cards

Question 1

MOA of amio with VT storm

Answer 1

block electrolyte channels to decrease myocyte excitability as well as block SA firing and AV nodal conduction

Question 2

treatment of electrical storm/ VT

Answer 2

amiodarone

Question 3

inferior STEMI vessels possibly affected

Answer 3

right coronary artery or left circumflex

Question 4

left circumflex occlusion will show what EKG findings

Answer 4

inferior STEMI - II, III, aVF also V5 and V6

Question 5

next step with a wenkebach, mobitz 1, asymptomatic

Answer 5

no intervention

Question 6

CHB can be seen with what infectious etiology

Answer 6

Lyme disease

Question 7

atropine MOA

Answer 7

enhances sinoatrial node automaticity and potentiates atrioventricular node conduction.

Question 8

AF RVR with WPW treatment

Answer 8

procainamide 100 mg IV

Question 9

bilateral focal deficits, severe headache

Answer 9

hypertensive encephalopathy

Question 10

HOCM tx

Answer 10

beta blocker, verapamil (NDPCCB)

Question 11

unstable VTach tx

Answer 11

synchronized cardioversion

Question 12

atrial myxoma is associated with which autoimmune disease

Answer 12

raynauds`

Question 13

new holosystolic murmur and ekg findings

Answer 13

acute mitral regurg, ST elevation in II, III, and aVF

Question 14

wenkebach is what mobitz

Answer 14

mobitz type I

Question 15

what causes cool moist extremities in the setting of cardiogenic shock?

Answer 15

catecholamine release causing vasoconstriction

Question 16

thin ventricular wall puts the patient at risk for

Answer 16

thrombus formation

Question 17

pacing letters stand for?

Answer 17

first - chamber paced
second - chamber sensed
third - response to sense
fourth - programability

Question 18

what murmur is associated with increased right atrial pressure?

Answer 18

tricuspid regurg

Question 19

afib after drinking, treatment?

Answer 19

observe

Question 20

size of AAA to correct?

Answer 20

5cm in women, 5.5 in men

Question 21

mycotic aneurysm is a complication of what/

Answer 21

endocarditis

Question 22

holosystolic murmur in left lower sternal border

Answer 22

tricuspid regurg

Question 23

mitral valve prolapse sounds

Answer 23

midsystolic click

Question 24

mitral valve stenosis sound

Answer 24

loud s1 and opening snap

Question 25

MC presentation of HCM

Answer 25

dyspnea

Question 26

bug of myocarditis in heart transplant

Answer 26

CMV

Question 27

what drug is contraindicated with nitro

Answer 27

tadalafil

Question 28

loud single heart sound with harsh systolic murmur

Answer 28

tetrology of fallot

Question 29

acute apical systolic murmur

Answer 29

acute mitral regurg

Question 30

what antiarrhythmic drug is contraindicated in asthma

Answer 30

beta blocker

Question 31

Answer 31

osborn J wave, hypothermia

Question 32

acute occlusion of which coronary will cause transient complete heart block and narrow QRS

Answer 32

RCA - supplies AV node

Question 33

palpitations, EKG with PR <0.12,

Answer 33

LGL syndrome, pre-excitation

Question 34

systolic flattening of the interventricular septum

Answer 34

RV hypertrophy, pulmonary hypertension

Question 35

cyanotic congenital heart diseases

Answer 35

truncus arteriosus, transposition of the great vessels, tricuspid atresia, tetralogy of Fallot, and total anomalous pulmonary venous return.

Question 36

type of MI to require emergent pacing

Answer 36

anterior MI

Question 37

pulmonary edema and severe AS, best drug for treatment

Answer 37

diuretics

Question 38

left circumflex on EKG will be what leads

Answer 38

V5-6, I, AvL

Question 39

left atrial myxoma, complication

Answer 39

stroke

Question 40

Etiologies of HFpEF with high-output include

Answer 40

severe anemia, severe thiamine deficiency (beri beri), hyperthyroidism, AV fistula

Question 41

structure on heart surface that needs to be identified before cutting pericardium in resus thoracotomy

Answer 41

phrenic nerve