Peer 8 - cardio

Question 1

Tx of acute aortic dissection no shock?

Answer 1

beta1 blocker esmolol or labetalol

Question 2

Most rapid and specific test for aortic dissection?

Answer 2

CT angio

Question 3

dosage and tx of SVT?

Answer 3

vagal maneuvers

adenosine 6, 12, 12

Question 4

what does magnet over cardiac pacemaker cause?

Answer 4

set to fixed-rate mode

Question 5

Initial tx for central cyanosis in infants?

Answer 5

100% non rebreather mask, knees to chest

Question 6

Initial tx for bradycardia?

Answer 6

atropine or transcutaneous pacing

Question 7

contraindications to thrombolytic therapy?

Answer 7

hemorrhagic stroke in the last 6 months

Question 8

tx of patient with HTN and no acute end organ failure?

Answer 8

oral BP meds and need to follow up with PCP

Question 9

Wells criteria for DVT

Answer 9

• active ca
• paralysis, paresis, recent immobilization
• bedridden for 3 days or major surgery within 4 weeks
• localized tenderness along distribution of deep venous system
• swelling of entire leg
• calf swelling greater than 3 cm
• pitting edema confined to sx leg
• collateral superficial veins (nonvaricose)

Question 10

Initial tx of patients with systemic hypotension with unknown cause?

Answer 10

small bolus

Question 11

vasopressor of choice in patients in cardiogenic shock?

Answer 11

norepi

Question 12

what medication is proven to lower BP and reduce anginal symptoms?

Answer 12

beta blockers

Question 13

commotio cordis definition?

Answer 13

v fib that occurs after blunt blow to the chest

Question 14

EKG findings in brugada syndrome? Cause of brugada?

Answer 14

sodium channel issue

incomplete right bundle branch block and j point and st segment elevation V1 through V3

Question 15

When do you prepare for pacing in MI situation?

Answer 15

mobitz type 2 and 3rd degree AV block