Cardiology 1

Question 1

Wells and Geneva PE criteria management of low risk pt

Answer 1

order d-dimer:
if negative -> work up done
if positive -> CTA

Question 2

Wells PE and Geneva criteria for management of med risk (2-6 pt)

Answer 2

high sensitivity d-dimer:
if negative -> stop work up
if positive -> CTA

Question 3

Wells and Geneva PE criteria for management of high risk (> 6 pt)

Answer 3

no d-dimer
order CTA

Question 4

diagnostics to order for ACS

Answer 4

troponin
BMP
serial EKG’s
CXR
+/- BNP

Question 5

when would you order Mg

Answer 5

if BMP shows hypokalemia

Question 6

acute management of ACS (3)

Answer 6

ASA 325 mg chewable
nitro 0.4 mcg
transfer pt to tele for constant cardiac monitoring

Question 7

what is this EKG showing

Answer 7

t wave inversions V1-V3
possible QT prolongation

Question 8

what type of MI is triggered by extremely stressful physical or emotional event (in the absence of CAD)

Answer 8

takotsubo cardiomyopathy
“broken heart syndrome”