Cardio

Question 1

Pulmonary Edema Precipitants

Answer 1

• Ischemia
• Arrhythmia
• Infection
• Nonadherence to medications

Question 2

Treatment for DVT in uncomplicated patient

Answer 2

Xa inhibitor

Question 3

treatment for DVT in a patient with underlying malignancy

Answer 3

LMWH

Question 4

LDL goal in hyperlipidemia

Answer 4

LDL <70

Question 5

betablockers that decrease mortality in CHF

Answer 5

metoprolol,carvedilol,bisoprolol

Question 6

decreases mortalityh in CHF

Answer 6

espironolactone and eplerenone

Question 7

indication for implantable defibrillator placement

Answer 7

EF <35%

Question 8

indication for Biventricular pacemaker

Answer 8

EF<35% and QRS duration >120msec.

Question 9

surgical indication for Aortic regurgitation

Answer 9

EF<55%

Question 10

Aortic regurgitation initial treatment

Answer 10

ACE inhibitors
ARBs
Nifedioine

Question 11

ST elevation in all leads

Answer 11

Pericarditis

treat with NSAIDS if there if no improvement give prednisone.

Question 12

Low voltage and electrical alternance on EKG

Answer 12

Pericardia tamponade

confirm with echo look for pulsus paradoxus Do a pericardiocentesis

Question 13

Aortic dissection treatment

Answer 13

Beta blocker

Question 14

CHADS2

Answer 14

CHF
Hypertension
Age>75
Diabtes
Stroke

1=ASA
2>=warfa,dabigatran,rivaroxaban or apixaba

Question 15

dabigatran antidote

Answer 15

idarucizumab

Question 16

Xa inhibitor antidote

Answer 16

Andexanet

Question 17

regular rhythm with ventricular rate> 160-180

Answer 17

SVT

Question 18

SVT treatment

Answer 18

stable: Vagal maneuvers and ADENOSINE
unstable: Synchronized cardioversion

Question 19

WPW treatment

Answer 19

Procainamide

Question 20

Ventricular tachi treatment

Answer 20

Stable:Amiodarona
Unstable: Cardioversion

Question 21

A fib work up

Answer 21

Echo
TSH and T4
Electrolytes: K, Mg and Ca
Troponin or CK-MB

Question 22

Valvular lesions associated with ehlers-danlos syndrome

Answer 22

MR

Question 23

valvular lesion associated with Marfan syndrome

Answer 23

AR

MR

Question 24

Most common Cause of dead in CHF and MI

Answer 24

Ventricular arrhytmia

Question 25

INdication for CABG

Answer 25

- 3 coronary vessels with >70% stenosis - Left main coronary artery stenosis >50-70% - 2 vessels in a diabetic - 2 or 3 vessels with low ejection fraciton

Question 26

10 year risk of CAD is >7.5% ...

Answer 26

give STATIN!!!

Question 27

CHF wit systolic dysfuntion(EF<40%) treatmetn

Answer 27

-ACEIs + B blockers + spiro+ Digoxin(if needed)

Question 28

CHF with diastolic disfunction and preserver EF

Answer 28

-B blockers and diuretics

Question 29

treatment for regurgitant lesions

Answer 29

VASODILATION - ACEi,ARBs or nifedipino - Surgery if meds fail

Question 30

Treatment for Stenotic lesions

Answer 30

Anatomic repair

Question 31

Aortic stenosis treatment

Answer 31

Valve replacement | gradient > 70mmHg indicates severe disease

Question 32

Aortic regurgitation treatmetn

Answer 32

1-.ACEi,ARBs and nifedipine | 2-. Surgery if EF<55mmHg or end systolic diameter goes above 55mm

Question 33

most common cause of MS

Answer 33

Rheumatic fever

Question 34

Mitral stenosis treatment

Answer 34

Balloon valvuloplasty

Question 35

Mitral regurgitation

Answer 35

1-. VASODILATION(ACEi,ARBs and nifedipino) | 2-.OPERATE when EF<60% or LVESD>40mm

Question 36

ASD findins in ausucltation

Answer 36

-Holosistolic murmur with fixed splittin of S2

Question 37

brugada syndrome

Answer 37

RBB with ST elevation in leads V1-V3 | Clinically presents as a syncope

Question 38

Ginko biloba side effect

Answer 38

Bleeding and platelet disfunction

Question 39

Long QT interval

Answer 39

QT interval >450 in men | QT interval >470 women

Question 40

PR segment depression in lead II | ST elevation in all leads

Answer 40

Pericarditis | treat with NSAIDs

Question 41

Pulsus paradoxus

Answer 41

-DECREASE of blood pressure>10 mmHg on inhalation

Question 42

Electrical alternans

Answer 42

-Diferent height of the QRS complex

Question 43

Cardia tamponade

Answer 43

Pulsus paradoxus | Electrical alternans

Question 44

tachycardia with polymorphic P waves in association with COPD

Answer 44

MAT | -treat with O2 and diltiazem