MKSAP

Question 1

Contraindication for cilostazole

Answer 1

Heart failure

Question 2

When to do CT angiography for cardiac chest pain evaluation

Answer 2

Chest pain resolved; low to intermediate probability of CAD; and equivocal Trop

Question 3

Rhythm control strategy is preferred within — year of A.fib diagnosis

Answer 3

1

Question 4

RA tumor

Answer 4

Cardiac angiosarcoma

Question 5

High risk features warranting Rx of asymptomatic PVC

Answer 5

Syncope
Structural heart Dx
Family h/o SCD

Question 6

DDx for granulomatous lesions

Answer 6

TB CSF V

Tuberculosis
Bartonella
Coxiella
Sarcoidosis
Fungal
Vasculitis - GPA and EGPA

Question 7

How do you approach NSTEMI? What is the first thing to determine and what are the two Rx pathways that lead from it?

Answer 7

1. Calculate TIMI score
2. TIMI <2 —> start medical Rx with heparin, aspirin, and plavix. stress testing before discharge —> if evidence of ischemia —> cath.
3. TIMI >2 —> medical Rx and urgent cath

Question 8

Three post pregnancy heart issues tested

Answer 8

1. Peripartum CMP —> HF
2. SCAD —> ACS
3. Micro vascular dysfunction —> anginal Sx

Question 9

Most common SVT

Answer 9

AVNRT

Question 10

Indications for PDA closure

Answer 10

Left chamber hypertrophy as long as pulm pressure is <50% of the systemic BP

Question 11

You have high suspicion for LE clarification but ABI is >0.9. Next step?

Answer 11

Exercise ABI

Question 12

Which patients should be considered for staged PCI

Answer 12

HD stable patients if non culprit vessel was not addressed in primary PCI

Question 13

Indications for AAA repair

Answer 13

1. > 5.5 cm
2. > 5 cm with family history or progression >0.5 cm/year
3. > 4.5 cm with other surgical procedures

Question 14

Define recurrent pericarditis

Answer 14

Recurrent after Sx free interval of 4-6 weeks

Question 15

Surgically resectable AAA is identified. What is the next step? Survey or imaging?

Answer 15

CTA to determine location - guides the choice between surgical vs open repair

Question 16

Which test to pursue if symptoms fit to valvular disorders are only present with exercise and resting echo does not show any abnormalities

Answer 16

Exercise echo since that is the only thing that will give you the answer

Question 17

Emboli stroke with an undetected source and a PFO. Which one is better - aspirin or PFO closure?

Answer 17

PFO closure

Question 18

LVOT gradient for SRT in HOCM

Answer 18

50

Question 19

HD compromise in RV STEMI after revascularization

Answer 19

IV saline

Question 20

HD compromise after LV infraction

Answer 20

AIBP

Question 21

Best test after exercise/dobutamine echo to resolve discrepancies between symptoms and echo finding in valvular Dx

Answer 21

Cardiac cath

Question 22

The only test valid to evaluate for ischemia in patients with LBBB

Answer 22

Vasodilator SPECT

Question 23

Generalized pustular psoriasis occurs after steroid withdrawal

Answer 23

A patient who has chronic plaque psoriasis was recently Rx with steroids for asthma exacerbation and is now presenting with pustules which coalesce to form lakes of pus

Question 24

Popeye sign is seen with —- tendon rupture

Answer 24

Biceps

Question 25

Which med does cards want to add after lasix in HFrEF

Answer 25

ACE

Question 26

Brugada syndrome EKG

Answer 26

ST segment coving -concave and downsloping

Question 27

High risk features in pericarditis requiring hospitalizations

Answer 27

Fever >100.4; subacute onset; pericardial effusion; AC on presentation; lack of response to Rx

Question 28

TKI associated with A.fib

Answer 28

Ibrutinib

Question 29

Indications for home O2 in COOD with O2 89 and PaO2 59

Answer 29

1. Cor pulmonale 2. Heart failure 3. Erythrocytosis

Question 30

2 options for recurrent malignancy pliers effusion

Answer 30

1. In dwelling pleural cath 2. Chemical pleurodesis

Question 31

Heerfordt syndrome

Answer 31

Anterior uveitis, parotitis, facial N palsy, and fever

Question 32

When to discontinue antibiotics in neutropenic fever if no source has been identified

Answer 32

resolution of fever and improvement of the patient's absolute neutrophil count to more than 500/μL (0.5 × 109/L).

Question 33

Indications for HD in ethylene glycol

Answer 33

1. Severe anion gap acidosis 2. End organ involvement - kidney impairment and visual changes

Question 34

Drugs for smoking cessation in patient admitted with ACS

Answer 34

NRT combination OR Verencline mono therapy

Question 35

Medication to reduce binge eating days

Answer 35

Lisdexamphetamine

Question 36

Medication for chronic cough refractory to other Rx

Answer 36

Gabapentin

Question 37

Analgesic for ESRD

Answer 37

Dilaudid

Question 38

Medications most associated with ED

Answer 38

Beta blockers Spirinolactone Thiazides Clonidine

Question 39

Emperic topic antibiotic for bacterial conjunctivitis - name 3

Answer 39

1. Trumethoprim-polymyxin 2. Bacitracin-polymyxin 3. Erythromycin