OnlineMedEd

Question 1

Pharmacological Treatment for Coronary Artery Disease (CAD)

Answer 1

Mn* MONA BASH C
Morphine, Oxygen, Nitrates, Aspirin, Beta Blockers, ACE-I, Statins, Heparin, Clopidogrel

• = give to everybody

Question 2

SVT treatment

Answer 2

Stable = Adenosine
Unstable = Shock

Question 3

AFib treatment

Answer 3

Stable = rate/rhythm control with beta blockers or calcium channel blockers
Unstable = Shock

Question 4

Torsades treatment

Answer 4

Stable = Mg
Unstable = Shock

Question 5

V.Tach treatment

Answer 5

Stable = Adenosine
Unstable = Schok

Question 6

How to decide whether to anticoagulate in AFib.

Answer 6

CHADS2 score
1 CHF
1 HTN
1 Age > 75
1 Diabetes
2 Stroke

Question 7

When to give atropine

Answer 7

Atropine:
Sinus bradycardia
1st deg AV block
2nd deg AV block - Type 1

Question 8

Treatment of Severe Hypernatremia

pt has high Na+ w/ symptoms of coma/seizures

Answer 8

D5W (5% dextrose in water)

Question 9

Treatment of Mild Hypernatremia

high Na+ w/ no symptoms

Answer 9

Give PO water

Question 10

Treatment of Moderate Hypernatremia

high Na+ w/ symptoms of headache/confusion

Answer 10

Give IV normal saline

Question 11

Treatment of Severe Hyponatremia

low Na+ w/ symptoms of coma/seizures

Answer 11

Give hypertonic saline (3% NaCl)

Question 12

Treatment of Moderate Hyponatremia

high Na+ w/ symptoms of headache/confusion

Answer 12

Give IV normal saline

Question 13

Treatment of Mild Hyponatremia

low Na+ w/out symptoms

Answer 13

Treat underlying cause

Question 14

Calculation of serum osmolarity

Answer 14

2*Na + Gluc/18 + BUN/2.8

Normal ~ 280

Question 15

Symptoms of HypoCalcemia

Answer 15

• Tetany (intermittent muscular spasms)
• Perioral tingling
• Trousseau sign (spasm of hand when blood pressure cuff on above systolic blood pressure for 3 min)
• Chvostek sign (facial n. spasm when tap)

Question 16

Symptoms of hypercalcemia

Answer 16

• Stones: Renal stones
• Moans: Altered mental Status
• Groans: Constipation
• Bones: Painful bones

Question 17

Brown Tumor

Answer 17

HyperPTH

Question 18

Hypercalcemia treatment

Answer 18

IV fluids
Diuretics (furosemide)
Bisphosphonates (pamidronate)
Calcitonin

Question 19

Dx:
(High) Ca
(Low) P
(High) PTH

Answer 19

HyperPTH

Question 20

Dx:
(High) Ca
(High) P
(Low) PTH

Answer 20

Cancer bone mets (if normal 1,25 Vit D)
If High 1,25 Vit D then: Granulomatous disease
(e.g. Sarcoidosis, TB)

Question 21

Dx:
(High) Ca
(Low) P
(Low) PTH

Answer 21

Paraneoplastic syndrome (Diagnose with high PTH-rp)
from squamous cell carcinoma of lung

Question 22

Dx:
(Low) Ca
(High) P
(High) PTH

Answer 22

PseudohypoPTH

end-organ resistance to PTH