Cardio/Pulm

Question 1

Best and most rapid way to correct Hyperkalemia

Answer 1

IV Calcium carbonate

Question 2

CS: posterior ribs 2-6

Answer 2

FSARA

Question 3

CS: Posterior Cervical

Answer 3

ESARA

Question 4

First line imaging for suspected PE

Answer 4

CT Angiogram of Chest

Question 5

Diastolic Decrescendo Murmur

Answer 5

Aortic Regurg

Question 6

S3 gallop

Answer 6

Hear Failure –> volume overload

Question 7

Holosystolic murmur with radiation to axilla

Answer 7

mitral regurgitation

Question 8

Cresendo-decresendo systolic murmur

Answer 8

HCM

Question 9

Loud holosystolic murmur hear at lower left sternal border

Answer 9

VSD

Question 10

Mid-systolic click

Answer 10

Mitral valve prolapse

Question 11

II, III, AVF St elevation

Answer 11

associated with inferior leads and right MI

Question 12

Treatment of Pertussis

Answer 12

a macrolide such as azithromycin

Question 13

MI complication in first week

Answer 13

Papillary muscle rupture. Present with:
- unstable!
- new mitral regurg murmur
-

Question 14

MI complications 1-2 months later

Answer 14

LV aneurysm.
- due to weakening of fibrosis in wall
- Persistent ST elevations,
- signs of CHF

Question 15

Signs of aspirin toxicity

Answer 15

Primary metabolic acidosis and primary respiratory alkalosis

Question 16

Postop management of DVT ppx

Answer 16

1. enoxaprin for 10 - 14 days

Question 17

treat digoxin toxicity

Answer 17

antibody fragment therapy

Question 18

SPLIT S2

Answer 18

If it becomes wider during inspiration, associated with pulmonic stenosis and RBBB.

Question 19

tx of cyanide and CO poisoning

Answer 19

hydroxocobalamin

Question 20

Follow up for low risk lung nodule

Answer 20

CT scan in 3 months

Question 21

Janeway lesions

Answer 21

nontender hemorrhagic lesions on palms and soles.
- seen with IE

Question 22

Osler Nodes

Answer 22

TENDER nodular lesions on fingers.
- seen with IE

Question 23

roth spots

Answer 23

hemorrhagic lesions seen on the retina
- seen with IE

Question 24

splinter hemorrhages

Answer 24

small blood clots running vertically in nail beds
- see with IE

Question 25

Transposition of great vessels

Answer 25

- higher oxygen saturation in LE compared to UE - will present in a newborn