high yield #2

Question 1

egg on string sign

Answer 1

transposition of great vessels

Question 2

rib notching and 3 sign

Answer 2

coarctation of aorta

Question 3

MC atrial septal defect

Answer 3

ostium secundum

Question 4

ejection cresendo decresendo murmur in pulmonic area (left upper sternal border) in child

Answer 4

ASD

Question 5

what can cause PDA

Answer 5

rubella in 1st trimester

Question 6

eisenmenger’s syndrome

Answer 6

left to right shunt turns to right to left shunt

PDA, ToF, ASD, VSD

Question 7

corarctation of arorta
dx
1st
gold

Answer 7

1st- echo

gold- angriogram

Question 8

harsh hollosystolic murmur left upper sternal border

Answer 8

ToF

Question 9

MC congenital heart disease

Answer 9

VSD

Question 10

drug used for nuclear stress test

Answer 10

adenosine or dipyridamole

Question 11

AV nodal blockers

Answer 11

ABCD

Adenosine, BB,CC, digoxin

Question 12

amiodorone

drug class

Answer 12

K channel blocker

Question 13

Na channel blockers

Answer 13

A-procanimide
B-lidocaine
C- flecainide

Question 14

cardio selective BB (B1)

Answer 14

AME

Atenolol ,Metropolol, Esmolol

Question 15

nonselective BB

Answer 15

O-Z

Question 16

what drugs are avoided in prinzemetal angina

Answer 16

BB use CCB instead

Question 17

Adenosine

S/E

Answer 17

bronchospasm

Question 18

inotropic

Answer 18

increase contractility

Question 19

chronotropic

Answer 19

increase heart rate

Question 20

ASA

Answer 20

prevents platelet aggregation/activation

inhibits thromboxane 2 and prostaglandins

Question 21

cardiac enzyme elevations

Answer 21

in STEMI and NSTEMI

NOT UA

Question 22

leads anterior infarct

Answer 22

V1-V4

Question 23

leads for inferior infarct

Answer 23

II, III, AvF

Question 24

leads for posterior infarct

Answer 24

ST DEPRESSIONs in V1 V2

Question 25

leads for lateral infarct

Answer 25

I, AVL, V5, V56

Question 26

pulm htn definition

Answer 26

mean pulm art pressure >20mmhg

Question 27

pulm htn dx

Answer 27

right heart cath

Question 28

pulm htn tx

Answer 28

CCB; Phoshodiesterase 5 inhibitor

Question 29

ARDS PCWP

Answer 29

<18mmhg

Question 30

ARDS tx

Answer 30

mechanical ventilaiton

w/ low tidal V & PEEP of 5cm H2O

Question 31

acetominophen toxicity tx

Answer 31

N-acetylcysteine

Question 32

TCA toxicity tx

Answer 32

sodium bicarb

Question 33

anticholinergic drugs

Answer 33

antihistamines
TCA
atropine

Question 34

antichoinergic OD tx

Answer 34

phyostigmine

Question 35

BB OD

Answer 35

glucagon

Question 36

tx epiglottits

Answer 36

ceftriaxone

Question 37

aspiration PNE tx

Answer 37

ampicillin- sulbactam

Question 38

billirubin level baby is jaundiced

Answer 38

> 5

Question 39

Billirubin level baby is kernicterus

Answer 39

> 20

Question 40

Dubin Johnson Syndrome

Answer 40

3 D’s

Dubin Direct bili (conjugated) Dark liver (BLACK)

Question 41

Crigler Najjar syndrom

Answer 41

neonate jaundice –> kernicterus in 2 wk

unconj bili NO UGT

Question 42

Gilbert syndrom

Answer 42

unconj bili- reduced UGT activity

jaundice w/ stressor

Question 43

Benzo OD tx

Answer 43

flumazenil

Question 44

ethylene gylcol (antifreeze) OD tx

Answer 44

IV ethanol infusion

fomepizole

Question 45

Fe OD

Answer 45

Deferoxamine

Question 46

liver injury labs

Answer 46

increased ALT & AST

Question 47

cholestasis labs

Answer 47

increased GGT and alk phos

Question 48

Liver function is damaged

Answer 48

increased PT

Question 49

AST & ALT >1000

Answer 49

Hepatitis

Question 50

bulk forming laxative

Answer 50

psylllium

methylcellulose

Question 51

osmotic laxative

Answer 51

polyethylene glycol

lactulose