Cardio-EKGs and Clinical Medicine Flashcards Preview

Robbins Pathology-Cardio (Chapters 11 and 12) > Cardio-EKGs and Clinical Medicine > Flashcards

Flashcards in Cardio-EKGs and Clinical Medicine Deck (108)
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1

What is the condition present with a patient bobbing back and forth with the pulse

Aka De musset sign
-Aortic regurgitation

2

How and where is mitral stenosis best heard

Diastolic murmur in the apex region (lateral recumbent) with the bell

3

Multifocal atrial tachycardia is assocaited with which conditions

Lung diseases

4

What is the treatment for mitral stenosis

-Anticoagulant if in afib (risk of emboli)
-MV replacement
-Mitral commissotomy (percutaneous ballon valvuloplasty)

5

Anterior wall infractions tend to have which portion of the ANS response

Sympathetic (higher HR and BP)

6

What is ortner syndrome and which condition is it seen with

Hoarseness due to compression of the left recurrent laryngeal nerve due to the increased left atrial size seen with mitral stenosis

7

Inferior wall MI are associated with which ANS response

Parasympathetic (lower BP/HR)

8

What is usually given to patients with hypovolemic shock

Must be given fluids to replenish the lost ones
Crystalloids (sodium, NS) in renal, Gi sweat, burns)
Packed RBC for hemorrhage

9

ST elevation is indicative of what

Injury to the tissue

10

What is the relation of an S3 gallop with heart failure

11x more likely for Heart failure

11

What is the most common cause of hypovolemic shock

Hemorrhage

12

What is the NYHA classification for a patient with marked limitation on physical activity, less than ordinary activity causes symptoms, asymptomatic at rest

Class 3

13

What is the NYHA classification for a patient with no limitation in physical activity, no symptoms with ordinary exertion

Class 1

14

Dehydration will cause what kind of shock

Hypovolemic shock

15

What is the NYHA classification for a patient with unable to carry out physical activities without discomfort, symptoms as rest

Class 4

16

What are the acute causes of mitral regurgitation

-Rupture of the chordal tendinae
-Rupture of papillary muscle
-Papillary muscle dysfunction due to ischemic event
-Infective endocarditis

17

What is the condition present with a bounding upstroke, but drops

Aka Corrigan’s pulse
-Aortic regurgitation

18

Which conditions tend to predispose and increase the chances of hyperkalemia

Renal failure or kidney diseased patients , acidotic

19

What is the treatment of an unstable patient with PVCs

-Amiofarone,lidocaine, or Procainamide

20

What is the NYHA classification for a patient with slight limitation of physical activity, ordination activity causes symptoms

Class 2

21

What is the effect of high calcium on the QT

Shortened QT

22

What is the condition present with Capillary flushing in the nailbed

Aka Quincke’s pulse
-Aortic regurgitation

23

Distributive septic shock will have which findings

-Warm, flushed due to vasodilation
-Fast HR
-Flat neck veins

24

What is the most common cause of LV systolic dysfunction

Ischemic heart disease

25

What are the ECG findings of the P wave in left atrial enlargement

-M shaped P wave in lead 1
-Biphasic or negative P wave in V1

26

What is the condition present with a pistol like sound

Aka traube’s sign
-Aortic regurgitation

27

What is the treatment for a patient with PAC

Beta blocker (metoprolol)

28

What is the condition present with a murmur in the 2nd ICS LSB that radiates to the left shoulder

Pulmonary stenosis

29

What is the appearance of the extremities in the case of distributive or dissociative shock

Pink, warm with vasodilation

30

What are the common causes for low output cardiac failure

-Ischemic heart disease