Day 4 - CV2 Quiz Flashcards Preview

Step 2 DIT Rapid Review > Day 4 - CV2 Quiz > Flashcards

Flashcards in Day 4 - CV2 Quiz Deck (21):
1

CXR pericardial effusion

Globular/watterbottle shaped heart (similar to DCM)

2

PE pericardial effusion

Diminished heart sounds, difficult to palpate apical impulses

3

Kussmaul sign

Increased JVD w/ inpsiration; Most commonly constrictive pericarditis; Restrictive CM, Right ventricular infarct, Massive PE; Rarely, with cardiac tamponade

4

Signs of HF, DM, elevated LFTs

Triad = Hemochromatosis (restrictive CM); Bronze diabetes

5

Restrictive CM etiology, reversed w/ phlebotomy

Hemochromatosis

6

Next step in w/u low grade systolic murmur in healthy, asymptomatic pt

Usually benign, so Observation; If symptomatic or sx of valvular disease - Echo

7

Next step in w/u diastolic murmur in healthy, asymptomatic pt

Echo

8

Short systolic murmur at cardiac apex, decrease w/ squatting, sometimes assoc w/ benign chest pain last a few seconds

MVP (also may have mid-systolic click); Also assoc. w/ anxiety

9

Valve disorder from heumatic disease may become sx/pronounced when

Volume overload state (e.g., pregnancy)

10

HF in young patients

Myocarditis (e.g., coxsackievirus, echovirus)

11

Beck's triad

Hypotension, distended neck veins, muffled heart sounds; Cardiac tamponande

12

CHF Drugs

ACEi/ARB; Beta blocker; Loop diuretic; Spironolactone/Eplerenon; Maybe digoxin; ASA

13

Acute HF

LMNOP = Lasix, Morphine, Nitrates (sometimes, Nesiratide), Oxygen, Positioning/Pressors (e.g., Dobutamine)

14

Diastolic murmur heard best at LL sternum, increases w/ inspiration

Tricuspid stenosis

15

Late diastolic murmur w/ opening snap, No change w/ inspiration

Mitral stenosis

16

Systolic murmur heard best in 2nd right intercostal space

Aortic stenosis

17

Systolic murmur heard best in 2nd left interspace

Pulmonic stenosis

18

Late diastolic murmur heard best at apex

MVP

19

Diastolic murmur w/ widened pulse pressure

AR

20

Holosystolic murmur loudest w/ inspiration heard at LLS

Tricuspid regurgitation

21

Holosytolic murmur heard best at apex and radiates to axilla

Mitral regurgitation

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