Medication/Intervention Treatment

Question 1

HTN First Line treatment

Answer 1

1) Hydrochlorothiazide (HCTZ)

2) Lisinopril, Enalapril, Captopril

Question 2

HTN medications that are not first line

Answer 2

Losartan (ARB)

Diltiazem, Amlodipine (CCBs)

Question 3

First line treatment in an HTN Urgency

Answer 3

Clonidine or Labetalol PO

Question 4

HTN Emergency

Answer 4

Labetalol IV

Once stable: Metoprolol 25-50mg PO twice daily

Question 5

Coronary Artery Disease

Answer 5

Atorvastatin

Aspirin

Question 6

Peripheral Artery Disease

Answer 6

Cilostazol

Question 7

Acute arterial occlusion of a limb

Answer 7

Enoxaparin

Heparin

Question 8

Occlusive Cerebrovascular Disease

Answer 8

Aspirin

Statins

(Anticoagulants if positive A-Fib)

Question 9

Dyslipidemia

Answer 9

Statins

Aspirin

Question 10

Unstable Bradycardia

Answer 10

Atropine 0.5mg IV push, repeat every 3-5 minutes (3mg max)

Question 11

Unstable bradycardia and Atropine was ineffective

Answer 11

Dopamine or Epinephrine

Question 12

Initial treatment of Supraventricular Tachy (SVT)

Answer 12

Stimulate the Vagus nerve

-Breath hold, valsalva, carotid massage, face in ice water

Question 13

SVT treatment when vagal maneuvers fail

Answer 13

Adenosine 6 mg IV push, 12 mg push if initial 6 doesn’t work. Can repeat one more 12 mg push

Question 14

Second line pharmacological treatment of SVT

Answer 14

Metoprolol

Diltiazem

Question 15

Hemodynamically Unstable SVT

Answer 15

50-150 J Synchronized Cardioversion

Question 16

Initial treatment of Wolf Parkinson White Syndrome

Answer 16

Vagal Maneuvers

Question 17

Treatment of WPW syndrome when vagal maneuvers fail

Answer 17

Adenosine

Question 18

Atrial Fibrillation/A-Flutter

Answer 18

Metoprolol

Diltiazem

Enoxaparin

Question 19

Unstable Atrial Flutter/A-Fib

Answer 19

100-200 J Synchronized Cardioversion

Question 20

V Tach

Answer 20

Lidocaine

Amiodarone

Magnesium

Question 21

Stable V-Tach >150 HR, Narrow complex

Answer 21

Vagal Maneuvers

Adenosine

Betablocker OR CCB

Question 22

Unstable V Tach

Answer 22

100-200 J synchronized cardioversion

Question 23

Stable V-Tach >150 HR, Wide complex

Answer 23

Adenosine

Antiarrhythmic Infusion: Procainamide, Amiodarone, or Sotalol

Question 24

V Fibrillation

Answer 24

ACLS Protocol for cardiac arrest

Question 25

Stable Torsades

Answer 25

2g Magnesium

Question 26

Unstable Torsades

Answer 26

100 J Synchronized Cardioversion

Question 27

Unstable 2nd Degree AV Block Type I

Answer 27

Atropine Dopamine or Epinephrine if atropine doesn't work

Question 28

Unstable 2nd Degree AV Block Type II

Answer 28

Atropine and Transcutaneous pacing Dopamine if atropine is ineffective

Question 29

Unstable 2nd Degree AV Block Type II with signs of heart failure

Answer 29

Dobutamine or Epinephrine, Transcutaneous pacing

Question 30

3rd Degree AV Block

Answer 30

Atropine and Transcutaneous pacing Dopamine if atropine is ineffective

Question 31

3rd Degree AV Block with signs of heart failure

Answer 31

Dobutamine or Epinephrine, Transcutaneous pacing

Question 32

Shockable Rhythm CPR Medications

Answer 32

First: Epinephrine 1mg IV Push Second: Amiodarone 300mg IV push or Lidocaine 1-1.5mg/kg IV push

Question 33

Non-Shockable Rhythm CPR Medication

Answer 33

Epinephrine 1mg IV Push (every 3-5 minutes)

Question 34

ROSC with SBP <90 and MAP <60

Answer 34

1-2L IV fluids Vasopressor infusion: Norepinephrine or epinephrine or dopamine

Question 35

Acute Coronary Syndrome (MI)

Answer 35

Aspirin Nitroglycerin 0.4mg SL Oxygen if <94% Morphine 4-8mg IV for pain unrelieved by nitroglycerin

Question 36

STEMI

Answer 36

MONA Lovenox 30mg IV Bolus, then 1mg/kg SC q 12hrs Betablocker IV if not hypotensive

Question 37

CHF

Answer 37

Furosemide or Bumetanide

Question 38

CHF with pulmonary edema

Answer 38

Furosemide (Lasix)

Question 39

Aortic Dissection

Answer 39

Metoprolol or Labetalol Morphine for pain

Question 40

Chronic Aortic Dissection management

Answer 40

Betablockers, ACEI ARB Diuretics

Question 41

Pericarditis (viral)

Answer 41

Aspirin 325-650mg every 6 hours NSAIDS for up to 3 weeks

Question 42

Viral or idiopathic Myocarditis

Answer 42

Rest, Fluids, Pain control with morphine

Question 43

Meningococcemia or Rheumatic Fever Myocarditis

Answer 43

Antibiotic Therapy

Question 44

Endocarditis

Answer 44

Ertapenem 1g IV q 24 hours OR Vancomycin 1g q 12 hours WITH Ceftriaxone 2g IV Daily

Question 45

Pericardial Tamponade

Answer 45

IV Fluids to battle hypotension Pericardiocentesis (18g 10cm needle w/ 20ml Syringe)

Question 46

Cardiac Contusion

Answer 46

Pain control with analgesics

Question 47

DVT/Pulmonary Embolism

Answer 47

3-6 month anticoagulant therapy: - Lovenox - Heparin