PE

Question 1

What drugs are used to reverse the effects of thrombolytics?

Answer 1

Aminocaproic acid and tranexamic acid

Question 2

• Non-life-threatening PE is managed with:
• Life-threatening PE (e.g. RBBB, hypotension, syncope) is managed with:

Answer 2

• Anticoagulation (Xa inhibitor > heparin → warfarin)
• Thrombolysis (tPA vs. thrombectomy)

Question 3

What is the likely diagnosis in a cancer patient with hypotension, JVD, hypoxia and clear lungs?

Answer 3

Massive pulmonary embolism

Question 4

What is the treatment for massive, life-threatening pulmonary embolism when treatment with IV tPA is contraindicated or unsuccessful?

Answer 4

Embolectomy or catheter-directed thrombolysis (intra-arterial tPA)

Question 5

Pulmonary infarction due to pulmonary embolisms (PE) may present with:

Answer 5

Pleuritic chest pain, Hemoptysis and exudative pleural effusion

Question 6

What is the test of choice to diagnose pulmonary embolism in clinically stable patients with a high likelihood of PE (modified Wells > 4)?

Answer 6

CT pulmonary angiography

Question 7

The typical CT finding in patients with pulmonary infarction caused by PE is:

Answer 7

A wedge-shaped opacity near the pleura that does not enhance with contrast

Question 8

Patients who develop pulmonary emboli may develop right heart strain that generates a(n) _____ ECGfinding

Answer 8

S1Q3T3

Question 9

The most common findings associated with pulmonary embolism are:
1. Chest x-ray:
2. ECG finding:
3. Acid/base:

Answer 9

1. Normal
2. Sinus tachycardia
3. Respiratory alkalosis

Question 10

High likelihood of PE, what to do first?

Answer 10

Anticoagulate