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Flashcards in CARDIOLOGY Deck (122)
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91

Tx of Kawasakis

IVIG and high dose ASA. Echo in acute phase and 6-8 weeks later.

92

When is anticoag considered in superficial thrombophlebitis

In lower extremity or extension into femoral vein

93

Tx of small VSD

Monitor/reassurance. 40% close by 3 years and 75% close by 10 yrs

94

Tx of large VSD

Monitor nutirtion and weight gain due to higher risk of FTT
Treat CHF with ACE, diuretics, digoxin
Influenza vaccine and winter pavlivizumab if younger than 2 for RSV prevention

95

When are large VSD surgically repaired

Medical management fails
Signs of pHTN at

96

When is endocarditis ppx indicated in VSD patients

If it was surgically repaired

97

Common defect in pts with abstains anomal

PFO with R -- > L shunt. Also can have dilated RA giving increased risk of SVT and WPW

98

Tx of Abstains anomaly

PGE
Digoxin
Diuresis
PRopranolol for SVT

99

Next step in management of congenital heart disease with early cyanosis

PGE (keep it open!!!!)

100

6 week old infant presents to meds ER for irritability and is found to have signs of left sided heart failure. An EKG is interpreted as a left sided MI. What is most likely dx?

Anomalous origin of Left coronary artery (from pulm rather than aorta)

101

What class of meds is indicated in pts wit ha hereditary prolongation of QT interval in order to prevent v fib

Beta blockers

102

Weak pulses in upper extremities -- which vasculitis?

Takayasu

103

Which vasculitis has necrotizing granulomas of lung and necrotizing GN

WEgeners

104

Which vasculitis has necrotizing immune complex inflammation of visceral and renal vessels

Poly arteritis nodosa

105

Which vasculitis is the most common

Temporal arteritis

106

Which vasculitis is associated with Hep B

Polyarteritis nodosa

107

Which vasculitis a/w perf of nasal septum

Wegeners

108

Defects that comprise ToF

Overriding aorta
Pulm stenosis
VSD
RVH

109

What are classic findings of HSP?

Recent uri
Abdominal pain
Arthritis
Renal disease
LE purpura

110

Persistent ST elevations in anterior leads 5 weeks after an MI

Ventricular aneurysm

111

Tx of Prinzmetal angina

CCB, nitrates.

112

Contraindicated in prinzmetals angina

Beta blockers (non selective) because of unopposed alpha receptor vasoconstriction which can worsen sx cause death.

113

When should you consider 2 drug therapy in hypertension

When BP is more than 20/10 mmHg above goal.

114

Goal BP in pts >60

115

Combo therapy of choice in htn

ACE/ARB in concert with long acting dihydropyridine CCB.
ACE/ARB + diuretic can also be used but may be less beneficial.

116

Initial mono therapy for HTN in blacks

Thiazide or long acting CCB

117

Initial mono therapy in pts who have diabetic nephropathy or non diabetic CKD and proteinuria with HTN

ACE or ARB

118

Initial mono therapy in pt with ischemic heart disease or CHF with decreased EF along with HTN

Beta blocker

119

Goal BP in pts with diabetes or CKD without proteinuria

120

Define proteinuria

>500-1000 mg/day