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KMLE > 순환기내과 > Flashcards

순환기내과 Flashcards

(59 cards)

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1
Q

long QT cause

A

hypo K
hypo Ca
hypo themia

부정맥제 1a, 3
disopyramide
quinidine
procainamide

amiodarone
bretylium
dronedarone
ibutilide
sotalol
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2
Q

short QT

A

hyper Ca

digitalis

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3
Q

peak T

A

hyperK

> 6.0/ EKG 이상 있을시 calcium gluconate

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4
Q

s1 증가

A

mitral stenosis 초기

후기엔 감소

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5
Q

s1 감소

A

mitral regurgitation

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6
Q

A2P2 fixed splitting

A

ASD

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7
Q

paradoxical splitting p2, a2

A

LBBB. AS, LVF

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8
Q

S4

A

고혈압
MI
AS
HCMP

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9
Q

흉골 우연 두번째 갈비사이공간

A

대동맥판

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10
Q

흉골 좌연 두번째 갈비사이공간

A

폐동맥판

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11
Q

4-5번째 갈비사이공간 흉골 좌연

A

삼첨판

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12
Q

심첨부

A

승모판

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13
Q

3번째 갈비사이공간 흉골좌연

A

Erb’s area, AR

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14
Q

continuous mm

A

PDA

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15
Q

mid systolic

A

AS, PS

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16
Q

holo systolic

A

MR, TR, VSD

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17
Q

(preload 감소)

standing, valsalva

A

HCMP ,MVP m 증가

대부분 감소

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18
Q

미주신경성 실신 약

A

beta bl,
fludrocortisone (mineralo corticoid)
vasoconstricting agent
SSRI (fluoxetine)

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19
Q

기립성 저혈압 원인

A

약물 복용력 확인이 중요!

고혈압약, 삼환항우울제, 당뇨병성 신경병증

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20
Q

long QT 원인

A

hypo K
hypo Ca
hypo themia

IA (Disopyramide, Quinidine, Procainamide)

III (amiodarone bretylium dronedarone ibutilide sotalol)

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21
Q

RA PA RV PCW 심도자

A

3 25/9 25/9 10

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22
Q

sinus arrest 실신, 현기증, 운동시 호흡곤란 동반 치료

A

pacemaker

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23
Q

SA block 실신 현기증 운동시 호흡곤란

A

pacemaker

무증상 추적관찰!

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24
Q

비대상성 휴지기 보임

Study These Flashcards
A

APB

증상있으면 베타블로커

25
대상성휴지기 p파 안보임 wide QRS
VPB 무증상은 치료불필요 증상있으면 베타블로커 구조적 심질환 있는경우 ICD
26
1A
quinidine procainamide - psvt/wpw + afib disopyramide long QT!
27
IB
lidocaine, phenytoin, mexiletine QT 연장시키지 않아 똘사에 유용함
28
IC
propafenone flecainide PSVT 예방!
29
II 항부정맥제
propranolol nadolol atenolol esmolol congenital long QT 에서 예방목적의 유지요법으로사ㅏ용
30
III K ch blocker
``` sotalol amiodarone bretylium ibutilide (WPW+Afib) dofetilide ``` VTach 예방약, 롱큐티금기.
31
IV Ca ch blocker CCB
verapamil diltiazem
32
adenosine
PSVT TOC! | AV bl 유발하므로 (주의. heartbl, sick sinus )
33
PSVT Tx
vagal maneuver adenosine BB CCB DC - v/s unstable Px: BB, CCB, Digitalis, IA/IC drug RFCA
34
WPW SD Tx
무증상은 치료안함 빈맥성 부정맥 발생시, FBB CCB QUINIDINE FLECANIDE
35
WPW + Afib Tx
v/s unstable : DC stable: procainamide, ibutritilide 안정기 이후 재발방지: RFCA 금기: ABCD (adenosine, bb, ccb, digitalis)
36
polymorphic VTach
defibrilation +/- amiodarone or lidocaine
37
monomorphic VT
DC
38
VT 예방
ICD III약 catheter ablation
39
TdP Tx
유발인자제거 Mg sulphate lidocaine isoproterenol (congenital - BB)
40
V fib
즉시 defibrilation vasopressor(epi, vasopressin) amiodarone, ICD etc/
41
HF Tx
``` Hydralazine, isosoorbide dinitrate beta bl ACEi ARB Diuretics - low dose spironolactone (aldo antago) ```
42
pul edema warm and wet!
M A I L D O Ni O2, PEEP preload dec - diuretics(loop-furosemide) , nitrate, acei, nesiritide, 걸터앉기 inotropics - dop, dobu, amiodarone, IABP(MR/VSD) 빈맥치료, CD, pacemaker
43
급성 신부전에서 betabl, ccb 는
금기!
44
opening snap 류마티스열 심방세동 LA enlargemnt
Mitral stenosis
45
ms
symp/pul HTN/new Afib mitral valvotomy(MVA
46
s2 wide splitting holosystolic mm apex exertional dyspnea
Mitral regurgitation 심부전치료, 적응증시 판막치환술 증상있고 EF>30%/LVESD40mm
47
systolic click after S1, late systolic cresendo-decresendo mm
무증상시 치료안함, 증상 있는 경우 bb, MV replacement
48
valsalva 에서 심잡음 커지는
HCMP MVP
49
HCMP nono
digitalis b-ago, diuretics nitrates DHP-CCB, vasodillator
50
HCMP Tx Med
B-bl non DHP CCB (verapamil, diltiazem) disopyramide
51
acute pericarditis
nsaids, 대증치료 uremic - 투석!
52
혈압떨어짐, 경정맥압올라감, 심음작게들림
탐폰. IV saline 주입 후 심장막천자
53
constrictive pericarditis
결핵 조기수술이 중요
54
감염 심내막염 중요 진단법
혈액배양과 심초음파!
55
2, 3, aVF
우심실경색 HR
56
STEMI TX
MONA"B + thrombolytic post CABG - ABA'+NTG
57
UA | NSTEMI
ABN+heparin 반드시입원
58
stable angina
ABN / ABA' + Statin
59
variant angina
Ergonovine 유발검사 | C+N

KMLE (4 decks)

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