Flashcards in QBankin' on doing well? Get after it! (mostly card/resp) Deck (22):
A patient was recently started on a new drug and has developed edema, but NO other symptoms. What drug was this patient started on?
Amlodipine (or another dihydropyridine)
A newborn has decreased pulmonary markings and left axis deviation (normally have right axis deviation). What is the likely cause?
Tricuspid valve atresia --> hypoplastic right ventricle
In cardiac terms, what does standing or the valsalva maneuver do?
Decreases venous return
Kid comes in with stridor that is better when she extends her neck. What does she have? What is it associated with?
Kid comes in with stridor that is worse with laying down. What is it?
Which arm has a higher BP in a coarctation?
Right greater than left
A patient is unconscious and pulseless, but is found to have a electrical activity. What is the management?
CPR and vasopressor to treat PEA
When does contrast induced nephropathy resolve?
3-5 days after contrast
A patient has angiography done and like a week later has mottling of the skin on his feet, eosinophilia, and shitty renal labs. What happened?
When should stenotic aorta be replaced?
SAD Left ventricle, or CABG
Why do kids with ToF often squat/bring knees to their chest?
Increases vascular resistance --> increases LV pressure...no longer a R-to-L shunt
An asthma patient comes in with an exacerbation. No new exposures. No sick contacts. Recently had headaches for which she took aspirin. What caused the exacerbation?
Aspirin...beta-blockers can do it too
How does the dipyridamole stress test work?
Coronary steal...tries to dilate all vessels, but diseased are already maximally dilated...dilating other vessels further decreases perfusion to diseased
A man from Wisconsin comes in with breathing issues, skin lesions, and bone pain. What does he have?
How is inpatient community acquired pneumonia treated?
beta-lactam + macrolide
How do anti-muscarinics help with COPD?
Cause bronchodilation on top of reducing allergies
What increases the risk of RDS?
A youngish woman keeps getting CAP. What could be going on?
What is the CHADS-VASc score calculated for? How?
Necessity of anticoag...consider w/ score of 1, give if 2
C- CHF → +1
H- HTN → +1
A- Age > 75 → +2
D- DM → +1
S- Stroke/TIA/Thromboembolism → +2
V- Vascular disease → +1
A- Age 65-74 → +1
Sc- Sex category (female) → +1
Patient comes in after recently traveling with a high fever, likely pneumonia, headache, and watery diarrhea. What is the bug? What is the treatment?
Legionella (can get a piss test)
A patient keeps getting sick and then it says something about really low CD-19 lymphocytes. What is the disease? What is the treatment?
X-linked agammaglobulinemia (Bruton's agammaglobulinemia)
IV immunoglobulins (IVIG)