Questions

Question 1

TPA can be given in an MI up to ___ hours after presentation

Answer 1

6; but greatest benefits within first 1-3 hours

Question 2

Chance of second MI is higher in patients that (do/do not) have a Q wave infarction

Answer 2

DO

Question 3

If a patient presents with an MI but has had a thromboembolic stroke within __ months, do NOT administer Tpa

Answer 3

6

Question 4

After an MI, patients can begin exercise, sex, and return to work within how many weeks?

Answer 4

exercise: 3-4 weeks
return to work: 8 weeks
sex: 4 weeks

Question 5

What are the most common premature beats?

Answer 5

atrial

Question 6

In patients with afib and RVR who are hemodynamically stable, the treatment is

Answer 6

B blockers or CCBs

Question 7

What is the treatment for stable PVST?

Answer 7

vagal maneuvers (unstable = immediate cardioversion)

Question 8

What is Kussmaul sign?

Answer 8

Distention of jugular veins on inspiration (can be seen in PE)

Question 9

What is pulsus paradoxus?

Answer 9

Exaggerated decrease in BP on inspiration

Question 10

Histologically, Chronic bronchitis results in an increase of the Reid index, which is

Answer 10

ratio of mucus-secreting glands to bronchial wall thickness

Question 11

Which bugs tend to cause exacerbations of chronic bonrhicits?

Answer 11

H flu, S pneumo, M catarrhalis

Question 12

What is the best single agnet for long term tx in chronic bronchitis?

Answer 12

inhaled anticholinergic (ipratropium or tiotropium)

Question 13

When is home oxygen indicated in COPD?

Answer 13

1) PaO2 is 55 or less at rest

2) PaO2 is 60 with evidence of chronic tissue hypoxia (cor pulmonale, polycythemia)

Question 14

What is cromolyn sodium?

Answer 14

A mast cell stabilizer

Question 15

What is the treatment for CAP?

Answer 15

1) cephalosporin + azithromicin or clarithromicin

2) flq monotx

Question 16

Pseudomonas is gram (neg/pos) and (aerobic/anaerobic)

Answer 16

gram neg, aerobic