In-training exam review: Difference between revisions
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| EKG findings in [[pericarditis]]?||Diffuse PR depressions and ST elevations (reversed in aVR) | | EKG findings in [[pericarditis]]?||Diffuse PR depressions and ST elevations (reversed in aVR) | ||
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| Dialysis patient w/ new heart failure. Pressing on fistula causes pulse to drop from 130 to 90 bpm. Dx and sign?||[[High-output heart failure]], Branham sign | | [[Dialysis]] patient w/ new-onset heart failure. Pressing on fistula causes pulse to drop from 130 to 90 bpm. Dx and sign?||[[High-output heart failure]], Branham sign | ||
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| [[Heart transplant complications|Cardiac transplant]] patient with bradycardia. Which drug will NOT work?||[[Atropine]] due to denervation of heart during transplantation | | [[Heart transplant complications|Cardiac transplant]] patient with bradycardia. Which drug will NOT work?||[[Atropine]] due to denervation of heart during transplantation | ||
Revision as of 19:23, 20 February 2021
Buzzwords
Cardiovascular
| Question | Answer |
| Treatments for Torsades de pointes? | Magnesium, Isoproterenol, Overdrive pacing, Defibrillation |
| Most specific sign in acute CHF? | S3 |
| Joules for synchronized cardioversion? (with biphasic) | Narrow regular(eg SVT: 50-100 J
Narrow irregular (eg A fib): 120-200 J (50-100 J often sufficient for A flutter) Wide regular (eg Vtach): 100 J |
| Joules for defibrillation? | 120-200 J |
| Most common cause of pacemaker failure to pace? | Oversensing |
| EKG findings in pericarditis? | Diffuse PR depressions and ST elevations (reversed in aVR) |
| Dialysis patient w/ new-onset heart failure. Pressing on fistula causes pulse to drop from 130 to 90 bpm. Dx and sign? | High-output heart failure, Branham sign |
| Cardiac transplant patient with bradycardia. Which drug will NOT work? | Atropine due to denervation of heart during transplantation |
Toxicology
| Question | Answer |
| Lab findings and treatment for ethanol toxicity? | + osmolar gap, + anion gap (if ketoacidosis), supportive care |
| Lab findings and treatment for methanol toxicity? | + osmolar, + anion gap, fomepizole, thiamine, pyridoxine, +/- dialysis |
| Lab findings and treatment for ethylene glycol toxicity? | + osmolar, + anion gap, fomepizole, folinic acid, +/- dialysis |
| Lab findings and treatment for isopropyl alcohol toxicity? | + osmolar gap, - anion gap, supportive care |
| Mnemonic for common dialyzable toxins? | BLISTMED and ISTUMBLED |