triggers - chest pain

Question 1

pulsus paradoxus is seen when

Answer 1

cardiac tamponade

Question 2

difficult to describe and localize is what type of nerve fiber

Answer 2

visceral (discomfort, aching, radiating)

(somatic is specific, sharp, stinging, non radiating)

Question 3

what is becks triad and what is it for

Answer 3

hypotension w narrow PP, JVD, muffled heart sounds.

cardiac tamponade

Question 4

lower voltage QRS with electrical alternans on EKG

Answer 4

cardiac tamponade

Question 5

what is wells score for

Answer 5

PE

Question 6

what is PERC criteria for

Answer 6

PE

Question 7

what is the geneva score for

Answer 7

PE

Question 8

severe tearing pain radiating to interscapular area of back

Answer 8

aortic dissection

Question 9

tall slender males who smoke are at risk for what

Answer 9

spontaneous pneumothorax

also risks: COPD and asthma

Question 10

what is the TIMI score for

Answer 10

AMI

Question 11

which cardiomyopathies have normal ejection fraction?

Answer 11

HCM (RCM too? idk)

Question 12

which cardiomyopathy is hereditary

Answer 12

HCM

Question 13

characterized by asymmetric LVH or RVH resulting in decreased compliance of LV, impaired diastolic function and filling

Answer 13

HCM

Question 14

systolic ejection murmur enhanced by valsalva and standing

made quieter with squatting

Answer 14

HCM

Question 15

long term treatment is atenolol

Answer 15

HCM

Question 16

characterized by restricted ventricular filling with diastolic dysfunction

Answer 16

RCM

Question 17

what is treated with diuretics, digoxin, ACEis and BB

Answer 17

DCM

Question 18

Echo showing large pericardial effusion with RA or RV diastolic collapse

Answer 18

cardiac tamponade

Question 19

a hoarse voice or Horners syndrome can be assocaited with what diagnosis

Answer 19

aortic dissection

Question 20

when is unasyn or zosyn (Clinda + cipro) used in this lecture

Answer 20

abx for management of esophageal rupture

Question 21

chest pain worsened by neck flexion with subcutaneous emphysema on PE

Answer 21

esophageal rupture

Question 22

emergency Echo indicated for what

Answer 22

cardiac tamponade

Aortic dissection only if CTA not available

Question 23

when do you use fenoldopam?

Answer 23

in HTN emergency patients with kidney insufficiency

Question 24

HCTZ is used in treatment of HTN urgency is what population

Answer 24

HTN urgency w no prior hx of HTN

Question 25

worse with swallowing, PE shows hammans crunch (mediastinal crunch)

Answer 25

esophageal rupture

Question 26

when would you see pneumomediastinum or pneumoperitoneum

Answer 26

esophageal rupture

Question 27

does cardiac tamponade cause diastolic or systolic dusfunction

Answer 27

diastolic

Question 28

EKG shows diffuse STE with lower voltage QRS and electrical alternans

Answer 28

cardiac tamponade secondary to pericaditis

Question 29

Kussmaul’s sign presents when?

Answer 29

Constrictive pericarditis and RCM