9/29/21 Flashcards

1
Q

S1Q3T3

A

An S wave in lead I, and a Q wave and inverted T wave in lead III

associated with right heart strain

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2
Q

anterior spinal cord syndrome

A

just the posterior columns are preserved

PE will show loss of motor, pain, and temperature below injury

Proprioception and vibration intact

Most commonly caused by flexion injury

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3
Q

What is the classic laboratory abnormality associated with valproic acid toxicity?

A

Hyperammonemia

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4
Q

What are the three Ws of normal pressure hydrocephalus?

A

Wet (urinary incontinence)
wacky (cognitive changes)
wobbly (gait instability)

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5
Q

Wernicke encephalopathy symptoms

A

Confusion
Ataxia
Ocular abnormalities

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6
Q

Normal Pressure Hydrocephalus LP opening pressure

A

CSF buildup in ventricles

Typically normal ICP (but can have elevated ICP)\

LP: normal opening pressure

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7
Q

What findings on abdominal X-ray are consistent with the diagnosis of AAA?

A

X-ray may reveal calcification of a dilated, aneurysmal aorta

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8
Q

What syndrome is most commonly seen in men of Asian descent and associated with sudden cardiac death secondary to ventricular fibrillation?

A

Brugada syndrome.

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9
Q

Ventricular Fibrillation

A

Notable feature: uncoordinated, disorganized electrical activity

go look up a picture

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10
Q

At what gestational age is the uterus palpable at the umbilicus?

A

20 weeks

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11
Q

Which nerve is at risk of being severed during an ED thoracotomy?

A

Phrenic nerve.

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12
Q

Which value has greater influence on the mean arterial pressure, the diastolic or systolic blood pressure?

A

Diastolic blood pressure.

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13
Q

A MAP of approximately ____________ is necessary to perfuse the coronary arteries, brain, and kidneys.

A

60 mm Hg

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14
Q

bidirectional ventricular tachycardia

A

look up a picture

asc w/ digoxin

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15
Q

What is the classic visual change of digoxin toxicity?

A

Yellow-green chromatopsia.

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16
Q

Digoxin Toxicity ecg

A

ECG will show PVCs, PAT with AV block, bidirectional ventricular tachycardia

17
Q

The patient is presenting with hereditary angioedema and should be given ____________.

A

fresh frozen plasma

hereditary =deficiency of C1 esterase inhibitor

18
Q

earliest finding on ecg of MI

A

hyperacute t waves

19
Q

Sgarbossa criteria for STEMI with LBBB

A

Concordant ST elevation > 1 mm in leads with a positive QRS (5)
Concordant ST depression > 1 mm in V1–V3 (3)
Discordant ST elevation 5 mm in leads with a negative QRS (2)
3 = STEMI