onlinemeded-cards

Question 1

typical chest pain

Answer 1

-substernal
-worse w/
-exertion
relieved w/ nitroa

Question 2

II, III, AVF STEMI

Answer 2

R-sided - no nitrates b/c preload dependent

Question 3

necessary drugs for MI

Answer 3

BB
ASA
ACE-I
Statin

Question 4

CHF w/u

Answer 4

BNP
Echo
LH cath (ischemic vs not)

Question 5

HF treatment (class I)

Answer 5

BB + ACEi/ARB

Question 6

HF treatment (class II)

Answer 6

BB, ACEi/ARB, loop diuretics

Question 7

HF treatment (class III)

Answer 7

BB, ACEi/ARB, loop diuretics, spiro

Question 8

diastolic murmur w/ opening snap

Answer 8

mitral stenosis - tx w/ balloon

Question 9

diastolic murmur @ R sternal border

Answer 9

aortic insufficiency - tx w/ replacement

Question 10

crescendo decrescendo systolic murmur

Answer 10

aortic stenosis - tx w/ replacement

Question 11

holosystolic murmur @ apex

Answer 11

mitral insufficiency

Question 12

murmurs more blood in heart = worse murmur

Answer 12

MS, AS, MR, AR

Question 13

murmurs more blood in heart = less murmur

Answer 13

HCM, MVprolapse

• HCM: more blood = pushes septum out + reveals aortic outlet
• prolapse: more blood -> stretches out opening -> valves come together better

Question 14

R sided systolic murmur, quieter w/ squatting

Answer 14

HCM - tx w/ avoiding dehydration + BBlockade

Question 15

systolic murmur, quieter w/ squatting

Answer 15

mitral valve prolapse

Question 16

valsalva __ preload

Answer 16

decreases

Question 17

etiologies of dilated cardiomyopathy

Answer 17

virus, EtOH, ischemia

Question 18

etiologies of concentric hypertrophy

Answer 18

HTN - tx w/ BB, CCB

Question 19

etiologies of restrictive cardiomyopathy

Answer 19

amyloid, sarcoid, hemachromatosis

Question 20

pericarditis tx

Answer 20

NSAIDs + colchicine

• avoid NSAIDs in CKD, PUD
• colchicine = dose limited

Question 21

pericarditis EKG

Answer 21

depressed PR, diffuse ST elev

Question 22

HTN tx w/ CHF

Answer 22

BB, ACEi

Question 23

HTN tx w/ stroke

Answer 23

ACEi, HCTZ

Question 24

dihydro CCBs side effects

Answer 24

peripheral edema

Question 25

thiazide side effects

Answer 25

dec serum K, dec urine Ca

Question 26

BB side effects

Answer 26

dec HR

Question 27

spiro side effects

Answer 27

hyperK, gynecomastia

Question 28

arterial dilator

Answer 28

hydral

Question 29

narrow QRS tachy

Answer 29

SVT, Afib/flutter

Question 30

wide QRS tachy

Answer 30

torsades, vtach

Question 31

SVT treatment

Answer 31

stable: adenosine
unstable: shock

Question 32

Afib tx

Answer 32

stable: rate = rhythym
unstable: shock

Question 33

torsades tx

Answer 33

stable: mg
unstable: shock

Question 34

vtach tx

Answer 34

stable: amio
unstable: shock

Question 35

regular rhythm, no p waves, rate >150

Answer 35

SVT

Question 36

afib tx: stable

Answer 36

CCB = BB

verapamil, dilt

Question 37

new afib tx

Answer 37

cardiovert

Question 38

old afib tx

Answer 38

• TTE: valve vs not

- A/C 3 wks -> TEE -> cardiovert -> A/C

Question 39

chads2vasc

Answer 39

• CHF
• HTN
• age
• DM
• Stroke
• vasc dz

Question 40

chads2vasc scores

Answer 40

2+ = anticoagulate

Question 41

valvular afib A/C

Answer 41

warfarin - must bridge w/ LMWH

Question 42

unstable bradycardia tx

Answer 42

pace

Question 43

brady: narrow QRS

Answer 43

sinus, 1, 2deg blocks

Question 44

atropine can be used for what brady rhythms?

Answer 44

sinus, 1st deg block, 2nd deg

Question 45

stable arrhythmia tx

Answer 45

fast + wide: amio
fast + narrow: adenosine
slow: atropine

Question 46

unstable vtach/vfib meds

Answer 46

epi - amio

CAN shock

Question 47

statin indications

Answer 47

1. vasc dz
2. LDL >190
3. LDL 70-189, age 40-75, DM
4. LDL 70-189, age 40-75, ASCVD >7.5%