Cardio Nazary Flashcards
(86 cards)
1
Q
Mention preceptating factors of hf
A
2PHADI
2
Q
La atrial myxoma cp
A
Posturak syncope
Arise from septum
Pedunculayed
Embolism
3
Q
Mitral valve stenosiscause?
A
Causes dysphagia
4
Q
Diference between affection of ischemia , and htn on muscle
A
Lvh concentric (thick , stiff ) muscle high bp
Ishcemia causes thin stiff muscle
5
Q
Normal ef
A
50-70
6
Q
Causes of left sided hf
A
7
Q
Causes of right sided hf
A
8
Q
Hf with normal ef
A
Diastolic failure
9
Q
Compare systolic failure to diastolic failure
A
10
Q
Dd of heart fail with out tackycardi
A
Hb
Digitalis , hyperkalmia
Myxemda
Ccb
Bb
11
Q
Cp of hf
A
12
Q
AHA stage describition
A
Strucrutal class
13
Q
NYHa descrition
A
Functional classification
14
Q
Classification of hf
A
15
Q
Complications of hf
A
16
Q
Most useful vasodilator in chronic hf
A
Arbs
Sartan
17
Q
Conta of ace i
A
18
Q
Furosemide site action potency
A
19
Q
Lasix sf
A
20
Q
Lasix sf
A
21
Q
K sparing dirutic
A
22
Q
Reverse progress pf lv dilataion
A
Bb
23
Q
Mention benefits and contra of bb
A
24
Q
Mention action of digitalis
A
25
Contra of gigtalis
26
Factors inc risk for toxicity and tt of toxicity
27
Earliest sign of toxicity of digitalis
GIT symptoms
28
CNS stock of digital first sign toxicity toxicity
Xanthopthia
29
Digital causes heart block, except
2nd degree
30
Type of arrhythmia caused by digital
Supra, ventricular tachycardia, extra stool
31
Serum level of toxicity of digital
More than two micro Millie
32
ECG of digital
ST segment depression PR prolongation
33
When hypertension is diagnosed from one visit
When it exceeds 180 per110
34
How to diagnose systemic hypertension
When elevation of the blood pressure 140 or more systolic and 90 or more diastolic
35
Hypertension is a major risk factor for
IHD and stroke
36
What is the difference between hypertensive urgency and emergency?
Hypertensive urgency when the blood pressure exceeds 180/110 and no affected organ
Emergency is when organs are affected
37
Mention causes of isolated systolic, hypertension
Increased left ventricular stroke volume as in hyperdynamic circulation
Decreased our compliance as central atherosclerosis of our in elderly
38
Mention grades of isolated systolic, hypertension
Grade one wins systolic blood pressure is between 140 and 159 and diastolic is less than 90
Grade 2 win systolic blood pressure 160 or more
39
Paroxysomal htn , palpitation sweating is, and treated with
Pheochromocytoma treated with Labetalol
40
Hypertension with alkalosis with hypokalemia is
Conn syndrome
41
Mention drug drugs causes secondary hyper
Corticosteroids cyclosporine contraceptives
42
Female young age with secondary hypertension
Fibromuscular dysplasia
43
Large thick blood vessel and the heart
Acromegaly
44
Which code is more secondary hypertension, hypo or hypothyroid?
Hypothyroidism
45
What type of hypertension does insulin resistance do?
Primary hypertension
46
What does excessive secretion and excessive renal sodium retention causes?
Primary hypertension
47
New onset of hypertension below the age of 30 or above the edge of 50 is
Secondary hypertension
48
Hypertension with polyuria, vomiting, chronic anemia
Chronic kidney disease
49
Hypertension with gain emotional liability
Cushing syndrome
50
What type of headache in hypertension?
Occipital
51
Mention causes of Labile hypertension
White coat and stress related
52
What is hypertensive crisis?
Market elevation in the blood pressure when the diastolic blood pressure more than 120 or 130
53
What are the target organ damage in hypertensive crisis?
Acute heart failure, pulmonary edema, dissecting, aortic aneurysm
Cerebral hemorrhage, hypertensive, enchephalopth
54
What is Branham effect cause the by and what is it?
Left ventricular hypertrophy causes bulge in the interventricular septum into the right ventricle that goes right ventricular hypertrophy, and right ventricular failure
55
What are the grades of hypertensive retinopathy?
Grade one silver wiring
Grade 2 market sclerosis
Rate three flame shaped hemorrhage, fluffy cotton exidate
Grade 4 papilledema malignant hypertension
56
Mention steps of treatment of hypertensive
First step if the patient is less than 55 years old, we start with ace inhibitor
If the patient is more than 55 years old or black, African start with ca channel blocker
Second step put them together
Third step add thiazide
Fourth step at beta blocker
57
What are hypertensive emergency complication?
Hypertensive inky apathy
////Stroke
Left ventricular failure
MI
Damage renal
Aortic dissection
58
How to manage hypertensive emergency
First of all, the drugs used sodium nitro,prusside
Labetalol
ABC
Icu
Decrease blood pressure 10% in first hour
15% in the progressive 12 hours
Not less than 160 per110
59
What are the only two exception for rapid reduction of blood pressure?
Aortic dissection, postoperative bleeding
60
How to manage hypertensive enchalpathy
Reduce mean blood pressure by 25% within 2 hours
61
What are the indicated hypertensive drugs in pregnancy?
Alpha methyl Dobe
Hydralazine
La betalol
62
Mention the beat mill hypertensive drugs of the diabetes mellitus
Ace i
No dirutics or bb
63
Mention drugs used in hypertensive, chronic kidney disease
All except ace inhibtors
64
Mention the regiment of hypertension by indication, the contraindication
65
First line of drug in acute renal failure
Russ inhibitor
66
Why is beta blocker contraindicated in case of diabetes mellitus?
Because it mask is hypoglycemia symptoms
67
Why diuretics is avoided in diabetes mellitus
Because it causes hyperglycemia
68
What are the causes of silent MMI
Diabetes mellitus
Elderly
Anesthesia
Post cardiac the transplant
69
Define and dimension causes of acute coronary syndrome
70
How to differentiate between stable and angina , unstable,anjina , mi
71
What’s meant by core pulmonal
Right ventricular enlargement due to chest disease plus or minus right ventricular failure
72
Mention causes of cardiogenic pulmonary edema
Left sided heart failure, and mitral stenosis
73
Mention the clinical picture of cardiogenic pulmonary edema
74
Went to suspect secondary hypertension
Age less than 30 and more than 50
Failure of three drugs or more
75
Mention presentation of ischemic heart disease
Staple and vagina
Acute coronary syndrome
Arrhythmia
Heart failure
Sudden death
76
Diagnosis of MMI criteria
Typical chest pain, ECG cardiac enzyme two out of three
77
Mention cardiac enzymes
Troponin, ck-mb , ldh , ast
78
Mention chronic target organ damage in hypertension
Cerebral atherosclerosis
Coronary
Peripheral
Renal
Hypertensive retinopathy
79
Difference between malignant hypertension and accelerated hypertension
In malignant hypertension, there is papilledema
80
New York heart Association classification of dysnea
81
Mention mechanism of dynes
82
Mention cardiac causes of cough
83
Causes of sudden onset of dynea
84
Mention causes of orthopnea
85
Mention causes of acute and chronic dysnea
86
Hypo or hyperthyroidism make sec htn
Both
