Quiz #3 Flashcards Preview

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Flashcards in Quiz #3 Deck (52)
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1

CHA2DS2-VASc

CHF (1)
HTN (1)
Age > 75 (2)
DM (1)
Stroke/TIA (2)
Vascular dz (1)
Age 65-74 (1)
Sex female (1)

2

Tx for Atrial Fibrillation w/o LV dysfunction or HF

Beta blocker
Amiodarone
Diltiazem
Verapamil

3

Tx for Atrial Fibrillation w/ LV dysfunction or HF

Beta blocker, Digoxin, Amiodarone

4

Anticoagulation Options for Positive CHA2DS2-VASc Score

Warfarin
Dabigatran
Rivaroxaban
Apixaban

5

Treatment for Stage B HF Patients

ACE/ARB
Beta Blockers

6

Treatment for Stage C HF Patientst

ACE/ARB
Beta Blockers
Diuretics
Aldosterone antagonist (Spironolactone)

7

Examples of diuretics

HCTZ
Chlorothiazide
Furosemide
Torsemide
Bumetanide
Spironolactone

8

Preferred Beta Blocker for HF Treatment

Metoprolol
Carvediolol

9

Preferred ACE Inhibitor for HF Treatment

Enalapril

10

Preferred diuretic for HF treatment

Furosemide (Lasix)

11

Symptoms of Heart Failure

Fatigue
Shortness of Breath
Orthopnea
PND
Chronic cough

12

Physical Exam Signs of Heart Failure

Pedal Edema
Jugular Venous Distention
Ascites
S3 Gallop/S4 Gallop
Crackles in lungs

13

Secondary Causes of Hypertension

Renovascular Dz
Hyperaldosteronism
Pheochromocytoma
Cushing's Dz
Sleep Apnea
Coarctation of the Aorta

14

Fundoscopy findings from long term HTN

Cotton Wool Spots
Hard Exudates
AV Nicking
Copper Wiring

15

Steps for Statin Use Algorithm

1. 21 y/o and candidate for statin use?
2. Clinical ASCVD?
3. LDL >/= 190?
4. Diabetic?
5. ASCVD Risk > 7.5% and 40-75 y/o?

16

10 Year ASCVD Risk Calculator Components

Age 40-75
Diabetes
Sex, Race
Smoker
Total Cholesterol, HDL
Systolic Blood Pressure
Treated for HTN?

17

High Intensity Statins

Atorvastatin 80 mg
Rosuvastatin 20 mg

18

Moderate Intensity Statins

Atorvastatin 10 mg
Rosuvastatin 10 mg
Simvastatin 20-40 mg
Pravastatin 40 mg
Lovastatin 40 mg

19

Low Intensity Statins

Pravastatin 10-20 mg
Lovastatin 20 mg

20

Symptoms of spontaneous pneumothorax

Dyspnea
Chest pain
Diminished breath sounds

21

Symptoms of tension pneumothorax

Rapid labored breathing
Tachycardia
Cyanosis

22

Acute infection of lung parenchyma which must have occurred before or at most 48 hours after hospitalization

Community Acquired

23

Most common etiology of community acquired pneumonia

Streptococcus pneumoniae

24

Defined as pneumonia developing 48 hours after hospitalization

Healthcare associated pneumonia

25

Common etiologies of HAP

Pseudomonas
E. coli
MRSA

26

Symptoms of CAP/HAP

Productive Cough
Fever
Pleuritic Chest Pain

27

Physical Exam Signs of CAP/HAP

Increased fremitus
Dullness to percussion
Egophony
Crackles

28

Diagnosis of CAP/HAP

CXR (infiltrates)
Sputum culture

29

CAP/HAP associated with rust colored sputum

Pneumococcus

30

CAP/HAP associated with currant jelly sputum and alcoholic (aspiration)

Klebsiella