PEARLS Flashcards
Propanolol dose needed to control hyperthyroidism
20-40 mg/tab q6
Disease where stem cell can be used
Aplastic anemia
Tension pneumothorax manifests with symptoms due to obstruction of
Vena cava
ECG, ventricular repolarization
T wave
DOC for uncomplicated pneumonia with no comorbids and no previous antibiotic use
Amoxicillin
Use beta blocker with caution in
Asthma
Used for rate control of Afib
Metoprolol
Best chance for H.pylori eradication
Compliance and sensitive drugs
ESRD is almost always associated with
Htn
Uricosuric agent
High dose aspirin
Next best intervention for pulseless vtach
Defibrillation
Machinery-like murmur
PDA
Harsh holosystolic murmur loudest over the left parasternal area
VSD
Treatment of choice for Graves disease in pregnant patient
PTU
Most specific lab test for RA
Anti-CCP (anti-citrullinated protein antibody)
Long-standing hen, maintained on amlodipine, systolic murmur grade 3-4 loudest at right 2nd ICS
Aortic stenosis
MC congenital defect that predisposes to aortic stenosis
Bicuspid aortic valve
Chest pain cxd as substernal heaviness, aggravated by exertion, relieved by rest and nitroglycerin
Stable angina
DOC for acute rheumatic fever
Pen G 1.2M units single dose
Desired duration of prophylaxis of RF with mild carditis
18-21 y/o
Sustained vtach is defined as
Lasting > 30 seconds
Paradoxical splitting except
ASD
Cardiac marker for chest heaviness noted 3 hours PTC
CKMB
Absolute CI to thrombolysis in AMI
1) Subarachnoid hemorrhage 2) Unctonrolled BP >180/110 3) Aortic dissection
T/F Prior allergic reaction to Streptokinase is an absolute CI to thrombolysis in MI
F
Findings in carditis which are immunologic in origin
1) Roth spots 2) Osler nodes 3) GN
Caused by septic emboli which deposit bacteria, forming microabscesses, seen in bacterial endocarditis
Janeway lesion
Immune complex mediated vasculitis often resulting from bacterial endocarditis, appearing as a white spot surrounded by hemorrhage
Roth spot
T/F Roth spots are specific for bacterial endocarditis
F
Painful, red, raised lesions found on the hands and feet of patients with endocarditis, resulting from immune complex deposition
Osler node
Type of cardiomyopathy, EF depressed, LV dimension increased, LV wall thickness decreased, resulting in systolic dysfunction
Dilated cardiomyopathy
Soft, low-pitched, mid- to late diastolic murmur found in aortic regurgitation
Austin Flint murmur
MC ECG finding in pulmonary embolism
Sinus tachycardia
23 y/o asymptomatic, (+) PPD, normal CXR, negative AFB, next best step?
INH for 9 months
Reversible nature of airflow obstruction in asthma is seen as
Increase of FEV1 by > 12% AND 200 mL
