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term 4 > test4.2 > Flashcards

test4.2 Flashcards

1
Q

prolonger repolarization at AV node means what on ekg

A

inc PR
the class 2 way

class 4s will slow the rise of the action potential

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2
Q

prosthetic valve organisms

A

staph epidermidis
strep vidridans

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3
Q

heart block tx

A

CCB, BB (dec AV conduction)

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4
Q

HTN 1st and 2nd line tx with MI comorbidity…stroke comorbidity

A

MI: BB then add ace/arb, 2. aldosterone agonist

stroke: ace/arb 2. thiazide, cab

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5
Q

nethripic syndrome with reduced compliment levels

A

bergers, MPGN, lupus

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6
Q

tx arythmie rate with heart failure

A

digoxin

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7
Q

teat arythmie rate when all else fails

A

amiodarone

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8
Q

which arrhythmic are most only supraventriclular and which is both both supra ventricular and ventricular

A

supraventricular= 2,4,digoxin

both=1a,1c,3

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9
Q

A fib tx

A

2,4

coagulation= warfarin, oral DTI, DXI
(rare 1c)

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10
Q

drugs that dec the metabolism of warfarin

A

Fuck Dude Throw Me 2CC

Flouconazole
Disulfram
Tri-S
Metronidazole
Cimitidine
Chlorphenicol

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11
Q

what gene metabolizes B blockers

A

2D6

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12
Q

what metabolized digoxin

A

p-glycoprotein
also metabolizes, anticancer and HIV

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13
Q

Thinning of fibrosa layer of valve, expansion of spongiosa layer

A

myxomatosis degredation

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14
Q

stary night

A

APGN

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15
Q

subendothelial deposits

A

APGN(beginning), Bergers, MPGN1

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16
Q

sub epithelial deposits

A

APGN(end, humps), membranous nephropathy

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17
Q

diffuse proliferation and damge to glomerular cell

A

APGN

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18
Q

is inc in diffuse mesangial sclerosis, type 4 col, fibronectin

A

diabetic nephropathy

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19
Q

what drugs induce HUS

A

quinidine
oral contra
ticlodipine
e

gem
cyclosporine

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20
Q

immune complexes deposited in mesangium

A

bergers

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21
Q

hypocomplimentemia

A

APGN
MPGN
lupus nephritic

22
Q

intramesangial deposits and hypercellularity

A

MPGN1

23
Q

bloody diahread

A

HUS( triad +fever+rash)

24
Q

PKD1 vs PKHD1

A

PKD1= ADPKD, chorom 16, połycystein

PKHD1=ARPKD, chrom 6, fibrocystein, hepatic fibrosis

25
Q

VHL vs MET chromosomes

A

VHL chrom 3 causes hypermethylation

MET trisomy 7

26
Q

WT1 on chorom

A

11
three cell types

27
Q

mucosal fissues and punct hemmorages and ___

A

chronic cystitis
and mast cells

28
Q

Vericigut ≠drug

A

Sildenafil, Verapamil, Diltiazam(CYP3A4 inhibition)

29
Q

Verapamil ≠drug

A

Statin, Digoxcin, Dofetilide, Vericigut

30
Q

Ivabradine ≠drugs

A

B Block, nonDPN CCB

31
Q

when not to give Ca CB

A

with B block, Heart block, HF(causes HF!)

32
Q

Drugs that exaggerate HF

A

CCB, NSAID, alcohol

33
Q

AE for irreversible ADP r inhibitors

A

TTP

34
Q

AE for GP2a3b

A

thrombocytopenia

35
Q

Quinidine inhibits

A

CYP 2D6, P-glycoprotein, CYP 3A4

36
Q

Natiuretic effect

A

ARNI, Dapaglifozin, Ca block, Dopamine, Vericigut, Fenoldopam

37
Q

Decreases morbidity and mort

A

b block, spironolactone, dapagliflozin, aspirin, ANRI, ACEI

38
Q

antagonists of P2Y12 R

A

ADP R blocker(INC cAMP >red plate agg.)

39
Q

stabel angina tx

A

aspirin, nitrate, bb/ccb
(refractory : ranolazine)

40
Q

Stroke immediate and management

A

anti platelet
manage with anticoagulant

41
Q

a fib

A

2,4 (maybe 1c if the rest of the heart is healthy)
anticoagulant: warfarin, DTI, DXI

42
Q

acute supraventricular tachycardia (AVNRT)

A

adenosine

43
Q

PCI prep and after management

A

prep: IV DTI, GP2b3a, heparin
after: aspirin, anti platelet

44
Q

MI immediate and after management

A

imm: Morphine, Oxygen, Nitrate, Aspirin

management: BB, ACE, aspirin, statin

45
Q

diastolic HF

A

ACE. ANRI, Dapagliflozin, Spironolactone

46
Q

acute ventricle arythmia

A

Amiondarone, lidocaine, mexitiline

47
Q

Prevent v fib in a fib

A

Amiodarone, 1c, 3, 4, Digoxin, 2

48
Q

A fib to sinus rhythm

A

Dofetilide, propofanone

49
Q

tdp tx

A

magnesium and bb

50
Q

onset ischemic attach before and after 4 hours

A

before: alteplase
after: apixaban

51
Q

ventricular rate control

A

BB

52
Q

ToF tx

A

proporanolol

term 4 (13 decks)

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