50 cardsDHA Dubai

DHA Dubai Medical Licensing Essentials

25 flashcards reviewing essential clinical criteria, emergency protocols, and pharmacotherapy standards.

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ECG Leads for Inferior Wall Myocardial Infarction
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1
ECG Leads for Inferior Wall Myocardial Infarction
Leads II, III, and aVF (typically supplied by the Right Coronary Artery - RCA).
2
STEMI Door-to-Balloon Goal
Within 90 minutes from hospital arrival to primary percutaneous coronary intervention.
3
ECG Leads for Anterior / Septal Wall MI
Leads V1 - V4 (supplied by the Left Anterior Descending - LAD artery).
4
Septic Shock First-Line Vasopressor
Norepinephrine infusion via central line, targeting mean arterial pressure at least 65 mmHg.
5
ECG Leads for Lateral Wall MI
Leads I, aVL, V5, V6 (supplied by the Left Circumflex - LCx artery).
6
Anaphylaxis First-Line Agent
Intramuscular epinephrine (1:1,000) administered into the anterolateral mid-thigh.
7
Gold Standard Biomarker for Acute MI
Cardiac Troponin I or T (rises within 3-4 hours, peaks at 24h, remains elevated 7-14 days).
8
CURB-65 Criteria
Confusion, Urea > 7 mmol/L, Respiratory rate >= 30, Blood pressure < 90/60, Age >= 65.
9
ECG Hallmark of Hyperkalemia
Tall, symmetrical peaked T waves, prolonged PR interval, widening QRS, progressing to sine wave.
10
CHA2DS2-VASc Score
Clinical risk tool calculating thromboembolic stroke risk in non-valvular atrial fibrillation.
11
Treatment Steps for Severe Hyperkalemia
1. IV Calcium gluconate (cardioprotection)
2. IV Regular insulin + 50% Dextrose (intracellular shift)
3. Salbutamol nebulization
4. Hemodialysis/resin.
12
Metformin eGFR Contraindication
Contraindicated when eGFR falls below 30 mL/min/1.73 m² due to lactic acidosis risk.
13
First-Line Oral Agent for Type 2 Diabetes
Metformin (Biguanide): decreases hepatic gluconeogenesis; contraindicated in severe eGFR .
14
Potassium Chloride IV Warning
Prohibited as direct IV push; must be diluted in solution and infused at a controlled rate.
15
Diagnostic Criteria for Diabetes Mellitus
Fasting Plasma Glucose (7.0 mmol/L) OR OR 2h OGTT .
16
Status Epilepticus First-Line
Intravenous lorazepam or intramuscular midazolam administered promptly upon presentation.
17
Emergency Thrombolysis Window in Ischemic Stroke
IV Alteplase (r-tPA) administered within 4.5 hours of symptom onset (after excluding hemorrhage via non-contrast CT).
18
Tension Pneumothorax Management
Immediate needle thoracostomy decompression, followed promptly by tube thoracostomy.
19
Most Common Organism in Community-Acquired Pneumonia
*Streptococcus pneumoniae* (Pneumococcus).
20
Amiodarone Monitoring Parameters
Baseline and serial thyroid function, liver function, and pulmonary function testing.
21
Hospital-Acquired Pneumonia (HAP) Common Organisms
*Pseudomonas aeruginosa and Methicillin-Resistant Staphylococcus aureus* (MRSA).
22
Glasgow Coma Scale Range
Scored from 3 (deep unresponsive coma) to 15 (fully alert and oriented patient).
23
Primary Spontaneous Pneumothorax Presentation
Sudden pleuritic chest pain and dyspnea in tall, slender young males; decreased breath sounds and hyperresonance.
24
Hypoglycemia Rule of 15
Administer 15 grams fast-acting carbohydrates and re-evaluate capillary glucose in 15 minutes.
25
Tension Pneumothorax Emergency Treatment
Immediate needle decompression (2nd intercostal space midclavicular line or 4th/5th anterior axillary line), followed by chest tube.
26
Digoxin Toxicity Classical ECG Sign
Sagging ST-segment depression resembling a scoop, with PR interval prolongation.
27
Diagnostic Triad of Meningitis
Fever, altered mental status, and nuchal rigidity (neck stiffness).
28
Warfarin Reversal Agents
Vitamin K (phytomenadione) and four-factor prothrombin complex concentrate.
29
CSF Findings in Bacterial Meningitis
Marked neutrophil pleocytosis, low glucose ( serum), high protein (), elevated opening pressure.
30
Heparin Reversal Agent
Protamine sulfate, neutralizing unfractionated heparin at 1 mg per 100 units.
31
WHO Surgical Safety Checklist Phases
1. Sign In (before anesthesia)
2. Time Out (before skin incision)
3. Sign Out (before patient leaves operating room).
32
Cardiac Troponin Specificity
Highly sensitive and specific serum biomarker detecting myocardial cellular necrosis.
33
Definition of Sentinel Event
An unexpected occurrence involving death or serious physical/psychological injury requiring immediate investigation.
34
Acute Pancreatitis Diagnosis Criteria
Requires 2 of 3: epigastric pain, serum lipase or amylase > 3x upper limit, or imaging findings.
35
Colorectal Cancer Screening Recommendation
Colonoscopy every 10 years starting at age 45-50 for average-risk asymptomatic adults.
36
Diabetic Ketoacidosis Triad
Hyperglycemia, high anion gap metabolic acidosis, and confirmed serum or urine ketones.
37
Sensitivity of a Screening Test
Ability to correctly identify those with the disease: (low false negatives).
38
Cushing Triad of Elevated ICP
Progressive hypertension with widening pulse pressure, bradycardia, and irregular respirations.
39
Specificity of a Diagnostic Test
Ability to correctly identify those without the disease: (low false positives).
40
Adult CPR Compression Rate
100 to 120 chest compressions per minute at a depth of 5 to 6 cm (2 to 2.4 inches).
41
Vaccine Cold-Chain Temperature Standard
Strict storage between ** and **.
42
Beck Triad of Cardiac Tamponade
Hypotension, distended jugular veins, and muffled or distant heart sounds.
43
Anaphylaxis Epinephrine Dose in Adults
0.3 to 0.5 mg of 1:1000 IM into the vastus lateralis.
44
Opioid Overdose Antidote
Naloxone, administered via intravenous, intramuscular, subcutaneous, or intranasal routes.
45
Brudzinski and Kernig Signs
Brudzinski: neck flexion causes involuntary hip/knee flexion; Kernig: resistance to passive knee extension at hip flexion.
46
Hyperkalemia Myocardial Protection
Intravenous Calcium gluconate 10% administered immediately to stabilize cardiac membranes.
47
DHA Medical Record Retention Rule
Adult patient clinical records must be preserved for at least 5 to 7 years from the last date of treatment.
48
Crossmatch Procedure Purpose
Testing recipient serum against donor red cells to exclude unexpected incompatibilities.
49
Universal Precautions Bloodborne Pathogens
Hepatitis B, Hepatitis C, and Human Immunodeficiency Virus (HIV).
50
Universal Red Blood Cell Donor
Type O Rh-negative uncrossmatched packed red blood cells for emergency transfusion.

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