Cardio

Question 1

CHF

Answer 1

Orthopnea
Paroxysmal nocturnal dyspnea
Jugular distention
S3

Question 2

HOCM

Answer 2

Athlete sudden death

Question 3

Atrial Septal Defect

Answer 3

Fixed wide splitting of S2

Question 4

Coarctation of Aorta

Answer 4

3 sign
XR
Rib notching

Question 5

PDA

Answer 5

Machine-like murmur

Question 6

Tetralogy of Fallot

Answer 6

Cyanosis c crying/feeding

Question 7

VSD

Answer 7

Holosystolic murmur

Question 8

Cardiogenic shock

Answer 8

Hypotn
Cool/clammy
MI

Question 9

AFib vs AFlutter

Answer 9

Fib - IRREGULARLY IRREGULAR; Flutter - sawtooth

Question 10

AV Block

Answer 10

Long PR

Question 11

Mobitz I

Answer 11

PR long, longer, drop QRS

Question 12

Mobitz II

Answer 12

Dropped QRS s lengthened PR

Question 13

3rd Degree AV

Answer 13

Total P/QRS chaos

Question 14

PSVT

Answer 14

Narrow-complex, REGULAR tachy

Question 15

Stable Angina

Answer 15

Relieved c rest

Question 16

Prinzmetal Angina

Answer 16

Diffuse STE c coronary artery spasm

Question 17

ACS

Answer 17

U/A
STEMI or NSTEMI
Tx nitrates, morphine, loading dose of P2Y12i

Question 18

Cocaine-Induced MI

Answer 18

NO Bb!!!!

Tx BZDs

Question 19

AAA

Answer 19

Risk - Tobacco

U/S > 65yo

Question 20

Aortic Dissection

Answer 20

Risk - Marfan, EDS
Tearing chest pain
Wide mediastinum

Question 21

GCA

Answer 21

At risk: >50yo
Elevated ESR
Jaw claudication
Visual disturbance

Question 22

PAD

Answer 22

Leg pain relieved c rest

Tx cilostazol

Question 23

Superficial Thrombophlebitis

Answer 23

Palpable; cord

Question 24

DVT

Answer 24

Virchow’s Triad

Unilat leg swelling, pain, erythema; Homan’s sign (calf pain c dorsiflex)

Question 25

Murmurs

Answer 25

Squatting, leg raise, and handgrip inc sound of all except MVP and HOCM

Question 26

Aortic Stenosis

Answer 26

Systolic 2nd R intercostal space | Radiates to neck

Question 27

Mitral Regurgitation

Answer 27

Holosystolic murmur

Question 28

MVP

Answer 28

At risk: women Anxiety Mid-systolic click

Question 29

Aortic Regurgitation

Answer 29

Wide pulse pressure | "Water hammer" pulse

Question 30

Endocarditis

Answer 30

``` New murmur Jane Way lesions Osler nodes Roth spots Fever Risk - inj Rx/drug use Common - S. viridians ```

Question 31

Pericarditis

Answer 31

Pleuritic chest pain that worsens c laying down, improves c sitting ECG - STE + PR depression