Misc

Question 1

Central Sleep Apnea

Answer 1

Tx=spironolactone (Cr <2.5)
NO ADAPTIVE SEROVENTILLATION
NO THEOPHYLLINE

Question 2

OSA treatment

Answer 2

lowers BP

Question 3

Hyperviscosity syndrome from Eisenmengers

Answer 3

iron supplementation to prevent hyperviscosity
Therapeutic phlebotomy without sx will just make more iron deficient
Phelebomy only if symptoms of hyperviscosity syndrome

Question 4

HIV

Answer 4

Framingham risk for CAD in HIV patients enhanced with CD4 counts (and cART, exp to protease and NRTI, abacavir)

Low dose statin therapy (2/2 interaction with HAART meds of statins)

Pathophys is Vascular inflammation - inc’d CV risk

Question 5

OSA

Answer 5

trigger for AF
morning h/a, chocking sensation upon waking
loud snoring
increased plt activation, inc’d fibrinogen, inc’d symp tone

Question 6

A/C for DVT/PE

Answer 6

Provoked - 3-6 months

Unprovoked/Cancer - lifetime (or until CA is active)

Question 7

Late contrast reaction

Answer 7

Tcell mediated - non-ionic dimer contrast

tx with diphenyhydramine