Mastered - cardiology

Question 1

What is the presentation of SVT?

Answer 1

Chest palpitations, tightness

Question 2

What is the presentation of an aortic dissection.

Answer 2

Tearing chest pain, hypotension (variation in BP)

Question 3

What is the presentation of MR?

Answer 3

Syncope, angina, fatigue, dyspnea

Question 4

What are some meds that cause secondary hypertension?

Answer 4

OCPs

Question 5

how is GPA diagnosed?

Answer 5

C-ANCA

Question 6

What pack year Hx increases risk of COPD

Answer 6

20

Question 7

What is the O2 number needed to get home O2?

Answer 7

88

Question 8

What are the major non- pulmonary causes of cough?

Answer 8

GERD, post nasal drip, Asthma

Question 9

How do you treat SVT?

Answer 9

adenosine

Question 10

What are the signs of endocarditis?

Answer 10

Fever
Roths
Oslers
Murmer
Jaraway lesions
Anemia
Nail hemorrhage
Emboli

Question 11

What is the presentation of PE?

Answer 11

tachycardia, tachypnea, pleuritic chest pain, hypoxia

Question 12

What studies would you order for a COPD exacerbation?

Answer 12

EKG
ABG
Chest x ray
Sputum culture
D dimer
CBC
BMP
RRP

Question 13

What is the most important initial therapy in an MI?

Answer 13

aspirin

Question 14

What is the best treatment for myasthenia gravis?

Answer 14

neostigmine

Question 15

Acute management of a STEMI?

Answer 15

morphine
aspirin
oxygen
nitrates

Question 16

What is the mechanism of diagnosis for amyloidosis?

Answer 16

abdominal fat pad biopsy

Question 17

What is cor pulmonale?

Answer 17

right sided heart failure due to pulmonary hypertension

Question 18

What is the most significant thing that can be done to reduce BP non pharmacologically/

Answer 18

weight loss

Question 19

How should a fib be treated?

Answer 19

beta blocker, give warfarin for stroke prevention

Question 20

How do nitrates work?

Answer 20

coronary vasodilation and systemic vasodilation

Question 21

What is the difference between azotemia and uremia?

Answer 21

uremia has symptoms

Question 22

What is the best way to treat at RV infarct?

Answer 22

fluids to increase preload

Question 23

What is the most common cause of MR?

Answer 23

myxomatous degeneration

Question 24

What is the most significant thing that can be done to lower BP non-pharmacologically?

Answer 24

weight loss

Question 25

What are the causes of inelastic pericarditits?

Answer 25

radiation, pericarditis, post MI

Question 26

What is the presentation of cardiac tamponade?

Answer 26

Severe chest pain Pulsus paradoxus hypotension

Question 27

What drugs should be given as secondary prevention for a heart attack?

Answer 27

``` aspirin plavix beta blockers statins ACE-Is ```

Question 28

Difference between HOCM and dilated cardio on exam

Answer 28

Increased murmer on valsava for HOCM

Question 29

What rhythms should be cardio verted?

Answer 29

hemodynamically unstable SVT

Question 30

What is the most common cause of death in an MI

Answer 30

reentry in the ventricles (ventricular fibrillation)

Question 31

What does the hepatojugular reflex tell you in a patient with lower extremity edema?

Answer 31

tells you there's a cardiac disease for LE edema

Question 32

A young female smoker complains of nocturnal substernal chest pain that lasts 15 minutes and resolves spontaneously. This is..

Answer 32

variant angina, a vasospastic disorder

Question 33

When should pharmacologic and stenting therapies be considered in patients with PAD?

Answer 33

persistent despite supervised exercise

Question 34

A patient presents with sharp, nonradiating chest pain that is worse with inspiration. There is tenderness to palpation over the sternum.

Answer 34

Costochondritis