1-uWorld

Question 1

afib antiarrhythmic good for heart failure

Answer 1

Amiodarone
Dofetilide

Question 2

afib antiarrhythmic good for patient with NO CAD or structural heart disease

Answer 2

Flecanide
propafenone

Question 3

afib antiarrhythmic good for CAD wo HF

Answer 3

Sotalol
Dronedarone

Question 4

afib antiarrhythmic good for LVHypertrophy

Answer 4

Amiodarone
Dronedarone

Question 5

flecanide can cause ___ if given in structural heart disease

Answer 5

Vtach

Question 6

brugada mutation name?

Answer 6

sodium channel gene SCN5

Question 7

when is this ____ device indicated in brugada?

Answer 7

ICD
sypmtoms like syncope

Question 8

peri-infarct pericarditis is described as ____ occurs in patients with _____ condition and tx is ___

Answer 8

occurs few days after NSTEMI/STEMI, chest pain rads to shoulder, pleuritic chest pain—-it is self limiting

occurs in patients where reperfusion was unsuccessful (in PCI couldnt get through stenosis)

Tx: HIGH dose ASA-650mg-1000mgTID, can add colchicine for symptom relief (DONT discontinue DAPT with plavix!!)

Question 9

LV wall thickness >15 means Hypertorph cardiomyo OR Athlete’s heart?

Answer 9

HCM!

Question 10

in athlete’s heart, LV hypertrophy is _____ type(focal or diffuse) and ___ size

Answer 10

symmetric
<12mm

Question 11

increased QRS voltage is seen in athlete’s heart or hypertroph cardiomyopathy?

Answer 11

BOTH

Question 12

inverted t waves and prominent QRS is seen in athelete’s heart or hypertrop cardiomyo?

Answer 12

HCM!

Question 13

what is second line therapy for rhythm control in afib

and failure with WHAT would indicate this?

Answer 13

catheter ablation

when failure with Class I or Class III antiarrhythmic

Question 14

3 meds used for stable angina

Answer 14

nitrate
bb
ccb

Question 15

___ angina occurs in coronary artery vasospasm

Answer 15

variant angina

Question 16

__ angina occurs when angina meds abruptly stopped

Answer 16

rebound angina

Question 17

what happens when patient’s angina is now not responding to nitrates?

Answer 17

stop or holliday for little bit then restart again

Question 18

SVC syndrome can also be caused by ____ in addition to pancoast tumor

here is the pathophys ____

Answer 18

AICD plcmt, lead replacement

tranvenous placement can induce thrombosis, occlusion around leads

Question 19

gold standard to dx svc syndrome

Answer 19

venogram

Question 20

what puts hypertrophic cardiomyopathy at risk of sudden cardiac death?

Answer 20

prior cardiac arrest

fam hx of sudden cardiac death

hypotensive when exercise

NSvtach on holter/heart monitor

syncope

very extreme hypertrophy of septal wall (like >3cm)