QBankin' on doing well? Get after it! (mostly card/resp) Flashcards Preview

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Flashcards in QBankin' on doing well? Get after it! (mostly card/resp) Deck (22):
1

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)

2

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

3

In cardiac terms, what does standing or the valsalva maneuver do?

Decreases venous return

4

Kid comes in with stridor that is better when she extends her neck. What does she have? What is it associated with?

Vascular ring

Cardiac anomalies

5

Kid comes in with stridor that is worse with laying down. What is it?

Laryngomalacia

6

Which arm has a higher BP in a coarctation?

Right greater than left

7

A patient is unconscious and pulseless, but is found to have a electrical activity. What is the management?

CPR and vasopressor to treat PEA

8

When does contrast induced nephropathy resolve?

3-5 days after contrast

9

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?

Cholesterol embolization

10

When should stenotic aorta be replaced?

SAD Left ventricle, or CABG

S-Syncope
A-Angina
D-Dyspnea

11

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

12

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

13

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

14

A man from Wisconsin comes in with breathing issues, skin lesions, and bone pain. What does he have?

Blastomycosis

15

How is inpatient community acquired pneumonia treated?

Fluoroquinolone; OR
beta-lactam + macrolide

16

How do anti-muscarinics help with COPD?

Cause bronchodilation on top of reducing allergies

17

What increases the risk of RDS?

Prematurity
Maternal diabetes
C-section

18

A youngish woman keeps getting CAP. What could be going on?

IgG3 immunodeficiency

19

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

20

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)

Fluoroquinolone
Newer macrolides

21

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)

22

A patient comes in with cardiac symptoms, so was started on nitroprusside. Later on, was talking nonsense and having seizures. Labs show lactic acidosis. What happened? What else is likely going on?

This is cyanide toxicity

Patient also likely has renal insufficiency