High Yield

Question 1

Pleuritic CP

Answer 1

PE or spontaneous PTX

Question 2

New diastolic murmur

Answer 2

Aortic dissection

Question 3

EKG findings in PE

Answer 3

prominent S wave lead I

Question 4

Aortic dissection imaging

Answer 4

CTA, bedside TEE if unstable

Question 5

Aortic dissection tx

Answer 5

1. rate control with b-blocker to HR 60
2. pain control IV morphine
3. if SBP >120mmHg add nitroprusside
4. Stat surgical consult

Question 6

Spontaneous PTX

Answer 6

If trouble visualizing pleural edge, get end expiratory film

Stable with small PTX - supplemental O2 and repeat CXR in 6h

Question 7

Ruptured esophagus

Answer 7

CT chest or gastrograffin swallow study

broad spectrum abx