PANCE Cardiology Flashcards

1
Q

what leads are anterior wall

A

V1- V4

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

what leads are lateral

A

V5-V6 I, AVL

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

what leads are inferior

A

II,III, AVF

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Sinus tach rate

A

> 100

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

sinus tach tx

A
  • none
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

sinus brady rate

A

< 60

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

sinus brady tx

A

atropine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

sick sinus syndrome tx

A

pacemaker

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

tx 1st degree block

A

none

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

tx 2nd degree block

A

atropine + PM

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Tx 3rd degree block

A

PM

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

tx for stable atrial flutter (2)

A

BB

CCB

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

tx for unstable atrial flutter (2)

A

cardiovert

-ablation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

irregularly irrregular

A

a fib

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

what is the tx for a fib 3

A

BB
CCB
anti coag if CHADSVAS > 1

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

does a fib have P waves

A

no

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

unstable A fib what do you do

A

cardiovert

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

what if they have a chads vas of 0 or 1

A

Aspirin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

what medications cause long QT (2)

A

macrolides

TCA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

what is the 2 tx for SVT (narrow)

A
  • Vagal

- adenosine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

what is the 2 tx for SVT (wide )

A
  • amniodrone

- cardiovertion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

what is the Tx for WPW

A

procanimide

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

what is the tx for PVC

A

none

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

what is the tx for stable V tach

A

amniodroine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

what is the tx for pulseness V tach

A

dfib

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

what is the MC cause of torsades

A

hypomagnesia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

what does ST depression mean

A

ischemia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

what does ST elevation mean

A

MI

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

diffuse ST elevation

A

acute pericarditis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

what is it called when coronary demand > supply

A

CAD

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

what are the top 3 causes of CAD

A
  • DM
  • smoking
  • hyperlipidemia
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

what are the top 3 causes of CAD

A
  • DM
  • smoking
  • hyperlipidemia
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

what leads are anterior wall

A

V1- V4

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

what leads are lateral

A

V5-V6 I, AVL

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

what leads are inferior

A

II,III, AVF

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

Sinus tach rate

A

> 100

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
37
Q

sinus tach tx

A
  • none
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
38
Q

sinus brady rate

A

< 60

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
39
Q

sinus brady tx

A

atropine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
40
Q

sick sinus syndrome tx

A

pacemaker

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
41
Q

tx 1st degree block

A

none

42
Q

tx 2nd degree block

A

atropine + PM

43
Q

Tx 3rd degree block

A

PM

44
Q

tx for stable atrial flutter (2)

A

BB

CCB

45
Q

tx for unstable atrial flutter (2)

A

cardiovert

-ablation

46
Q

irregularly irrregular

A

a fib

47
Q

what is the tx for a fib 3

A

BB
CCB
anti coag if CHADSVAS > 2

48
Q

does a fib have P waves

A

no

49
Q

unstable A fib what do you do

A

cardiovert

50
Q

what if they have a chads vas of 0 or 1

A

Aspirin

51
Q

what medications cause long QT (2)

A

macrolides

TCA

52
Q

what is the 2 tx for SVT (narrow)

A
  • Vagal

- adenosine

53
Q

what is the 2 tx for SVT (wide )

A
  • amniodrone

- cardiovertion

54
Q

what is the Tx for WPW

A

procanimide

55
Q

what is the tx for PVC

A

none

56
Q

what is the tx for stable V tach

A

amniodroine

57
Q

what is the tx for pulseness V tach

A

dfib

58
Q

what is the MC cause of torsades

A

hypomagnesia

59
Q

what does ST depression mean

A

ischemia

60
Q

what does ST elevation mean

A

MI

61
Q

diffuse ST elevation

A

acute pericarditis

62
Q

what is it called when coronary demand > supply

A

CAD

63
Q

what is the MC cause of CAD

A

atherosclerosis

64
Q

what are the top 3 causes of CAD

A
  • DM
  • smoking
  • hyperlipidemia
65
Q

what are the three angina equilivants

A

epigastic
shoulder
dyspnea

66
Q

what is the MC agent used in a pharm stress test

A

adenosine

67
Q

what is the MC agent for a stress echo

A

debutimine

68
Q

what is under the ACS umbrella

A
  • unstable angina
  • NSTEMI
  • STEMI
69
Q

what is the MC cause of MI

A

atherosclerosis

70
Q

Troponin

  • appears
  • peaks
  • lasts
A
  • appears: 4-6 hrs
  • peaks: 12-24 hrs
  • lasts: 7-10 days
71
Q

management of UA, NSTEMI (4)

A
  1. BB
  2. aspirin
  3. heprin
  4. Nitro
72
Q

management of STEMI (5)

A
  1. BB
  2. aspirin
  3. heprin
  4. Nitro
  5. ace
  6. PCI
73
Q

PCI done how fast after STEMI

A

90 min

74
Q

post MI pericarditis

A

Dresslers syndrome

75
Q

how do you treat cocaine induced MI

A
  • benzos

- avoid beta blockers

76
Q

coronary artery vasospasm tx

A

CCB

77
Q

what heart sound is systolic HF

A

S3

78
Q

what type of HF is a dilated LV

A

systolic HF

79
Q

what is the MC of transudative plural effuion

A

CHF

80
Q

what is the MC symptom of L sided CHF

A

dyspnea

81
Q

what pathology is associated with kerly B lines

A

CHF

82
Q

what are the 2 MC causes of acute pericarditis

A
  1. idiopathic

2. coxackie

83
Q

do people with pericarditis have fever

A

yes (most often)

84
Q

what is the tx for acute pericarditis

A

NSAID + cholchicine

85
Q

what pathology kusmals sign associated with

A

constrictive pericarditis, restrictive pericarditis

- inc JVD with inspiration

86
Q

what is the MC viral cause of myocarditis

A

coxsackie

87
Q

what are the 2 MC autoimmune causes of myocarditis

A
  • SLE

- rheumatic fever

88
Q

what is the gold standard dx for myocarditis

A

biopsy

89
Q

what two positions increase the sound of hypertrophy cardiomyopathy

A

squatting

supine

90
Q

what is the jones criteria associated with

A

rheumatic fever

91
Q

what is the jones criteria

A
Joint
Oh my heart
Nodules 
Erythema marfinatm 
Sydenhams chorhea
92
Q

rheumatic fever Tx

A
  • asprin + Pen G
93
Q

what is the goal BP for JNC 8

A

140/90

- 150 / 90 if > 60 years old

94
Q

look up diaretics on page 52

A

truth

95
Q

HTN emergency what 2 meds

A
  • nicardipine

- labetalol

96
Q

what medication is best for HDL

A

niacin

97
Q

ABE cause

A

S aureus

98
Q

ADE IVDU cause

A

MRSA

99
Q

ABE valve

A

Mitral

100
Q

Jane way lesions
Oslar nodes
what pathology

A

infective endocarditis

101
Q

what is the tx for PV infective endocarditis

A

vanco
Gent
rifan

102
Q

what is the tx for NV infective endocarditis

A

Nafcillin + Gent