FA Cardio

Question 1

HR calcualation

Answer 1

300/number of large boxes

Question 2

New LBBB management

Answer 2

ITS ALWAYS PATHOLOGICAL!

Question 3

Romano Ward syndrome

Answer 3

LQTS no deafness, AD

Question 4

Lange-Nielsen syndrome

Answer 4

AR, LQTS and deafness

Question 5

What causes RA enlargement?

Answer 5

TOF, tricuspid atresia

Question 6

PA enlargement on ECG

Answer 6

P wave big in lead II

Question 7

LVH on ECG

Answer 7

Tall S wave

Question 8

Kussmaul sign

Answer 8

Increased JVP with inspiration
CONSTRICTIVE PERICARDITIS

Question 9

S3 gallop is a sign of

Answer 9

Fluid overload, normal in young people and high output states (pregnancy)

Question 10

S4 gallop is a sign of

Answer 10

Decreased compliance, usually pathological

Question 11

ESM in Erb’s point

Answer 11

Aortic stenosis

Question 12

Holosystolic murmur

Answer 12

MR, TR (differentiate based on where heard)

Question 13

Mid systolic or late systolic crescendo murmur and click

Answer 13

Mitral valve prolapse

Question 14

VSD murmur

Answer 14

Holosystolic hash sounding murmur best heard in tricuspid area

Question 15

High pitched blowing early diastolic murmur

Answer 15

AR

Question 16

Mid diastolic murmur

Answer 16

Mitral stenosis

Question 17

Most common cause of mitral stenosis

Answer 17

Rheumatic fever

Question 18

PDA murmur

Answer 18

Machine-like murmur

Question 19

What makes murmurs louder?

Answer 19

More blood (increased preload) in everything except HOCM and MVP

Question 20

Right sided murmurs increase with

Answer 20

Inspiration (increased flow to heart on right side)

Question 21

Left sided murmurs increase with

Answer 21

Expiration

Question 22

Pulses alternans

Answer 22

Cardiomyopathy
Alternating weak pulses

Question 23

Jerky pulse

Answer 23

HOCM

Question 24

Pulses biferiens

Answer 24

AR, AR/AS, HOCM

Question 25

Types of AF

Answer 25

Paroxysmal (<7days) Persistent (>7days) Permanent

Question 26

Sinus bradycardia treatment

Answer 26

1. Atropine 2. Pacing or dopamine/epinephrine infusion Definitive: pacemaker

Question 27

Who is AV first degree block normal in?

Answer 27

Increased vagal tone (athletes), CCB, BB

Question 28

Second degree mobitz I heart block treat

Answer 28

Asymptomatic = none Stop drug causing it Atropine can be used

Question 29

What drugs can cause mobitz 1

Answer 29

CCB, BB, digoxin

Question 30

Mobitz 2 is where?

Answer 30

His Purkinje system

Question 31

Mobitz 2 treatment

Answer 31

Pacemaker

Question 32

Acute WPW therapy

Answer 32

Procainamide Amiodarone

Question 33

Atrial tachycardia treat

Answer 33

Adenosine

Question 34

Examples of antiarrhythmics

Answer 34

Lidocaine Procainamide Amiodarone

Question 35

Rate control via

Answer 35

CCB, BB

Question 36

WPW patient in SVT

Answer 36

Procanaimide... NOT BB

Question 37

Synchronized cardioversion

Answer 37

VT, SVT, AF

Question 38

Unsynchronized cardioversion

Answer 38

Pulseless VT, VF

Question 39

Diastolic vs systolic HF

Answer 39

Diastolic: normal EF Systolic: <50% EF

Question 40

What is a good indicator of HF mortality

Answer 40

Hyponatremia

Question 41

CHF diagnosis

Answer 41

Alveolar edema Kerly B lines Cardiomegaly Dilated upper lobe vessels Effusion

Question 42

Test for coronary steal syndrome

Answer 42

Adenosine dipyridamole stress test CI in asthma, heart block, SBP<90

Question 43

Electrical alternates is diagnostic for

Answer 43

Pericardial effusion

Question 44

Becks triad, what's it for?

Answer 44

Tamponade increased JVP Muffled heart sounds hypotension

Question 45

When can MR occur?

Answer 45

After a posterior MI

Question 46

Causes of TR

Answer 46

Ebsteins IV drug use

Question 47

Blue toe syndrome

Answer 47

Cholesterol embolism

Question 48

Buttock claudication

Answer 48

Iliac disease

Question 49

Buttock claudication and impotence

Answer 49

Leriche syndrome (aortoilliac disease)

Question 50

Syncope with arm exercise

Answer 50

Subclavian steal syndrome

Question 51

Syncope after wearing tight collar

Answer 51

Carotid sinus syndrome

Question 52

pulses paradoxus

Answer 52

Drop in pulse during inspiration Tamponade, obstructive lung