Cardiology

Question 1

Tx of WPW

Answer 1

procainamide (DOC)

can also use amiodarone

Question 2

ASA guidelines

Answer 2

men 45-79

women 55-79

Question 3

tx of symptomatic MVP

Answer 3

beta blockers

Question 4

herbal tx of venous insufficiency (varicose veins)

Answer 4

horse chestnut seed extract

Question 5

1 risk factor for AAA

Answer 5

smoking

Question 6

tx atrial flutter

Answer 6

digoxin, verapamil, or cardioversion

Question 7

HTN tx for stroke patient

Answer 7

diuretic and ACEi

Question 8

Tx after drug eluting stent

Answer 8

ASA 162-325 and plavix 12 mos

Question 9

a fib score

Answer 9

CHA2DS2 VASc
CHF
HTN
Age > 75 (+2)
DM
Stroke (+2)
Vascular Dz
Age 65-74
Sex Category (female)

Question 10

Defn of HTN emergency

Answer 10

BP > 180/120 w/ end organ damage

Question 11

low PCWP signifies

Answer 11

hypvolemia (Tx w/ IVF)

Question 12

med to help w/ intermittent claudication

Answer 12

cilostazol

Question 13

length of dual anti platelet therapy after drug eluting stent

Answer 13

1 yr

Question 14

length of dual anti platelet therapy after bare metal stents

Answer 14

1 month

Question 15

BP > 160/100 in age >50 probably caused by

Answer 15

bilateral renal artery stenosis

Question 16

pt w/ many PVCs. worried about

Answer 16

MI, sudden death

Question 17

V fib, defibrillation fails, what meds can we use

Answer 17

epinephrine or vasopressin

if still not work, amiodarone

Question 18

Tx of SVT

Answer 18

vagal, then adenosine 6 mg, then 12 mg, then synchronized cardioversion

Question 19

G+ cocci and endocarditis - bugs and drugs

Answer 19

MRSA, Strep, enterococcus

Vanc and gent

Question 20

DVT prophylaxis indications

Answer 20

> 40 yo, at least 3 days immobile, and 1 risk factor

infxn, 3-4 HF, MI, resp dz, IBD, DVT/PE, >75, recent surgery, immobile, BMI >30

Question 21

Dx of postural orthostatic tachycardia syndrome

Answer 21

incr 30 BMP or HR > 120 w/in 10 min upright

Question 22

elderly on warfarin, dose should be

Answer 22

less than or equal to 5 mg

Question 23

CPR then coma, what is horrible sign?

Answer 23

status epilepticus at 24 hrs (no recovery)

Question 24

tx of SVT

Answer 24

adenosine

Question 25

pt w/ chronic pain, swelling, and skin changes after DVT - dx and tx

Answer 25

post thrombotic syndrome - use compression stockings

Question 26

tx long QT syndrome

Answer 26

beta blockers

ICD

Question 27

long QTc msec

Answer 27

> 460 females

> 440 males

Question 28

cause of diastolic heart failure

Answer 28

LVH from chronic systolic HTN

Question 29

monitoring for levels of LMWH, and who to monitor

Answer 29

anti factor Xa levels (4 hrs after injection)

> 330 lbs, or renal failure

Question 30

tx of acute pericarditis

Answer 30

NSAIDs (ASA, ibuprofen) +/- colchicine

Question 31

when do you use metolazone (zaroxolyn) in heart failure

Answer 31

volume overload that doesn’t respond to furosemide

Question 32

Af Am pt allergic to lisinopril, but has heart failure. What can you use instead?

Answer 32

isosorbide / hydralazine

Question 33

high risk unstable angina

Answer 33

ST changes > 1 mm
hypotension
new or worse MR
S3 or new/worsening crackles
>20 angina at rest
pulm edema related to ischemia

Question 34

safest NSAID in pt w/ h/o MI

Answer 34

naproxen

Question 35

RBBB and left ant fascicular block is a ..

Answer 35

trifascicular block

Question 36

management of trifascicular block

Answer 36

event monitor

Question 37

normal EF

Answer 37

55-75%

Question 38

meds helpful for PAD

Answer 38

ASA
statin (simvastatin, atorvastatin)
ACEi (helps sxs)

Question 39

differences in management of cocaine induced chest pain vs ACS

Answer 39

use IV benzos

don’t use beta blockers

Question 40

tx orthostatic hypotension

Answer 40

midodrine
fludrocortisone
physostigmine