Day 5 - CV3 Quiz Flashcards Preview

Step 2 DIT Rapid Review > Day 5 - CV3 Quiz > Flashcards

Flashcards in Day 5 - CV3 Quiz Deck (21):
1

HTN, depression, kidney stones

Hyperparathyroidism (cause of secondary HTN)

2

Complications from vasopressors

(1) ischemic/necrosis of toes (2) mesenteric ischemic (3) renal failure

3

Intervention most effective in reducing bp

Weight loss (even better than smoking)

4

Preferred antihypertensive in pt w/ no comorbities

Thiazides (chlorthalidone, HCTZ)

5

Antihypertensives of choice in following situations: (1) No comorbidities (2) DM (3) Heart Failure (4) BPH (5) LVH (6) Hyperthyroidism (7) Osteoporosis (8) Essential tremor (9) Post-menopausal women (10) Migraine

(1) Thiazides (2) ACE inhibitors (3) ACE inhibitors/ARBs, Beta blockers, Aldosterone antagonists (4) Alpha blocker (5) ACEi/ARB (6) Non-selective beta blocker (e.g., propanolol) (7) Thiazide (8) Beta blocker (9) Thiazide (10) Beta blocker

6

Secondary HTN Ddx: (1) HTN in arms, low bp in lower extremities (2) Proteinuria (3) Hypokalemia (4) Tachycardia, diarrhea, heat intolerance (5) Hyperkalemia (6) Episodic sweating, tachycardia

(1) Aortic coarctation (2) CKD (3) Hyperaldosteronism (4) Hyperthyroidism (5) Renal failure, renal artery stenosis (6) Pheochromocytoma

7

Side effects of antihypertensives: first-dose orthostatic hypotension

Alpha blockers (-zosin)

8

Side effects of antihypertensives: dry mouth, sedation, severe rebound HTN

Clonidine (q 8 h drug)

9

Side effects of antihypertensives: hypertrichosis

Minoxidil

10

Side effects of antihypertensives: bradycardia, impotence, asthma exacerbation

Beta blockers

11

Side effects of antihypertensives: reflexive tachycardia

Vasodilators

12

Side effects of antihypertensives: cough

ACEi

13

Side effects of antihypertensives: avoid in pts w/ sulfa allergy

Thiazides, Loop diuretics

14

Side effects of antihypertensives: angioedema,

ACEi

15

Side effects of antihypertensives: drug-induced lupus

Hydralazine (anti-Histone antibodies); Think: both start w/ H

16

Side effects of antihypertensives: cyanide toxicity

Nitroprusside

17

Vasodilation effects: Nitroglycerine & dihyproperidine CCBs

Venous

18

Vasodilation effects: Hydralazine

Arteriolar

19

Vasodilation effects: Nitroprusside

Both venous & arteriolar

20

HACEK

Culture-negative endocarditis: Haeomphilus, Actinobacteria, Cardiobacterium, Eikenella, Kingella

21

JONES criteria

Dx Rheumatic fever; Joints; Pancarditis, Nodules, Erythema nodosum, Sydenham's chorea

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