PAEA EOR IM miss 62 questions with complete solutions

PAEA EOR IM miss 62 questions with complete solutions Clinical Therapeutics, Paroxysmal supraventricular tachycardia (PSVT) Stable Narrow Complex: Adenosine Clinical Therapeutics, Paroxysmal supraventricular tachycardia (PSVT) Stable Wide: Amiodarone Diagnosis, Acute coronary syndrome: If left coronary artery is ischemic, what are the ECG changes? ST elevations V5, V6, I and avL Diagnosis, Coarctation of the aorta o CXR: rib notching, and "3 sign" o Difference in BP upper and lower extremities Diagnostic Tests, Coarctation of the aorta o GOLD: angiogram o CXR: rib notching, and "3 sign" Diagnostic Tests Ventricular aneurysm Initial test is Echo then MRI and/or CT Clinical therapeutics, Constrictive pericarditis NSAIDs x7-14 days. (sx usually subside within 24h). Clinical therapeutics, Refractory pericarditis Corticosteroids if symptoms 48h & refractory to 1st line meds. Health Maintenance, Pancreatitis Stop ETOH use and/or mange gallstones History and Physical, Aortic dissection HTN, 50-60yo Intimal wall tear* d/t HTN Intrascapular chest pain, ripping History and Physical, Aortic regurgitation Blowing diastolic high-pitched decrescendo, murmur located at the LUSB History and Physical, Congestive heart failure 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 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 Critical Care : Clinical Therapeutics, Acute angle-closure glaucoma 2 steps: lower IOP → open the angle (cholinergics) o 1st line: Acetazolamide (carbonic anhydrase inh.) → or Topical BB (Timolol) o Then: Miotics/cholenergics (Pilocarpine, Carbachol) o Definitive: bilateral peripheral iridotomy Critical Care : Clinical Therapeutics, Hypertensive crisis (emergency) Labetalol- Decrease BP no more than 25% within 1st hour Critical Care : Clinical Therapeutics, Status epilepticus (sz follow without conscious recovery between) Lorazepam or Diazepam → Phenytoin → Phenobarbital Critical Care : Diagnosis, Second-degree atrioventricular block o Mobitz I ECG- progressively elongating PR → dropped QRS o Mobitz II ECG- constant, prolonged PR complex → dropped QRS Critical Care : History and Physical, Cardiac (pericardial) tamponade o Pericardial effusion causing lots of pressure on heart, may be d/t chronic dz o PE- Becks triad- 1. distant (muffled) heart sounds, 2. ↑ JVP, 3. hypoTN o Pulsus paradoxus, edema, dyspnea, fatigue Endocrinology : Clinical Therapeutics, Hypoparathyroidism Ca+ supplement and Vit. D Endocrinology : Diagnosis, Metabolic syndrome ATP Ill criteria: at least 3 of the following 5: I. ↓HDL: 40 mg/dL in men & 50 mg/dL in women. 2. ↑BP: systolic or mmHg diastolic (or drug tx for HTN). 3. ↑ Fasting TG: mg/dL (or drug tx for high TG). 4. ↑ Fasting blood sugar: 100 mg/dL (or drug treatment for high glucose). 5. ↑ Abdominal obesity: waist circumference 40in (men) & 35in (women) Endocrinology : Diagnosis, Primary aldosteronism o Headaches+HYPOKALEMIA:* proximal muscle weakness, polyuria.* fatigue, constipation, ↓DTR, hypomagnesemia. o Aldo/reninin ratio 20, plasma aldosterone 20, ↓ renin o Definitive- Saline infusion test (NO ↑ aldosterone lvls.)