There is only one corner of the universe you can be certain of improving, and that’s your own self.–Aldous Huxley
Now onto this week’s podcast
Which of the following is true regarding acute respiratory distress syndrome?
A. Define as PaO2:FiO2 > 300
B. Empiric corticosteroids should be given
C. Positive end-expiratory pressure should be increased with increases in FiO2
D. Tidal volume should be started at 10 mL/kg in intubated patients
A 35-year-old man presents to the ED after being assaulted in a bar fight. He has signs of significant facial trauma. On physical exam, you note a tooth fracture through the enamel and dentin but does not involve the pulp. Which of the following is the most appropriate next step in management of his dental injury?
A. Calcium hydroxide paste
B. Extract the tooth
C. Immediate dental consult
D. Pencillin VK
A 62-year-old man presents with acute onset of chest pain with radiation to the shoulders and nausea while walking his dog. On examination, he is diaphoretic with heart rate 94 bpm, respiratory rate 20 bpm, blood pressure 92/59 mm Hg, and oxygen saturation 96% on room air. His ECG reveals 2 mm elevation in aVR. Occlusion of which coronary artery is most likely responsible for this patient’s presentation?
A. Left anterior descending artery
B. Left circumflex artery
C. Left main coronary artery
D. Right coronary artery
A 62-year-old man presents for evaluation of chest pain. Approximately three weeks ago the patient had a myocardial infarction with stent placement. Last evening he developed pleuritic chest pain and fever. He has no cough and does not feel short of breath. His ECG is shown above. Which of the following is the most likely diagnosis?
A. Dressler syndrome
B. Infarct pericarditis
C. Left ventricular aneurysm
D. ST segment elevation myocardial infarction
A 45-year-old man with a history of hypercholesterolemia presents with acute onset of anterior chest pain, nausea, and diaphoresis. His ECG is distinct for upsloping ST elevation in AVR (≥ 1 mm) with ST depressions and tall T waves in the precordial leads. What is the most likely diagnosis?
A. Occlusion of the left circumflex artery
B. Occlusion of the left main coronary artery
C. Occlusion of the proximal left anterior descending artery
D. Occlusion of the right coronary artery
A 25-year-old man presents the emergency department with knee pain. This morning he slipped on the ice and felt a pop in his knee. On physical exam his left knee appears to have a moderate effusion with limited range of motion and medial joint line tenderness. An X-ray of the left knee is performed. A pedunculated, bony exostosis with well-defined margins is seen along the distal lateral femur on the AP view of the knee. What is the most likely diagnosis of the incidental bone lesion?
A. Aneurysmal bone cyst
C. Osteoid osteoma
That wraps up RoshCast Episode 45! Be sure to also check out the rest of the Rosh Review Blog for questions from prior episodes, related images and tables, as well as bonus teaching points. There are also tons of other great free resources to help prepare you for the boards and the wards. Don’t forget to follow us on twitter @RoshCast and @RoshReview. And you can always email us at RoshCast@RoshReview.com with any feedback, corrections, or suggestions.
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Megha and Nachi
The post Podcast Ep 45: ARDS, Dental Fractures, STEMIs, Pericarditis, & More appeared first on RoshReview.com.