Cards final new info Flashcards

(26 cards)

1
Q

Which of the following should most patients receive for stable CAD? Select all that apply
a) Low dose ASA
b) High dose ASA
c) NTG PRN, scheduled B-blockers or CCB (no HF)
d) High intensity statins
e) Low intensity statins

A

a) Low dose ASA
c) NTG PRN, scheduled B-blockers or CCB (no HF)
d) High intensity statins

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2
Q

What does ranolazine do? Select all that apply
a) Inhibits sodium & calcium current decreasing ventricular diastolic tension and myocardial oxygen demand
b) Decreases BP and HR
c) Increases BP and HR

A

a) Inhibits sodium & calcium current decreasing ventricular diastolic tension and myocardial oxygen demand

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3
Q

T/F: HTN is a well-established MAJOR risk factor for CVD

A

True

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4
Q

“Tear in intima, dissects within media” describes which of the following?
a) Aneurysm
b) Pseudoaneurysm
c) Dissection
d) Pseudodissection

A

c) Dissection

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5
Q

What is the #1 risk factor for AAAs?
a) Alcohol use
b) Cigarette smoking
c) Obesity
d) Being underweight

A

b) Cigarette smoking

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6
Q

When should patients be referred for an elective repair of an AAA?
>3.5 cm
>4.5 cm
>5.5 cm
>6.5 cm

A

> 5.5 cm

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7
Q

__________ has allowed the distinction of thrombophlebitis from phlebitis by confirming the presence or absence of thrombus within a vein
MRI
CT with IV contrast
Doppler ultrasound
Duplex ultrasound

A

Duplex ultrasound

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8
Q

A patient has a moderate or high probability Wells Score. What do you do next?
Ultrasound
D-dimer

A

Ultrasound

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9
Q

Most common place to see venous ulcers/ tissue breakdown is what?
Anterior tibial region
Posterior tibial region
Medial malleolus
Lateral malleolus

A

Medial malleolus

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10
Q

“Dilated intradermal venules” describes what condition?
Varicose veins
Telangiectasia (spider veins)
Corona phlebectatica
Stasis ulcers

A

Telangiectasia (spider veins)

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11
Q

A patient has an ulcer on the superior aspect of their big toe with a punched out appearance. The skin is shiny and atrophic, and there’s hair loss. Prolonged capillary refill is present. Which of the following is NOT an appropriate study for this patient?
MRA
CTA
Angiography
Duplex ultrasound

A

Duplex ultrasound

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12
Q

Dressler syndrome and uremia are two etiologies of what?
Venous stasis
Arterial stenosis
Acute pericarditis
Acute myocarditis

A

Acute pericarditis

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13
Q

What is the initial treatment for most patients with pericarditis?
ASA or NSAID + Colchicine
ACEi or ARB + Nitroglycerin
Thiazide or CCB + Colchicine
Prednisone + Colchicine

A

ASA or NSAID + Colchicine

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14
Q

Refractory cases of pericarditis or patients with contraindication to NSAID therapy should be treated with what?
ASA or NSAID + Colchicine
ACEi or ARB + Nitroglycerin
Thiazide or CCB + Colchicine
Prednisone + Colchicine

A

Prednisone + Colchicine

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15
Q

Constrictive pericarditis leads to the characteristic symptoms of what?
Right HF
Left HF
Myocarditis
Acute ischemia

A

Right HF

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16
Q

What is diagnostic of constrictive pericarditis?
MRI
CT
Cardiac catheterization
Echocardiogram

A

Cardiac catheterization

17
Q

“Pericardial fluid/blood accumulates in pericardial space/sac” is the definition of what condition?
Acute pericarditis
Cardiac tamponade
Constrictive pericarditis
Paradoxical pulse

A

Cardiac tamponade

18
Q

Which of the following is NOT a part of Beck’s triad for cardiac tamponade?
Hypotension
JVD
Muffled heart sounds
Narrow pulse pressure

A

Narrow pulse pressure (a symptom of cardiac tamponade, but not a part of the triad)

19
Q

You do a TTE and see pericardial effusion, RV diastolic collapse, large cardiac silhouette. This is indicative of what?
Acute pericarditis
Cardiac tamponade
Constrictive pericarditis
Paradoxical pulse

A

Cardiac tamponade

20
Q

What is the most common symptom in myocarditis (present in 90% of cases)?
Chest pain
Dyspnea
Fever
Arrhythmias

21
Q

T/F: NSAIDS are ineffective for myocarditis and relatively contraindicated in HF

22
Q

S. aureus is more common in which kind of endocarditis?
Acute
Chronic

23
Q

Which is the most common bacteria in both native valve endocarditis and chronic endocarditis?
Staph aureus
Strep Viridans
S. epidermidis
Enterococcus

A

Strep Viridans

24
Q

Jones criteria is used to diagnose what?
Pericarditis
Acute rheumatic fever
Endocarditis
Myocarditis

A

Acute rheumatic fever

25
Roth’s spots and Janeway lesions are typically seen in what? Pericarditis Acute rheumatic fever Endocarditis Myocarditis
Endocarditis
26
Which of the following is NOT a part of the ideal treatment for prosthetic valve endocarditis? Vancomycin Gentamicin Rifampin Ceftriaxone
Ceftriaxone