Meds that make gastroparesis worse

A

Compazine and ccb

88
Q

Kocher

A

Esr > 40
WBC > 12k
Non weight bearing
Fever > 38.5C

89
Q

Scfe X-ray

A

Widen physis

90
Q

Osteoporosis imaging

91
Q

Osteosarcoma sx

92
Q

Osteochondroma

A

Painless and distal femur

93
Q

Dx pul htn

A

Elevated bnp
Echo (d sign)
Ct pul angio

94
Q

Empyema Tx

A

Rocephin and flagyl

95
Q

Empyema chest tube size

A

36-40 french

96
Q

Bad lung down

A

Massive hemoptysis
Severe pleural effusion
Large pul abscess

97
Q

Lymphocytes on thoracentesis

A

Tb
Ca
Chylothorax

98
Q

Eosinophils on thoracentesis

A

Blood or air

99
Q

Hepatic hydrothorax

A

Transudative
Tx with intermittent thoracentesis

100
Q

Tx lung abscess

A

Abx: clinda and rocephin
Vats
Bronch drainage

101
Q

Bacterial tracheitis xr

A

Subglottic narrowing

102
Q

Droplet precautions

A

Meningitis
Flu
Rsv
Pertussis

103
Q

Airborne precautions

A

Tb
Varicella
Hsv
Measles

104
Q

Scapholunate fx xr

A

Clenched fist

PGY2 (10 decks)

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