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Flashcards in UWorld Step 2 Notes Deck (302)
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1

Defect in b-cell tyrosine kinase

Bruton agammaglobulinemia

2

Skin infections
Mucosal infections
Poor wound healing
No pus

CBC lab?

Leukocyte adhesion deficiency

Neutrophilia

3

Increased C2b and bradykinin

C1 inhibitor deficiency

4

Low C1q

Acquired angioedema (over 30 y/o)

5

Causes of pericarditis

Cards surgery, TB, radiation, malignancy, uremia, virus, idiopathic, connective tissue disorders

6

Kussmaul's sign

Sign of?

No decrease in JVP on inspiration

Defective/restricted RV

7

Systolic HTN, normal diastolic BP

Elderly w/ stiff vessels

8

Lipid lowering therapy guidelines

1. Clinical atherosclerosis (moderate if over 75, high if under 75)
2. LDL > 190 (high)
3. 40-75 w/ DM (high if over 7.5% risk, moderate if under 7.5% risk)
4. 10 year risk > 7.5%

9

High intensity statins

Atorvastatin (high dose)
Rosuvastatin (high dose)

10

Risk factors for PACs (4)

Caffeine, smoking, EtOH, stress

11

Signs of AS + thrill above sternum

What else will they have? Why?

Supravalvular AS

Exercise-induced ischemia 2/2 coronary artery stenosis

12

Papillary muscle rupture...which infarct?

RCA

13

Free wall rupture...which infarct?

LAD

14

Endocarditis --> aortic regurg and AV block

Perivalvular abscess

15

Gross hematuria after sudden severe pain in upper abdomen + Hypotension

AAA rupture --> fistula w/ IVC --> retroperitoneal vein backup --> bladder vein rupture

16

Post-op...fever...cloudy fluid...widened mediastinum

Tx?

Acute mediastinitis

Surgery + Abx

17

Chest pain + stable...workup/tx?

1. Aspirin (unless dissection)
2. EKG
3. CXR
4. Treat problem

18

STEMI - tx?

Emergency cath or thrombolysis

19

NSTEMI - tx?

Anticoagulation

20

Exertional syncope...cause?

Outflow obstruction

21

B/l hip, thigh, butt claudication + impotence + b/l LE atrophy

Occlusion at aortoiliac junction (Leriche syndrome)

22

Hypertrophic cardiomyopathy...genetic inheritence?

AD

23

Most common arrhythmias after an MI

V tach
V fib

24

A fib...assess what?

Clot risk via CHA2DS2 VASc

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

25

CHADS-VASc...when to anticoagulate?

Use what?

2+

Warfarin, NOT aspirin

26

S4 after severe chest pain

MI --> myocardial stiffening

27

DeGeorge symptoms

CATCH 22...
Conotruncal cardiac defects (truncus arteriosus)
Abnormal facies
Thymic aplasia
Cleft palate
HYPOCALCEMIA

28

When to do surgery for carotid atherosclerosis (3)

1. Men > 50% w/ symptoms
2. Men > 60%
3. Women > 70%

29

Adenosine...used in what?

Why?

SVTs

Slows supraventricular and AV conduction, revealing P waves

30

Order of most important things to lower BP

1. Weight loss
2. DASH diet
3. Exercise
4. Sodium restriction
5. Alcohol restriction