Great Job everybody that participated - Dr. Dey, Dr. Trace, Dr. Bonney and Dr. Vosburg each scoring high marks!
1. Right atrium, right ventricle, coronary sinus. 3 pts
2. Swan Ganz Catheter - it is in a branch of the right pulmonary artery. It should be retracted. 2 pts
3. NG tube in a right lower lobe bronchus. 1 - reposition it. but they should be prepared for pneumothorax and possible need for chest tube placement and get a chest x-ray. 4 pts
4. Notice the right atrial lead is displaced from its position in the second image. So it needs to be resecured. 1 pt
5. Mediport - should have tip in the distal SVC. This is in an internal mammary vein. 2 points
6. Left subclavian line with tip near the coronary sinus in a retained left SVC. 2 points
7. Right mainstem intubation. 1 pt
8. Right sided PICC line with tip going into the neck. It should be in the SVC. 2 pts
9. C - 1 pt. They are MR unsafe
10. LVAD (several answers acceptable); pericardial - 2 pt
11. Heart transplant (but could be resolution of prior problem). Used as a bridge. 2 pt
12. LA appendage clip (LAA closure device). Used for a. fib so doesn't need anticoagulation. yes; 3 pt
13. c - 1 pt
14. D - 1 pt
15. False - latent has positive lab findings with negative imaging and clinical findings - 1 pt
16. D - a and b - 1 pt
Bonus - George Ezra
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