onlinemeded-cards, pulm

Question 1

does angina have biomarker changes?

Answer 1

no, only STEMI/NSTEMI

Question 2

MI treatment

Answer 2

MONA BASH

Question 3

what medicine should you give patients with HOCM or MVP?

Answer 3

beta blocker

Question 4

main causes of syncope

Answer 4

vasovagal
orthostatic
cardiac: valve, arrhythmia
neurogenic: posterior circulation

Question 5

pericarditis on EKG

Answer 5

diffuse ST elevations

depressed PR segment

Question 6

Dx and Tx of constrictive pericarditis

Answer 6

Dx: echo

Tx: pericardiectomy

Question 7

indications for statin

Answer 7

vascular dz

LDL>190

LDL 70-189 + age 40-75 + DM

LDL 70-189 + age 40-75 + calc risk score of mortality (age, HTN, smoke, obesity, fam)

Question 8

high intensity statin types

Answer 8

atorvastatin 40,80
rosuvastatin 20, 40

chose this one

Question 9

when to choose moderate intensity statin

Answer 9

> 75 yo
statin intolerance
liver, renal dz

Question 10

BP measurement of urgent hypertension

Answer 10

> 220/120

Question 11

Fast EKG: Narrow QRS vs wide QRS conditions

Answer 11

narrow: SVT, afib
wide: torsades, vtach

Question 12

treatment for SVT

Answer 12

adenosine, shock

Question 13

treatment for torsades

Answer 13

Mg, shock

Question 14

treatment for v tach

Answer 14

amiodarone, shock

Question 15

slow EKG: narrow QRS vs wide QRS types

Answer 15

narrow: sinus brady, AV node block 1-2 II
wide: 3rd degree AV node block, interventricular arrhythmia

Question 16

AV node block- when atropine and when pace?

Answer 16

atropine up to 2nd AV node block II

if unstable –> pace

Question 17

paraneoplastic syn for small cell lung ca

Answer 17

ACTH

SIADH

Question 18

paraneoplstic syn for squamous lung ca

Answer 18

PTH-related protein

Question 19

treatment for chronic COPD

Answer 19

C-corticosteroids- ICS, po
O-oxygen to goal of SpO2 88-92
P-preventiative-vaccines, smoking
Dilators- short-acting, long-acting

Question 20

COPD exacerbation dx

Answer 20

CXR, ABG, EKG

Question 21

COPD treatment

Answer 21

abx: doxy, azithro

bronchodilators- albuterol, ipatropium q30

O2 supp

steroids- po if home or floor, IV if ICU

Question 22

dx for ILD

Answer 22

high res CT- ground glass opacities

PFT- restrictive

best- biospy

Question 23

treatment for ILD

Answer 23

steroids, DMARDs, biologics

Question 24

barbell bodies, think

Answer 24

asbestos on biopsy

Question 25

causes of ILD

Answer 25

idiopathic
Rheum (SLE, RA)
Sarcoid
Drugs (bleomycin, amiodarone, RT)
Exposures (asbestos, hypersens. pneumonitis, pneumoconicosis)

Question 26

three pneumoconicoses and their associations

Answer 26

silicosis- rock quarry, sand blasting

berylliosis - aeronautics, electronics

coal- Caplan syndrome

Question 27

hypersensitive pneumonitis

Answer 27

birds, antigen-mediated

24-28 post exposure, gone when removed