New Flashies Last Week Woo

Question 1

What is the definitive test to confirm pulmonary hypertension?

Answer 1

Right heart cath will confirm PHTN

Question 2

A new left bundle branch block can be a sign of what type of MI?

Answer 2

Anterolateral

Question 3

Ct chest is also called

Answer 3

Computed pulmonary angiography

Question 4

Normal hemoglobin

Answer 4

13-17

Question 5

Normal hematocrit

Answer 5

35-50

Question 6

What medication can cause false positives during stress testing?

Answer 6

Digoxin

Question 7

Do pts wearing life vest need to sleep with the vest on?

Answer 7

Yes

Question 8

Which are the precordial leads?

Answer 8

v1-v6

Question 9

CVP waveform.
A wave represents?
C wave represents?
V wave represents?

Answer 9

A-atrial contraction
C tricuspid valve closure
V - atrial refilling.

Question 10

Enlarged V waves may represent what valvular lesion?

Answer 10

Tricuspid regurgitation

Question 11

Which electrolyte abnormality will cause muscle spasm?

Answer 11

Hyperphosphatemia

Question 12

A pt with new bundle branch block should …

Answer 12

Go home w continuous EKG monitoring

Question 13

A biphasic defibrillator 1st shock should be at?

Answer 13

120-200J

Question 14

What’s the recommended joules defibrillation for a Monophasic defibrillator?

Answer 14

360J

Question 15

Normal mean PAP

Threshold for diagnosing PHTN?

Answer 15

<20

>25 by RHC

Question 16

Normal PAOP and high CVP and High PAP May indicate?

Answer 16

PHTN

Question 17

Aortic insufficiency will present with ____ SVR and ___ CO.

Answer 17

High SVR, low CO

Question 18

What is pathologic Q wave?

Answer 18

Width > 30 ms

Depth > or equal to 25% the height of the R wave.

Question 19

What does pathologic Q wave indicate?

Answer 19

If present in contiguous leads, indicates myocardial necrosis

Question 20

Murmurs of insufficiency over when the valve is OPEN or CLOSED?

Answer 20

Close!! Or supposed to be closed.

Question 21

Murmurs of stenosis occur when the valve is OPEN or CLOSED?

Answer 21

Open!! Supposed to be open.

Question 22

Where will you hear murmur of papillary muscle rupture?

Answer 22

Apex , sternal border 5th ics

Question 23

2nd degree type 2 blocks are associated with which type of MI? Why?

Answer 23

The anterior MI - LAD supplies bundle of HIS.

Question 24

What is dresslers syndrome?

Answer 24

Pericarditis caused by acute MI

Question 25

STEMI in 2 3 and AVF usually caused by occlusion of which artery?

Answer 25

RCA

Question 26

How will you know it’s an RV infarct

Answer 26

Hypotension with clear lungs

Question 27

Why is dig for a fib

Answer 27

Weak inotrope compensate for loss of atrial kick

Question 28

3rd degree HB is see in which type of MI

Answer 28

Acute inferior MI

Question 29

Scratching sound during systole and diastole

Answer 29

Friction rub- pericarditis.

Question 30

S3 or S4 heart sound after MI

Answer 30

New onset HF

Question 31

The hallmark of restrictive cardiomyopathy

Answer 31

Elevated right atrial pressure s

Question 32

Restrictive cardiomyopathy?

Answer 32

Heart muscle is stiff or scarred.

Question 33

Murmurs of insufficiency sound

Answer 33

High pitched

Question 34

Normal minute ventilation

Answer 34

4 liters per minute

Question 35

What is the characteristic of sick sinus syndrome?

Answer 35

Alternating sinus bradycardia and paroxysmal atrial tach/SVT

Question 36

What is the risk of IV nitroprusside?

Answer 36

Thyocyanate toxicity

Question 37

How does thiocyanate toxicity manifest?

Answer 37

Acute psychosis

Question 38

Cardiosective beta blockers

Answer 38

``` Metoprolol Atenolol Nebivolol Betaxolol Acebutolol Bisoprolol Esmolol ```

Question 39

Metabolic syndrome

Answer 39

OBESITY HTN HLD DM2