A 56-year-old male with 30-pack year smoking history, CAD, and advanced liver disease due to alcoholic cirrhosis is being evaluated for a liver transplantation. He complains of worsening shortness of breath. His heart rate is 110/min, blood pressure is 97/64 mm Hg, respiratory rate is 32/min, and saturation 90% on 5 L/min nasal cannula. When asked to sit up in bed, the patient states that he “usually breathes better” when lying supine.  Which of the following is the MOST likely pathophysiology behind the diagnosis?

Again, remember that your webcam must be pointed so that BOTH hands and your desktop AND your face can be clearly seen for the entire duration of the quiz. Note that this needs to be a front view of your face. This quiz is closed book. The use of any resources including devices, websites or notes, is a violation of academic integrity.  Failure to follow the rules of this quiz will result in a ZERO on the quiz.

What is the depth of insonation range for the M1 segment of the MCA?

A patient was mechanically vented for 7 days for community acquired pneumonia (CAP) and was extubated 2 days ago. His vitals and labs have been stable, but he failed the swallow evaluation by the speech therapist. What is the most appropriate intervention?

Which control allows you to adjust the frequency utilized by the transducer?

Again, remember that your webcam must be pointed so that BOTH hands and your desktop AND your face can be clearly seen for the entire duration of the quiz. Note that this needs to be a front view of your face. This quiz is closed book. The use of any resources including devices, websites or notes, is a violation of academic integrity.  Failure to follow the rules of this quiz will result in a ZERO on the quiz.

What is the best landmark to follow the anterior tibial veins and artery from the ankle?

An 81-year-old female with a history of HFrEF is admitted to the CCU for hemodynamic monitoring with a swan-ganz catheter. She is on a dobutamine infusion at 5 mcg/kg/min but continues to have poor cardiac output. In order to know if she would benefit from afterload reduction the SVR needs to be calculated. Calculation of the systemic vascular resistance (SVR) requires all of the following except?

A 55-year-old male is admitted to the intensive care unit following an anterior wall STEMI s/p angioplasty with DES placement to the proximal LAD. An intra-aortic balloon pump (IABP) was placed in the cath lab in order to decrease afterload. IABP decreases afterload through which of the following?

How would you classify this waveform?