cardio

Question 1

elderly, recurrent supraventricualr arrhythmia, and bradyarrhythmia, concomitant afib, syncope, confusion, palpitations, angina

Answer 1

sick sinus syndrome

Question 2

what is the treatment for sick sinus

Answer 2

permanent dual chamber pacing

Question 3

developing countries, beta hemolytic strep, erythema marginatum, chorea, polyarthritis

Answer 3

rheumatic heart dz

Question 4

what are the jones criteria

Answer 4

For rheumatic fever
maj: migratory polyarthritis, carditis, erythema marginatum, sydenham chorea, sub q nodules; min: fever, arthralgia, long PRI, ele ESR/CRP, ele anti strep titer

Question 5

what are 2 Beta adrenergic agonists used in acute HF activate adenylyl cyclase which produces cAMP - pos inotrope and vasodil

Answer 5

dopamine, dobutamine

Question 6

what kind of drug is amrinone and how does it treat refractory HF

Answer 6

phosphodiesterase inhibitor - inc intracell Ca - pos inotrope

Question 7

what are some ADE of epi

Answer 7

anxiety, HA, tremor, cerebral hemorrhage, arrhythmia, pulm edema

Question 8

what would you treat HF c/ afib

Answer 8

digoxin

Question 9

autoimmune inflamm multisys affects children 5-15y, 2-3 wk post strep

Answer 9

rheumatic heart dz- valvular complications

Question 10

what are the jones major chriteria

Answer 10

diagnostic chriteria for rheumatic heart dz; Maj: migratory polyarthritis, active carditis, sydenham’s chorea, sub Q nodules, erythema marginatum.

Question 11

jones minor chriteria

Answer 11

fever, arthralgia, elevated ESR, CRP, leukocytosis, prolonged PRI, recent strep

Question 12

how do you treat rheumatic heart dz

Answer 12

penicillin G, ASA

Question 13

what drug would be appropriate to tx post infarct arrhythmia

Answer 13

Beta blocker

Question 14

what antiarrhythmic is ass c/ hypothyroidism

Answer 14

amiodarone