The most difficult thing is the decision to act, the rest is merely tenacity. The fears are paper tigers. You can do anything you decide to do. You can act to change and control your life; and the procedure, the process is its own reward.-Amelia Earhart
As a reminder, listen closely for the trauma ring tone during this episode and the next episode. And e-mail us at email@example.com or tweet us at Roshcast the exact time of the ring tone to win a subscription. With the in-training exam right around the corner, this will certainly help get you ready for February 28th. Let’s get going with a rapid review from a recent post on the Rosh Review Blog.
Now onto this week’s podcast
A previously healthy patient who presents with leg pain is found to have a clot within the tibial vein. Which of the following treatments is most likely indicated?
A. Aspirin for 6 months
B. Heparin and warfarin
C. Repeat ultrasound in 2–5 days
D. Warfarin alone
Which of the following is associated with a shortened PR interval?
A. Brugada syndrome
B. Mobitz 2° AV Block
C. Wellens syndrome
D. Wolff-Parkinson-White syndrome
A 29-year-old man presents after a syncopal episode. His ECG reveals an epsilon wave, a small positive deflection buried in the end of the QRS complex. Which of the following tests will likely identify the cause of the patient’s syncope?
A. Cardiac catheterization
B. Cardiac MRI
C. Electrophysiology study
D. Stress testing
A 12-year-old boy is brought to the ED after being struck in the chest by a baseball during a baseball game. He collapsed immediately upon impact and has been unresponsive since. Which of the following dysrhythmias is most commonly associated with this condition?
B. Supraventricular tachycardia
C. Ventricular fibrillation
D. Ventricular tachycardia
A 57-year-old man with hypertension presents complaining of a 6-hour history of a “floater” in the right eye. He states that he has had increasing difficulty reading as the cloudy area blocks his visual field. Additionally, he complains of decreased vision in his right eye. Which of the following represents the appropriate management?
A. Administer timolol drops and emergently consult ophthalmology
B. Emergent ophthalmology consultation
C. Prescribe topical antibiotics and refer to ophthalmology
D. Refer patient to ophthalmology for further assessment
A 27-year-old woman and her 25-year-old sister present with symptoms of facial flushing, headache, abdominal cramping, and diarrhea after eating in a seafood restaurant. They report that the fish they ate had a peppery taste. Which of the following is the most likely cause of their symptoms?
D. Staphalococcus aureus food poisoning
That wraps up Roshcast Episode 37. Before we officially sign off for this week, we wanted to solicit your help for an upcoming episode. Very soon, we are bringing Adam Rosh, who is the founder of Rosh Review, onto the podcast to discuss everything from study tactics to his favorite pre-test meal. We have a couple of our own questions lined up, but we want to know what questions you have. Send us any questions for Adam to firstname.lastname@example.org and we’ll try to squeeze them all in. That’s it for this week. Don’t forget to follow us on Twitter @Roshcast and @RoshReview. And you can always email us at email@example.com with any feedback, corrections or suggestions. You can also help us pick questions by identifying ones you would like us to review. Write “RoshCast” in the submit feedback box as you go through the question bank. Lastly, if you have a minute, make sure to rate us and leave comments on iTunes to help spread the word about RoshCast. We’ll be back soon with more high-quality review.
Until next time,
Jeff and Nachi
The post Podcast Ep 37: Tibial Vein Clot, PR Interval & More appeared first on RoshReview.com.