Clinical Therapeutics, Paroxysmal supraventricular tachycardia (PSVT) Stable Narrow Complex: Correct Answer: Adenosine
Clinical Therapeutics, Paroxysmal supraventricular tachycardia (PSVT) Stable Wide: Correct Answer
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Clinical Therapeutics, Paroxysmal supraventricular tachycardia (PSVT) Stable Narrow Complex: Correct Answer: Adenosine
Clinical Therapeutics, Paroxysmal supraventricular tachycardia (PSVT) Stable Wide: Correct Answer: Amiodarone
Diagnosis, Acute coronary syndrome: If left coronary artery is ischemic, what are the ECG changes? Correct Answer: ST elevations V5, V6, I and avL
Diagnosis, Coarctation of the aorta Correct Answer: o CXR: rib notching, and "3 sign"
o Difference in BP upper and lower extremities
Diagnostic Tests, Coarctation of the aorta Correct Answer: o GOLD: angiogram
o CXR: rib notching, and "3 sign"
Diagnostic Tests Ventricular aneurysm Correct Answer: Initial test is Echo then MRI and/or CT
Clinical therapeutics, Constrictive pericarditis Correct Answer: NSAIDs x7-14 days. (sx usually subside within 24h).
Clinical therapeutics, Refractory pericarditis Correct Answer: Corticosteroids if symptoms> 48h & refractory to 1st line meds.
Health Maintenance, Pancreatitis Correct Answer: Stop ETOH use and/or mange gallstones
History and Physical, Aortic dissection Correct Answer: HTN, 50-60yo Intimal wall tear* d/t HTN Intrascapular chest pain, ripping
History and Physical, Aortic regurgitation Correct Answer: Blowing diastolic high-pitched decrescendo, murmur located at the LUSB
History and Physical, Congestive heart failure Correct Answer: Hx of DM2, meth use, EtOH use, chemo/radiation to chest. PE= dyspneic w/lying flat, multiple pillow prthopnea, ascites, heaptojugular reflex, JVD/distended neck veins, extremity edema, lung sounds will have rales. S3-heart sound
Scientific Concepts, Lateral wall MI Correct Answer: Atherosclerosis MC- plaque rupture →thrombosis, EKG: 3-contiguous pathologic Q waves/ST elevations in lateral leads w/ reciprocal changes in inferior leads, usually affects circumflex artery
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