PAEA EOR IM miss| 62 questions| with complete solutions

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