Quiz Flashcards

stuff (33 cards)

1
Q

Name 3 Drugs that are used to treat SVTs (e.g. A-fib)

A

ABCD
(A)-fib
(B)eta blockers - atenolol
(C)alcium channel blocker - diltiazem
(D)igoxin

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2
Q

What are 3 common causes for a left basilar systolic murmur

A

Pulmonic stenosis
Subaortic stenosis
Flow murmur (physiologic - softer grade 1-2 murmur, in puppies and kittens this should go away by 4-6 months)

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3
Q

What 3 structures are located at the craniodorsal corner of the heart on a lateral radiograph

A

Pulmonary artery
R atrium
Aorta

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4
Q

Name 4 breeds predisposed to subaortic stenosis

A

Rottweilers
Golden retrievers
Bull terriers
Boxers
Newfoundlands

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5
Q

Which 2 sites are to blame for bradycardia (origin of bradyarrythmias)

A

SAN and AVN

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6
Q

3 types of AV Block

A

First degree - prolonged PR interval with QRS

Second degree (Type one) - progressively prolonged PR interval leading to a dropped beat; associated with high vagal tone and horses

Second degree (Type two) - randomly dropped beats; more concerning because it is associated with conduction system disease

Third degree - no QRS after P; ventricles depolarize from a subsidiary pacemaker

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7
Q

What 3 diseases with concentric hypertrophy do we use B-blockers as negative inotropes

A

HOCM
SAS
Pulmonary stenosis

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8
Q

Name 3 primary valvular lesions that result in M/T regurgitation

A

Myxomatous degeneration
valvular dysplasia
Endocarditis

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9
Q

Name 3 common diseases resulting in LV dilation that can cause mitral regurgitation?

A

DCM - dilation and secondary regurgitation

PDA (L–>R): Path = LV > Aorta > DA > PA > Lungs > PV > LA > LV …

VSD (L–R): Path = LA => LV => RV => PA => Lungs => PV => LA => LV …

Aortic insufficiency

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10
Q

What are 3 types of ECG characteristics of A-fib

A

No P waves; F waves instead
Normal QRS morphology
Irregularly irregular rhythm (RR interval irregular)

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11
Q

What are the causes of an axis shift?

A

Right ventricular hypertrophy
R or L bundle branch block

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12
Q

Name 4 drugs used as ORAL ventricular antiarrythmics

A

SPAM = Sotalol is first line; if not working Sotalol and Mexilitine second line
(S)otalol (Class II/III)
(P)rocainamide - Type IA
(A)miodarone - Class III
(M)exiletine - Class IB

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13
Q

Diseases of which 4 body systems are associated with high vagal tone

A

GI
Neurologic
Respiratory
Ocular

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14
Q

Name 2 strategies used to manage bradycardia

A

Medical management - atropoine
Surgical - pacemaker

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15
Q

3 drug classes that are used to increase heart rate

A

Sympathomimetics - EPI/NE, dopamine/dobutamine, isopreterneol, terbutaline

Anticholinergics/parasympatholytics - atropine, glycopyrrolate, propantheline bromide, hyoscyamine

Methylxanthines - theophylline

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16
Q

Name 2 reasons that dogs cough with heart disease

A

Pressure on trachea / mainstem bronchi
Pulmonary edema

17
Q

What are 2 cardiac conditions associated with hyperkinetic pulses

A

PDA - longer diastole so more overtime pressure difference; losing BV from aorta

Aortic regurgitation

18
Q

Name 3 actions/effects of digoxin

A

Negative chronotrope - slows conduction through AVN by increasing vagal tone

Positive inotrope - prevents 3na out and K in; bringing Ca into the cell

Mild diuretic

Resets barroreceptors in aortic and carotid bodies

19
Q

Name 5 things that AGII does

A

Stimulates aldosterone - promotes Na retention

Increased thirst- sns activation

Fibrosis/myocardial hypertrophy

Increased ADH

Vasoconstrict vascular smooth muscle

20
Q

What 3 hypers cause Lv concentric hypertrophy in cats

A

HYPERtension

HYPERthyroidism

HYPERtrophic cardiomyopathy

21
Q

What are 3 reasons for an enlarged PA?

A

Pulmonic stenosis
PDA
HW disease
Pulmonary hypertension

22
Q

Name 3 fluids that can cause an interstitial/alveolar pattern

A

Blood = pulmonary contusions
Purulent material = pneumonia
Pulmonary edema

23
Q

Name 3 caues for generalized cardiomegaly in dogs

A

Pericardial effusion = globoid structure on R (cannot distinguish LA from LV)

DCM

Valvular disease (L sided)

24
Q

What 3 rhythms are associated with absece of P waves on ECG

A

Atrial standstill
Afib
Hyperkalemia (Addisons, blocked cats)
Sinus arrest

25
Adverse outcomes of SAS
sudden death = arrhythmias CHF Infective endocardititis
26
Adverse outcomes of HCM
arrhythmias CHF ATE
27
What are the 3 determinants of myocardial oxygen demand
Heart rate Contractility Ventricular wall stress
28
Name 3 differentials for a wide and bizarre QRS complex
Vtac/VPC BBB Escape rhythms
29
what are the 4 classic target organs for systemic hypertension
Retinas Heart Kidneys Brain
30
Name 3 findings that one may expect on ECG in a patient with pericardial effusion
Electrical alternans Low voltage QRS complexes ST elevation Sinus tachycardia
31
Name 3 causes for pericardial effusion in cats
FIP Lymphoma Idiopathic
32
Do u give fluids or diuertics to an animal with pericardial tamponade
Fluids to keep preload up
33
What 3 compounds produced by the body (and targeted in CHF therapy) are directly toxic to the heart
Potassium AGII - vasoconstriction, remodeling and fibrosis NE - vasoconstriction and fibrosis Aldoterone - remodeling and fibrosis