CV Flashcards

1
Q

ACS murmur

A

S3

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2
Q

EKG in pericarditis

A

Diffuse ST elevation, PR depression

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3
Q

Pericarditis Tx

A

NSAIDs

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4
Q

Aortic Dissection Tx proximal to subclavian

A

Surgery

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5
Q

Aortic Dissection Tx distal to subclavian

A

Beta blockers/nitroprusside

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6
Q

Indication for aspirin primary prevention

A

10-20% 10 yr CV risk

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7
Q

Screening for patients with 10-20% 10 yr CV risk

A

CT coronary calcium score

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8
Q

First-line anti-anginal medication

A

Beta-blocker

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9
Q

Statin indications CV disease

A

High intensity (age under 75), moderate intensity (age>75)

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10
Q

Medications for stable angina (4)

A

Anti-anginal, anti-platelet, statin, ACEI

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11
Q

Troponin __ is more specific

A

I

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12
Q

Medications in ACS (5)

A

Aspirin, Morphine, Beta-blocker, heparin, nitroglycerin

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13
Q

C/I to Beta-blocker in ACS (4)

A

HR<50, BP<90, 2nd degree AV block, decompensated CHF

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14
Q

Medications added to NSTEMI/UA

A

IIB/IIIA inhibitor (tirofiban, abciximab, eptifibatide)

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15
Q

Indications for aldosterone antagonist post-ACS

A

EF under 40%

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16
Q

Left anterior fascicular block EKG

A

QRS positive in I, negative in aVF

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17
Q

Left posterior fascicular block

A

QRS negative in I, positive in aVF

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18
Q

Atrial tachycardia EKG

A

Abnormal P wave morphology

19
Q

AVNRT EKG

A

P buried or after QRS

20
Q

AVNRT First-Line Tx

A

Adenosine

21
Q

Narrow complex AVRT Tx

A

Adenosine

22
Q

Wide complex AVRT Tx

A

Procainamide

23
Q

Multifocal atrial tachycardia EKG

A

at least 3 P wave morphologies

24
Q

A-fib rate control Tx

A

Cardioversion (unstable); beta-blocker or CCB (stable)

25
Q

A-fib rhythm control Tx

A

Cardioversion

26
Q

A-fib maintenance rhythm control Tx

A

Amiodarone, flecainide, ibutilide, propafenone, sotalol

27
Q

A-fib anticoagulation valvular disorder

A

Warfarin

28
Q

A-fib anticoagulation indications

A

CHA2DS2VASc 2+

29
Q

CHA2DS2VASc

A

CHF, HTN, Age>75, DM, Stroke, Vascular Dz, Age 65+, Sex(F)

30
Q

Atrial Flutter Tx

A

same as a-fib

31
Q

Amiodarone side effects (4)

A

pulmonary fibrosis, hyper/hypo thyroid, hepatitis

32
Q

Non-sustained VT Tx

A

Beta-blocker/CCB

33
Q

Medications in CHF (5)

A

ACEI, BB (not in acute decompensation), Loop diuretic, digoxin (decreases hospitalizations), Aldosterone antagonist (EF under 35%)

34
Q

Which murmur is associated with S4?

A

Aortic stenosis/Mitral regurgitation

35
Q

Which murmur increased with leaning forward in upright position?

A

Aortic regurgitation

36
Q

Which murmur associated with bounding pulses and head bobbing?

A

Aortic regurgitation

37
Q

Which murmur associated with carcinoid syndrome?

A

Mitral stenosis

38
Q

Which murmur is most common congenital valvular abnormality?

A

Mitral valve prolapse

39
Q

Which valves require anticoagulation?

A

Mechanical

40
Q

ABI diagnostic for PAD

A

0.9

41
Q

ABI for severe PAD

A

0.4

42
Q

Management of aortic dissection

A

Surgery (ascending); beta-blockers/BP control (descending)

43
Q

Indications for AAA screening

A

Males 65-75 with smoking history (one-time screen)

44
Q

Indications for surgery in AAA (3)

A

> 5.5cm, >0.6cm increase in 6 months, rupture