Blog

The BEST interpretation of the EKG above is:

Your 60 year old patient is complaining of difficulty breathing. He is speaking in 2-3 word sentences, leaning forward and laboring to breathe. He has a history of an acute MI two years ago. Physical exam reveals a blood pressure of 90/60, pulse of 110, and respiratory rate of 36. His neck veins are distended and edema of the lower extremities is present to the level of the mid-calf. Lung sounds reveal diffuse crackles. You suspect:

An Inferior wall AMI will be represente in which 12 Lead EKG leads?

A 77-year-old woman is suffering from severe left ventricular failure. Her blood pressure is 166/94, pulse 118, respirations 26. The best position for this patient is:

You have been instructed to prepare a lidocaine drip to infuse at a rate of 2 mg/min. You have added 1 gram of lidocaine to 500 mL of IV solution. To administer the proper dose using a microdrip, the rate of infusion should be set at:

Tosades de Pointes is treated with which of the following?.

What will happen to the motion of the box, and why?

A fact is always true. 

Shane is ready to break up with Kayla. They have been dating for over a year, but he is extremely frustrated with her and does not know what to do. One of his favorite activities is to eat out and try new restaurants. Kayla, however, hates eating in restaurants and always has. She told Shane that she loses her appetite at the mere thought of having to eat out. When he pushed her for an explanation, Kayla explained she was afraid that she might spill something on herself or do something equally foolish and other people would see it and laugh at her. Even though she knows how frustrated Shane is with her, Kayla cannot bring herself to eat at a restaurant. Kayla’s family is also very frustrated with her “nervousness” and they have tried to convince Kayla she is being “silly.” Nevertheless, Kayla cannot eat in any type of restaurant for fear of “making a fool” of herself. And the likely diagnosis is…

Carl came to your office and reported the following. “I don’t know what is wrong with me. I’ve had these up periods and down periods for 4 years. My up periods can last up to two weeks. During these times, my mind is clear and articulate. I can focus better at work, need fewer hours of sleep each night and tend to be more affectionate with people I care about. Everyone seems to love my “up” times. But eventually, my mood turns and then I become withdrawn, irritable, and have angry outbursts. I tend to have a hard time sleeping, usually lose a little weight, and sometimes miss work. These periods sometimes last 4-5 weeks. Once, after an annoying phone call, I slammed down the phone so hard it broke. Another time, when a friend accidentally spilled food on my carpet, I yelled at her. I spent all next week apologizing. These mood changes never seem to stop. I just go from one change to another. What is wrong with me?” And the likely diagnosis is…