CCM

Question 1

Pellagra: dermatitis, diarrhea and dementia

Answer 1

Niacin (B3) deficiency

Question 2

Cyanide antidote

Answer 2

hydroxocobalamin

Question 3

Medication that is an effective preload and afterload reducer used in the management of an acute exacerbation of CHF

Answer 3

Nitro

Question 4

Hypotension; lethargy; weakness; mental status changes; hypoglycemia; elevated serum potassium and decreased serum sodium; and skin hyperpigmentation

Answer 4

Primary adrenal insufficiency

Question 5

Light’s criteria

Pleural fluid/serum protein ratio

Pleural fluid/serum lactate dehydrogenase ratio

Pleural fluid lactate dehydrogenase compared to serum

Answer 5

Pleural fluid/serum protein ratio ≥ 0.5

Pleural fluid/serum lactate dehydrogenase ratio ≥ 0.6

Pleural fluid lactate dehydrogenase greater than two-thirds the upper limit of normal for serum lactate dehydrogenase

Question 6

Leading cause of epiglottitis in adults

Answer 6

Streptococcus pneumoniae

Question 7

What antibiotic regimen is recommended as initial empiric therapy for patients with suspected epiglottitis?

Answer 7

Ceftriaxone plus vancomycin.

Question 8

What class of drugs should be avoided in patients with cocaine-induced chest pain?

Answer 8

Beta blockers.

Question 9

Drug causing rotary nystagmus and noncardiogenic pulmonary edema

Answer 9

PCP

Question 10

Hemolytic anemia, thrombocytopenia, and acute renal insufficiency

Answer 10

Shiga toxin-producing Escherichia coli, specifically serotype 0157:H1

Question 11

True or false: Antibiotic treatment of Shiga toxin Escherichia coli will prevent development of hemolytic uremic syndrome.

Answer 11

False. Antibiotics actually enhance release of verotoxin from bacteria and should be avoided.

Question 12

Capture beats and fusion beats

Answer 12

V Tach

Question 13

Prinzmetal Angina (Vasospastic Angina) prevention

Answer 13

CCB (Diltiazem)

Question 14

Pediatric Epi dosing

Answer 14

0.01 mg/kg or 0.1 mL/kg of the 1:10,000 epinephrine solution

Question 15

Decreased QT interval

Answer 15

Hypercalcemia

Question 16

MAT: What is the underlying problem?

Answer 16

COPD, hypoxia, or pulmonary HTN

Question 17

RV infarct: Best next step?

Answer 17

IV hydration since pre-load dependent

Question 18

Epsilon wave on EKG

Answer 18

Small positive deflection at the end of the QRS complex = Arrhythmogenic right ventricular dysplasia

Question 19

Pericardial knock on auscultation

Answer 19

Constrictive pericarditis

Question 20

Acute mitral valve regurgitation EKG finding

Answer 20

Inferior MI, elevations in II, III, and aVF

Question 21

HOCM medications

Answer 21

B-blocker, CCB