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Flashcards in Cardio Deck (27):
1

What are the 4 K+ sparing diuretics?

-Spironolactone
-Eplerenone
-Amiloride
-Triamterene

2

Which ECG leads are most likely affected by an occlusion of the posterior descending coronary artery?

-Inferior MI
-II, III, aVF

3

Diastolic murmur heard best at the left lower sternum that increases with inspiration?

Tricuspid stenosis

4

Late diastolic murmur with an opening snap?

Mitral stenosis

5

Systolic murmur heard best in the second right interspace?

aortic stenosis

6

Systolic murmur heard best in the second left interspace?

pulmonic stenosis

7

Late systolic murmur heard best at the apex?

Mitral valve prolapse

8

Diastolic murmur with a widened pulse pressure?

Aortic regurge

9

Holosystolic murmur at the left lower sternum that is louder with inspiration?

Tricuspid regurge

10

Holosystolic murmur at the apex that radiates to the axilla?

Mitral regurge

11

Which meds can negatively affect lipid measurements?

Oral estrogens
thiazides
b-blockers
atypical antipsychotics
protease inhibitors

12

Tx for elevated homocysteine?

Vit B6
Vit B12
Folate

13

What cardiac auscultation findings are benign when there is no evidence of disease?

Split S1
Split S2 on inspiration
S3 in pt under 40
Early quiet systolic murmur

14

What is the Fick Principle Eqn?

CO=(rate of O2 consumption)/(arterial O2 content-venous O2 content)

15

What disease causes signs of heart failure + DM + elevated LFTs?

Hemachromatosis

16

Tx for acute decompensated CHF presenting with pulm edema?

NO LIP
Nitrates, O2, Loops, Inotropes, Poisitoning (legs down)

17

What drugs are proven to reduce mortality in CHF?

ACE-Is, B-blockers, Aldo antags

18

Side Effect association w/ alpha blockers?

First dose orthostatic hypotension

19

Side Effect association w/ minoxidil?

Hypertrichosis

20

Side Effect association w/ clonidine?

Dry mouth, sedation, severe rebound htn.

21

Side Effect association w/ non-selective B-blockers?

Bradycardia and asthma exacerbation

22

Side Effect association w/ arterial vasodilators?

Reflex tachycardia

23

Side Effect association w/ ACE-I?

Cough, Angioedema

24

Side Effect association w/ diuretics?

avoid in pt's with sulfa allergy

25

Side Effect association w/ hydralazine?

development of drug-induced lupus

26

Tx of endocarditis?

long term IV abx (vanco) 4-6wks

27

What medication should a patient with aortic regurgitation be started on? Why?

-ACE inhibitor
-decrease after load