Crap I Can't Ever Remember

Front 1

PTT: Path, drug, reversal, dz's

Back 1

Intrinsic pathway
Heparin
Reverse with Protamine
Hemophilias A, B,vWF DIC

Front 2

PT: Path, Drug, Reversal, Dz's

Back 2

Extrinsic Path
Warfarin
Reverse with FFP and Vit K
Liver dz, DIC, Vit K def.

Front 3

Bleeding Time: Path, Drug, Reversal, Dz's

Back 3

Platelets
Aspirin
Reverse with Platelet Transfusion

Front 4

anti-Factor Xa Assay

Back 4

LMW Heparin

Front 5

Hemophilia A

Back 5

Factor 8 deficiency

Front 6

Hemophilia B

Back 6

Factor 9 def
X-linked
PTT elevated

Front 7

vWF

Back 7

PTT and Bleeding Time Elevated
Normal Factor 8
Normal PT
AD

Front 8

DIC

Back 8

PT, PTT, Bleeding time prolonged
D-dimer
FDproducts
Schistocytes, fragmented on pfsmer

Front 9

Vitamin K def

Back 9

Neonate, malabsorption, alcoholism, antibiotics use

Factors 2, 7, 9, 10, C, S

Front 10

Prolonged Bleeding Time

Back 10

vWF
Uremia
DIC
Aspirin, Clopedogrel

Front 11

Loud P2

Back 11

Cor pulmonale
Also: tachypnea, clubbing, parasternal heave, right-sided S4, pulmonary dz

Front 12

PVC's

Back 12

Premature Ventricular Contraction
IF severe, give LIDOCAINE

Front 13

Sinus brady

Back 13

ATROPINE, if severe
usually post-MI

Front 14

Sinus tachy

Back 14

Correct cause
B-blocker if severe

Front 15

Vfib

Back 15

defibrillation

Front 16

VTach

Back 16

Amiodarone or
LIDOCAINE

Front 17

WPW

Back 17

procainamide or quinidine,

DONT use dig or verapamil (blocks AV node and makes reentry track the primary focus!)

Front 18

PDA: murmer, location, tx, association

Back 18

machine murmer
LSB
Tx: indomethacin unless cyanotic heart defect then give prostaglandin to keep open

Front 19

VSD:murmer, location, tx, association

Back 19

Holosytolic
Sternum
most resolve, if symptomatic repair surgically
MC heart defect

Front 20

ASD: murmer, location, tx, association

Back 20

Fixed, split S2
No fix
Asymptomatic until ADULT=ASD

Front 21

TOF: description, tx, association

Back 21

VSD, RVH, Pulmonary Stenosis, Overiding Aorta
tx: Surgery
Tet spells: squating to relieve SOB

Front 22

Coarctation of Aorta

Back 22

Systolic murmer
Mid-upper Back
Radiofemoral delay
Upper ext HTN
Rib notching on XR
Turner's Syndrome

Front 23

Endocarditis prophylaxis

Back 23

Only ASD secundum type doesn't need it of the heart defects!

Front 24

Zollinger-Ellison Syn

Back 24

Atypical non-healing ulcers, if 2nd part of duodenum think ZE
Gastrinoma is cuase, tx with PPI

Front 25

Dumping syn

Back 25

weakness, dizziness, sweating, N/V after eating

Front 26

Achlorhydria

Back 26

pernicious anemia
AB's to parietal cells
Intrinisic factor is diminished leading to VB12 def.

Front 27

Dermatitis herpetiformes

Back 27

Celiac Dz
Anti-TTG AB's

Front 28

HUS:TTP

Back 28

Post Diarrhea: Ecoli, Shigella
Schistocytes, helmet cells, fragmented cells on perfsmr
Acute Renal Failure

Front 29

Alcoholic Hepatitis

Back 29

AST2x>ALT

Front 30

Autoimmune Hepatitis

Back 30

Anti-smooth muscle AB's, ANA
Tx: STeroids

Front 31

Wilson's Dz

Back 31

Ceruloplasmin is low
High Cu in Pee
CNS and crazy
Kaiser-Fleisher rings laste in dz.
Penacillamine, zinc and trientine.

Front 32

Cholestasis

Back 32

Drugs:
OCP's, Pheonothiazines, androgens

Front 33

Charcot's Triad

Back 33

Cholangitis:
Fever
Jaundice
RUQ pain

Front 34

Primary Biliary Cirhosis

Back 34

Middle-Age women
Pruritis, Jaundice,
AntiMITOCHONDRIAL aBs.
tx: cholestyramine, liver tnplnt

Front 35

Primary Sclerosing Cholangitis

Back 35

Young Adults with IBD, Biliary tree all jacked up on imaging

Front 36

Diffuse esophageal spasm/nutcrakcer

Back 36

Irregular, forcefull contractions
Tx: CCB's, nitro, myotomy

Front 37

CREST

Back 37

ANCA

Front 38

Scleroderm

Back 38

Antitopoisomerase

Front 39

Grey-Turner Sign

Back 39

Black/Blue flanks: pancreatiis

Front 40

Cullen's Sign

Back 40

Black/Blue umbilicus: pancreatitis

Front 41

Assymetric Septal Hypertrophy

Back 41

MCDefect in Gestational DM:
Left Ventricluar septum hypertrophy secondary to gestational diabetes resulting in aortic outflow obstruction resluting in:
weak pulses, decreased cap refil, acidoisis, and hypoxia

Front 42

Treatment of HOCM

Back 42

Propranolol or metoprolol
Don't use inotropes!

Front 43

Right Ventricular Infarct MGT

Back 43

IV fluids, increase Preload!
DX: R sided heart failure, hypotension, V4 elevation

Front 44

Drug MGT of ACS

Back 44

Aspirin, then
Heparin, then
Beta Blocker (Meto or Ateno)

Front 45

Acute Coronary Syndrome

Back 45

Unstable Angina
NSTEMI
STEMI

Angiography will dicatate further mgt: if few vessel then PCTA w/wo stent. If many vessel CABG (also if DM)

Front 46

Drug Management of Acute CHF

Back 46

Furosemide
then inotropes

Front 47

MGT of Acute Pulmonary Edema

Back 47

Furosemide, Nitrates, and Morpine.
If this doesn't work give dobutamine to decrease afterload.

If hypotension from this give dopamine for pressor effect

Front 48

ACS in young male on exertion

Back 48

Anomalous Coronary Artery path, basically gets compressed by other vessels ie aorta during exercise.

Front 49

Canon "A" Wave

Back 49

Increased Wave in JVD
Caused by Complete Heart Block leading to Atrial contraction against closed Tricuspid valve

Front 50

Idiopathic Hypertrophic Subaortic Stenosis
S&S, TX

Back 50

Systolic Murmer
LSB
S4
Tx: Beta Blocker to increase size of ventricle (preload)

Front 51

Treatment of Acute CHF

Back 51

Lasix/furosemide
Morphine
Nitrates
Oxygen
Pulmonary Ventiliation

Front 52

Treatment of Post MI Heart Block

Back 52

Give Atropine, Then
External Pacer if this doesn't work

Front 53

HOCM
S&S

Back 53

Systolic Murmer, LSB radiates to carotids
Increased with Valsalva
Decreased with Squating
Brisk carotid upstrokes
SOB, Syncope, Sudden death

Front 54

MGT of new onset AFIB

Back 54

If Stable, then dig or beta, rate control
If unstable, cardioversion

Front 55

MGT of Aortic Insufficiency

Back 55

Reduce Afterload
ACE inhibitor

Front 56

R/O MI in which patients with an echo?

Back 56

Post MI
Pacemaker
LBBB
Digoxin

Front 57

Dx of Subclavian Steal

Back 57

Aortic Angiography, will show stenosis of subclavian and dilation, which steals blood from the vertebral artery that comes of of the subclavian distally.

Front 58

Congenital Cyanotic Heart Dz

Back 58

Transposition of Great Vessels
Truncus Arteriosis, double outlet, single ventricle, total anomalous pulmonary venous return

Front 59

When to choose submaximal vs maximal stress test

Back 59

Submaximal is when 70% of PHR is reached, use for 5-7 d post MI
Maximal is 80%, use 14-21 days postMI

Front 60

MGT of Mitral Stenosis

Back 60

Tx for Afib with Digoxin
Also anticoagulate with Warfarin
Last if this doesn't work, ballon valvuloplasty
Finally, replacement.

Front 61

Diastolic Dysfunction

Back 61

Start with BetaBlocker, unless they have COPD or Asthma
Then use CCB, verapamil

Front 62

Aortic Stenosis

Back 62

Replace valve if symptomatic
Watch if not

Front 63

Papillary Muscle Rupture
Dx: S&S
TX

Back 63

Pansystolic Murmer at apex radiates to axilla
12 hours post mi
Hypotension
TX: Surgery

Front 64

Mitral Stenosis
sounds

Back 64

Tapping apex beat
Diastolic
Middiastolic Rumble

Front 65

Jervell-Lange-Nielson Syndrome

Back 65

Recurant Torsades rhythm
Deafness

Front 66

Congenital Long QT syndromes
TX:

Back 66

Jervell-Lange-Nielson= Torsades+deafness
Romano-Ward=Torsades, no deafness
TX: high dose beta-blocker or gangliectomy