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hfhfhds Flashcards

(104 cards)

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1
Q

tx for native valve endocarditis

A

amp/sul + gent or gent+ augmentin

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2
Q

tx prosthetic valve endocarditis

A

vanc+gent+rifampin

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3
Q

tx acute AR/MR

A

nitroprusside and dobutamine

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4
Q

acute AR/MR causes

A

endocarditis, trauma, prosthetic valve, and dissection

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5
Q

failure to capture

A

stimulus with no depol after

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6
Q

undersensing

A

pacer spikes within qrs

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7
Q

oversensing

A

pacing inhibited

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8
Q

tx postpartum cardiomyopathy

A

hydralazine

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9
Q

tx dissection

A
  1. HR (<60): esmolol or diltiazem
  2. SBP (<110): nicardipine or nitroprusside
  3. surgery for type a
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10
Q

TPA contraindications in ACS

A

T- trauma
P- pericarditis
A - active internal bleed
I - intracranial pathology
S - stroke (6 months)
B - BP >180
A - allergy
D - dissection

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11
Q

PPx for recurrence of pericarditis

A

colchicine

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12
Q

Myocarditis dx

A

endocardial bx

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13
Q

high risk pericarditis that need admission

A

fever
elevated trop
immunosuppressed
AC
failed NSAIDs
pericardial effusion >2cm

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14
Q

MC complication of LVAD

A

bleeding

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15
Q

cardiac arrest parameters with LVAD

A

MAP <50 and end tidal <20

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16
Q

pump thrombosis of LVAD

A

elevated LDH >1,150
low output state

dx: echo or cardiac CTA

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17
Q

ventricular rhythms with LVAD tx

A

vol resus and cardioversion

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18
Q

suction event LVAD

A

low flow alarm
hypovol

causes: htn emergency, mispositioning, tamponade, sepsis

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19
Q

refractory VF/VT

A

> 3 defibs, >3 epi, 300mg amio

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20
Q

refractory VF/VT tx

A

dual sequence or esmolol

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21
Q

treat torsades

A

magnesium
isoproterenol
overdrive pacing (goal hr 90-120)

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22
Q

high output HF

A

increased CO
decreased SVR

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23
Q

aortoenteric fistula located at

A

duodenum

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24
Q

ToF

A

overriding aorta
VSD
RV hypertrophy
RV outflow obstruction

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25
ToF murmur
single 2nd sound with harsh ejection
26
VSD in kids
poor WG tired with feeding trouble breathing
27
PALs badycardia
1. epi 2. atropine 3. pacing
28
boot heart
tof
29
LAST s/sx
tinnitus, heart block, metallic taste, resp depression
30
AS asoc with
CHF do not use nitros
31
MCC of HTN in peds
coarctation of aorta
32
pseudo PEA
sepsis - need resus
33
PCI time limit
<120 mins
34
Takotsubo
apical sparring of LV with myocardial inflammation
35
tx Takotsubo
phenylephrine
36
hepatojugular reflux indicates
R sided HF
37
MC complication of endocarditis
CHF
38
MC sign of myocarditis
tachycardia
39
MI 2 months ago with persistent STE
ventricular aneurysm
40
most specific sign of CHF
S3
41
dihydro vs non-dihydro CCB tox
dihydro: hypotension + tachycardia non-dihydro: hypotension + bradycardia
42
what tox overdose do you not want to intubate
salicylates
43
CO triad
hypoxia lactic acidosis hypotension
44
methanol sources
antifreeze and windshield fluid
45
ethylene glycol sources
de-icing and coolants
46
digitalis poisoning ekg
frequent PVCs and bidirectional vtach
47
widened qrs with terminal r axis deviation in avr
tca overdose
48
do not give this medication if they are huffers
catecholamines
49
salicylate poisoning metab abnorms
resp alk and metab acidosis
50
rust remover tx
calcium gluconate
51
acute mountain sickness at what elevation
>2500meters or 8,200 feet
52
vp shunt infection tx
vanc and cefepime
53
setting sun sign
shunt failure white of eyes above pupils
54
trigeminal neuralgia tx
carbamazepine or phenytoin
55
GBS LP
albuminocytologic dissoc
56
LP for transverse myelitis
monocytes
57
LP for acute flaccid myelitis
pleocytosis
58
lab for discitis
elevated esr
59
tx chorioamnionitis
amp + gent
60
deliver baby with pre eclampsia at
37 without severe features 33 with severe features
61
discriminatory zone
vag >1500 ab >6000
62
admit PID if
preggo abscess fitz high curtis sepsis toa
63
tx for headache while breast feeding
ergotamine
64
HSP tx
NSAIDS prednisone IVIG
65
tx SLE
solumedrol and hydrocortisone
66
Kawasaki labs
low albumin pyuria with no urinary sym increased inflam markers increased platelets increased ALT
67
tx priapism
1. aspiration at 2 or 10 2. terbutaline 3. phenylephrine
68
UTI tx in pregoo
10-14 days cephalexin, nitrofurantoin, amox
69
tx preseptal cellulitis
amox + bactrim
70
71
Paracentesis contraindications
SBO with dilated loops Severe portal hypertension Severe coag An wall infxn
72
String sx
Pyloric stenosis
73
Dx sbo
Ct with contrast
74
Ppx of sbp
Cipro or bactrim
75
Endoscopy indications for gerd
>60 Dysphasia, we, anorexia, persistent vom Iron deficiency GI bleed
76
Mcc of diverticulitis
Abscess
77
Mcc of diverticulitis
Abscess
78
Tx diverticulitis
Flagyl and cipro Bactrim and flagyl
79
When do you get an ercp
Cbd stone Acute cholangitis Bilirubin > 4
80
Tx acute chole
Flagyl and cipro If perf: zosyn or flagyl + rocephin
81
Dz that has increased direct bilirubin
Dubin Johnson Rotors Biliary atresia
82
Indirect hernia
Patent process vaginalis
83
Direct hernia
Hasslebach triangle
84
Tx radiation proctolitis
Steroid enema
85
Intussusception Tx
Peds: barium enema Adults:surgery
86
Tx gastroparesis
Metoclopramide
87
Meds that make gastroparesis worse
Compazine and ccb
88
Kocher
Esr > 40 WBC > 12k Non weight bearing Fever > 38.5C
89
Scfe X-ray
Widen physis
90
Osteoporosis imaging
MRI
91
Osteosarcoma sx
Sunburst
92
Osteochondroma
Painless and distal femur
93
Dx pul htn
Elevated bnp Echo (d sign) Ct pul angio
94
Empyema Tx
Rocephin and flagyl
95
Empyema chest tube size
36-40 french
96
Bad lung down
Massive hemoptysis Severe pleural effusion Large pul abscess
97
Lymphocytes on thoracentesis
Tb Ca Chylothorax
98
Eosinophils on thoracentesis
Blood or air
99
Hepatic hydrothorax
Transudative Tx with intermittent thoracentesis
100
Tx lung abscess
Abx: clinda and rocephin Vats Bronch drainage
101
Bacterial tracheitis xr
Subglottic narrowing
102
Droplet precautions
Meningitis Flu Rsv Pertussis
103
Airborne precautions
Tb Varicella Hsv Measles
104
Scapholunate fx xr
Clenched fist

PGY2 (10 decks)

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