A 56-year-old male presents in cardiac arrest. ACLS (resuscitation) is initiated. Which of the following is NOT one of the reversible causes of cardiac arrest (H’s and T’s)?
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Your patient has a low-pitched rumbling diastolic apical mur…
Your patient has a low-pitched rumbling diastolic apical murmur with an opening snap. Which of the following is the most frequent presenting complaint associated with this murmur?
Ms. Sorenson is a 72-year-old female who presents to your sm…
Ms. Sorenson is a 72-year-old female who presents to your small-town emergency department complaining of sudden onset of severe chest pain and shortness of air. She is anxious and appears to be very uncomfortable. Her VS are as follows:BP 178/90 P 70 RR 20 O2 sat 96% on 2L O2 by nasal cannula. You order a CKMB and troponin. Lab is:CKMB: elevated Troponin: 3.6 ng/mL (normal
A 60-year-old female complains of dyspnea on exertion. Upon…
A 60-year-old female complains of dyspnea on exertion. Upon cardiac auscultation you notice a low-pitched, diastolic murmur with an opening snap over the apex of the heart. Which of the following is the most likely diagnosis?
An 83-year-old male with a known history of heart failure pr…
An 83-year-old male with a known history of heart failure presents to the ED by EMS for complaints of extreme shortness of air and respiratory distress. His initial O2 sat is 88% on room air and it improves to 94% when he is placed on oxygen at 2L per nasal cannula. On exam, he is mildly confused, has elevated JVP, hepatomegaly, 3+ pitting edema up to his knees and rales heard through all lung fields. His initial vital signs are:BP 88/65 HR 88 RR 32 Temp 98.4F Lab work: BNP 1545 (normal < 125) What best describes your initial plan of care?
Which of the following should be assessed on physical exam o…
Which of the following should be assessed on physical exam of a patient with primary hypertension?
Interpret the following EKG for acute coronary syndrome (ACS…
Interpret the following EKG for acute coronary syndrome (ACS)/myocardial infarction: question15exam2.png
A 59 y/o male with a known history of CAD presents to the ER…
A 59 y/o male with a known history of CAD presents to the ER complaining of chest pain and dyspnea. He reports he took a phosphodiesterase inhibitor seven hours ago for erectile dysfunction. His troponin is elevated, and his ECG shows ischemic changes. He is diagnosed with acute coronary syndrome. Which of the following medications should be avoided?
Ms. Sneed is a 37-year-old female with a history of diabetes…
Ms. Sneed is a 37-year-old female with a history of diabetes. She continues to have elevated blood pressures (150s/90s) despite 6 months of attempted lifestyle changes. After ruling out any secondary causes for hypertension, you advise her the next step is to:
What type of level of measurement is: Finishing a race in th…
What type of level of measurement is: Finishing a race in the Olympics as 1st, 2nd, 3rd. ranking