Crdilgy

Question 1

• Chest pain worse in supine

- relieved by sitting upright and leaning forward

Answer 1

Pericarditis

Question 2

Definitive test CAD

Answer 2

Coronary Angiography

Question 3

Best to detect reinfarction after initial infaction

Answer 3

CK MB

Question 4

Most common cause of out of hospital death from STEMI

Answer 4

V fib

Question 5

Most common cause of in- hospital death from STEMI

Answer 5

Pump failure

Question 6

ST segment (V2- V6) elevation with PR- segment depression

Answer 6

Pericarditis

Question 7

Murmur that alwayts signify structural heart disease

Answer 7

Diastolic murmurs

Question 8

Murmur Grade where thrill is heard

Answer 8

Grade IV

Question 9

Heard best at the second right intercostal space and radiates to the carotid arteries

Answer 9

Aortic Stenosis

Question 10

Heard at the second Left intercostal space

Answer 10

Pulmonic Valve murmurs

Question 11

Heard at lower left sternal border

Answer 11

Aortic Regurgitation
Tricuspid murmurs
VSD murmurs

Question 12

Heard at apex and radiates into the axilla

Answer 12

Mitral Regurgitation

Question 13

• diastolic murmur after opening snap
• low-pitched, tumbling, diastolic murmur at the apex
• opening snap right after S2 d/t high LA pressure and readily audible in expiration

Answer 13

Mitral Stenosis

Question 14

holosystolic

Answer 14

MR/TR

Question 15

• early Diastolic murmur
• left sternal border and widened pulse pressure
• murmur is also heard over femoral artery.
• High pitched, blowing

Answer 15

AR

Question 16

Diamond shaped, crescendo,- decrescendo midsystolic murmur

Paradoxical reverse splitting of S2

Prominent S4

Answer 16

AS

Question 17

Cardinal sx of Aortic Stenosis “SAD”

Answer 17

Syncope
Angina
Dyspnea

Question 18

refers to a weak and delayed carotid upstroke

Answer 18

pulsus parvus et tardus

Question 19

AR- To and fro Murmur heard over the femoral artery is compressed

Answer 19

Duroziez sign

Question 20

AR- “Rumbling sound” in severe AR (functional MS)

Answer 20

Austin flint

Question 21

AR- Bounding and forceful pulse, rapidly increasing and subsequently collapsing

Answer 21

Water- Hammer or Corrigan’s fulse

Question 22

AR- Capillary pulsation at the root of the nail

Answer 22

Quincke’s pulse

Question 23

AR- Booming “pistol shot” sound over femoral arteries

Answer 23

Traube sign

Question 24

Pulse pressure in AR and AS

Answer 24

AS- Narrowed pulse pressure

AR- Widened pulse pressure

Question 25

“Splash” Ventricular gallop

Answer 25

S3

Question 26

“Bang” Atrial gallop

Answer 26

S4

Question 27

Beta Blockers that has beneficial effect in Heart Failure

Answer 27

Carvedilol
Bisoprolol
Metoprolol succinate

Question 28

ECG of Cor Pulmonale

Answer 28

Tall P- waves

Question 29

Best initial treatment for HOCM

Answer 29

Beta Blockers

Question 30

Beck Triad

Answer 30

Hypotension
Soft or Absent heart sounds
Jugular vein distention

Question 31

Water bottle Sign

Answer 31

Cardiac Tamponade

Question 32

Most common sx of PAD

Answer 32

Intermittent Claudication

Question 33

Fist line medication for PDA symptom improvement

Answer 33

Cilostazol

Question 34

Scoring to determine likelihood of VTE

Answer 34

Well’s scoring

Question 35

LDL goal for
DM
CAD

Answer 35

<70

<100

Question 36

First line of tx for severe hypertriglyceridemia

Answer 36

Fibrates

fenobrinate, gemfibrozil

Question 37

most common etiology of secondary hypertension

Answer 37

Primary Renal Disease

Question 38

best empiric therapy for Infective Endocarditis

Answer 38

Vancomycin

Gentamicin

Question 39

most common tumors of the valves

Answer 39

Papillary Fibroelastomas