Heart Failure (IM Platinum)

Question 1

MCC of DIASTOLIC dysfunction that leads to L sided HF?

Answer 1

Concentric Left Ventricular Hypertrophy due to HPN

Question 2

MCC of R sided HF?

Answer 2

L sided HF

Question 3

Earliest cardinal SYMPTOM of L-sided HF?

Answer 3

Dyspnea

Question 4

Earliest cardinal SIGN of L sided HF?

Answer 4

L sided S3

Question 5

Hallmark of R sided HF?

Answer 5

Peripheral ankle edema

Question 6

Most important mechanism of dyspnea in HF?

Answer 6

Pulmonary congestion with accumulation of interstitial or intraalveolar fluid, which activates J receptors (wtf)

Question 7

Most useful test in assessing LV function?

Answer 7

2D echo with Doppler studies

Question 8

GOLD STANDARD for assessing LV mass and volume?

Answer 8

MRI

Question 9

Major problem in aldosterone antagonists?

Answer 9

Life-threatening Hyperkalemia

Question 10

Cornerstones of modern therapy for HF with a depressed EF

Answer 10

ACE-I/ARBs and B-blockers

Question 11

MC side effect of Nitrates?

Answer 11

Headache

Question 12

Most commonly used inotropic agent for acute HF?

Answer 12

Dobutamine (direct stimulation of B1 receptors - increasing contractility and CO)

Question 13

MCC of SYSTOLIC dysfunction that leads to L sided HF?

Answer 13

Coronary Artery Disease (CAD)

Question 14

First choice for therapy in which modest inotropy and pressor support are required

Answer 14

Dopamine