A 68-year-old man with HFrEF (EF 25%) is admitted with acute decompensation. He takes lisinopril, metoprolol succinate, and furosemide. Which addition provides the greatest mortality benefit?
Hm Cardiovascular
Question · Medium
Two exes, two antidotes
Short
A 72-year-old woman is admitted with ADHF. BP 110/70, weight up 6 kg, JVP 14 cm, bilateral crackles, 3+ pitting edema. She has been on oral furosemide 40 mg daily. Best initial therapy?
Which agent has shown mortality benefit in HFpEF (EF >50%)?
Question · Hard
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A 60-year-old presents with chest pain. ECG shows 2 mm ST elevation in V2-V4. Troponin pending. Door-to-balloon goal at PCI-capable hospital is:
Question · Easy
A 65-year-old with NSTEMI is taken for PCI with a drug-eluting stent. Which is the standard DAPT duration after DES for ACS?
A 70-year-old man (HTN, DM, prior stroke) presents with new AFib, rate 110, BP 140/85, asymptomatic. CHA2DS2-VASc?
A 75-year-old woman presents with new AFib of unknown duration, hemodynamically stable. Plan is rhythm control with cardioversion. Best next step?
A 62-year-old with new AFib is started on apixaban. Which is true regarding DOAC monitoring?
A patient on warfarin for AFib has INR 6.5 and no bleeding. Best management?
A 78-year-old has refractory ADHF despite IV diuretics; creatinine rising. What option may be considered?
Which HF patient is most appropriate for CardioMEMS pulmonary artery pressure monitoring?
A patient with NSTEMI is receiving heparin and aspirin. Which P2Y12 inhibitor offers the most rapid platelet inhibition for invasive strategy?
Troponin is elevated and trending up over 6 hours in a patient with chest pain and dynamic ECG changes. Diagnosis category?
A patient with AFib and CHA2DS2-VASc score of 1 (male) – best stroke prophylaxis recommendation?
Which beta-blocker is preferred in stable HFrEF for mortality benefit?
A 55-year-old with sudden dyspnea, HR 120, BP 80/50, after recent surgery. CTA shows large saddle PE with RV strain. Best therapy?
Hm Pulmonary
A patient with PE has normal BP but elevated troponin and RV dysfunction on echo. Classification?
PERC rule can rule out PE in:
A 65-year-old with COPD presents with dyspnea, increased sputum purulence, and increased sputum volume (Anthonisen criteria). Best therapy includes:
COPD exacerbation with pH 7.28, pCO2 65, RR 28, accessory muscle use. Best initial ventilatory support?
CURB-65 components include all EXCEPT:
A 70-year-old with severe CAP requiring ICU admission – initial empiric antibiotic regimen?
VAP is defined as pneumonia developing:
ARDS Berlin criteria include all EXCEPT:
In ARDS, the recommended tidal volume is:
A patient is admitted from a nursing facility with pneumonia. Has IV antibiotics in past 90 days. Empiric therapy should cover:
Wells score for PE includes:
Which finding warrants thrombolysis in PE?
A 70-year-old with sepsis: lactate 5.2, SBP 80 after 30 mL/kg crystalloid. Next vasopressor of choice?
Hm Sepsis Id
Surviving Sepsis Hour-1 bundle includes all EXCEPT:
Recommended initial fluid resuscitation in sepsis-induced hypotension or lactate ≥4:
A patient with septic shock requires norepinephrine 0.4 mcg/kg/min to maintain MAP. Next step per SSC?
Stress-dose hydrocortisone in septic shock is indicated when:
qSOFA components include:
For antibiotic stewardship, the duration of therapy for uncomplicated CAP responding to treatment is typically:
A patient with cellulitis without abscess or systemic signs – initial empiric oral therapy?
C. difficile colitis (initial episode, non-severe) – preferred therapy?
Catheter-related bloodstream infection prevention bundle includes all EXCEPT:
Empiric therapy for healthy 35-year-old with bacterial meningitis (community-acquired)?
For antibiotic de-escalation, the most important driver should be:
A 60-year-old with septic shock from pneumonia. Procalcitonin is best used to:
Central venous catheter placement at the internal jugular vein – which adjunct reduces complications?
Hm Procedures Icu
Best site for central venous catheter to minimize CLABSI?
Light's criteria for exudative pleural effusion include:
Pleural fluid pH <7.20 with positive Gram stain suggests:
For analgesia/sedation in mechanically ventilated patients, current guidelines favor:
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