Pulm Circulation

Question 1

Virchows triad?

Answer 1

Venous statis, insult, hypercoag (SLE, CKD, factor F)

Question 2

CXR findings of a PE?

Answer 2

Hamptom’s (white lesion on pleura)

Westermark (lack of vascular markings)

Question 3

How do you treat a PE?

Answer 3

Heparin, IVC filter, thrombectomy, tPA

Question 4

EKG for PE?

Answer 4

Tacky + Rside heart strain = non-specific ST, S1Q3T3

Question 5

How do you diag a PE?

Answer 5

CT angio, V/Q scan, Large A-a gradient

Question 6

What PE test if negative can rule out a PE test?

Answer 6

D-dimer

Question 7

What US finding suggests a PE?

Answer 7

RVH -tPA

Question 8

What are the signs of pulm Htn?

Answer 8

ACS like pain, Hypoxia, Cyanosis, PMI Rside (heave)

Question 9

Signs of PE?

Answer 9

Syncope

Question 10

Pulm HTN treatments?

Answer 10

02, Viagra (relax and vasodilate), anticoag

Question 11

Diag for pulm HTN?

Answer 11

Right heart catheterization.

Question 12

What is the most common inherited risk factor for thromboembolic disease?

Answer 12

Factor V Leiden

Question 13

What is the most common cause of cor pulmonale

Answer 13

COPD

Question 14

What is the pharmacological agent used for pulmonary arterial hypertension

Answer 14

Sildenafil

Question 15

patient with advanced chronic kidney disease, contrast allergy, pregnancy or morbid obesity how do you diag PE?

Answer 15

V/Q scan