Science / Highest Yield Cardio ClinMed/Path/Pharm

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Can you name the High Yield Cardio ClinMed

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HintAnswer
Young patient comes in with HTN 183/96 mmHg and S4 gallop. ECG findings are indicative of LVH. What is the next thing to order?
Composed of lipid-laden foam cells, appear in the first decade, don't obstruct flow
Relieve coronary spasm in atherosclerotic vessels and increases oxygen delivery
CHF Stage: High risk due to presence of risk factors
Used to treat MRSA pneumonia
Newest protocol for treating sepsis:
MI Time frame: Gross- Mottling with yellow/tan center; Micro- Coagulative necrosis with neutrophilic infiltrate
5mg of this statin decreases LDL 33-39%
Causes eosinophilic pneumonia
Case: 58 year old male, CAD, prior MI, EF under 35%, CHF, NYHA class II. Medications: Furosemide, enalapril, aldactone, carvedilol. No syncope or VT. ECG: Sinus rhythm, old anteros
What side of the stethoscope do you use to hear low freqquency S3 and S4
Incomplete rupture of the heart with organizing thrombus and hematoma, together with pericardium, seal a rupture of the left ventricle
Low blood pressure, JVD and distant heart sounds all make up...
Life threatening condition associated with older antipsychotics that is characterized by fever, encephalopath, unstable vitals, elevated CPK and and muscle rigidity brought on by r
Antibiotic that is usedful against multi-drug resistant organisms
What medication is absolutely contraindicated in patients with congestive heart failure (CHF)?
Side of the heart that gets infective endocarditis in IV drug users
Normal S2 splitting is heard best where?
Class of lipid lowering drug that causes triglycerides to rise in people with hypertriglyceridemia
Third most common coronary vessel involved in MI
This type of heart disease can manifest as MI, angina, chronically as HF or sudden cardiac death
A harsh cescendo-decrescendo murmur between S1 and S2 is heard with this condition
CHF Stage: Refractory HF requiring specialized interventions
Number one cause of death in diabetics
Most common side effect of statins
MI Time frame: Waviness of fibers at the border
Mid-systolic click occurs with what condition?
Most commonly used combination of lipid lowering drugs
Second most common cause of prosthetic valve endocarditis in people over 16 years old more than 12 months post-op
If you had to choose between administering a B-blocker and ACE inhibitor versus a B blocker and diuretic what would you choose?
Patient with a heavily calcified vessel… Tx of choice?
Case: a 60 year old female presents with a 1 year hx of non-ischemic dilated cardiomyopathy, CHF NYHA class III despite maximum medical therapy LVEF is 20% and LBBB with QRS of 170
Most common cause of inpatient pericarditis (M)
Symptoms of mitral valve regurgitation include:
This short acting drug should be avoided after MI because of increased risk of side effects
Case: 65 year old male with hx of inferior wall MI 1 year prior presents with rapid palpitation and syncope. An ECG shows SR and old inferior wall MI. A 2D echo shows LVEF 40% with
Most common cause of inpatient pericarditis (U)
Bypass surgery 10-15 years previous. No discomfort but shortness of breath → Rim of calcification
CHF Stage: Structural disease but asymptomatic
HintAnswer
Drug used for pharmacologic stress test that is bronchspastic
Most common cause of prosthetic valve endocarditis in people over 16 years old more than 12 months post-op
Most vasovagal episodes involve both ________________ (drop in HR) and ___________________ (drop in BP)
Most common coronary vessel involved in MI
Fixed splitting os S2 occurs with what condition?
Most common cause of prosthetic valve endocarditis in people over 16 years old within the first 60 days after replacement
MI Time frame: Gross- Dark mottling/Micro- Early coagulative necrosis, nuclear pyknosis, cytoplasmic hypereosinophila, early neutrophilic infiltration
Can cause myopathy with CK >15
You should avoid giving SSRIs with this drug because it can cause seratonin sickness
Patient with a wired sternum, somewhat enlarged heart silhouette and lateral CXR and CT show pericardial calcifications
What heart sound is almost pathognomonic for heart failure?
Drugs used to treat stage B heart failure
Most common cause of inpatient pericarditis (T)
MI Time frame: Gross- Comlete scar; Micro- Collagenous scar
MI Time frame: Gross- Central yellow with hyperemic margins; Micro- Disintegration of dead myofibers with macrophages
Class of lipid lowering drugs that intereferes with fat soluble vitamin (ADEK)
60 year old female with edema, S4 gallup. What drugs are used for first line therapy to treat her HTN? Two drug classes used as first line therapy:
You must check blood levels of this chemical when sepsis is suspected because it will be elevated
MI Time frame: No gross or microscopic changes, reversible injury
Third most common cause of prosthetic valve endocarditis in people over 16 years old more than 12 months post-op
Young person coming in with acute onset of chest pain and hypotension
40mg of this statin decreases LDL 33-39%
SIRS: RR must be greater than _____ or PaCO2 must be less than ____
Second most common coronary vessel involved in MI
During what activity do you hear a mid-systolic click?
If a person presents to the ER with sepsis they must get antibiotics within how many hours
10mg of this statin decreases LDL 33-39%
27yo football player collapses after running. Earlier echocardiogram shows hypertrophied interventricularseptum? What is the most likely diagnosis?
When assessing for hypertension you must always look for
Third most common cause of native valve endocarditis in people over 16 years old
Antibiotic that is added when treating prosthetic valve endocarditis because of its ability to penetrate biofilms
Major causative agent of infective endocarditis in people with an abnormal valve
What is the length of the tubing of the best stethoscope
What treatment would you choose for a patient with MI and diabetes?
When left ventricle is compensating for mitral valve disease the ejection fraction is
Post MI VFib has a direct correlation with this electrolyte
SIRS: WBS must be above ______________ cells/mm3 or below ____________ cells/mm3 or there must me more than _____% band cells
Path: Common causative agent of infective endocarditis in people with prosthetic valves
Daptomycin is inactivated by what?
HintAnswer
This class of antiboitics causes a prolonged QTc
The patient must be sent to surgery for aortic insufficiency when the left venticle...
Type of cardiomyopathy that has diastolic dysfunction
Most common cause of inpatient pericarditis (R)
T/F: Oral vancomycin is used to treat systemic infection
This drug inhibits monoamine oxidase so it can cause severe hypertension if taken with foods containing tyramine
20mg of this statin decreases LDL 33-39%
Statins block this enzyme
MI Time frame: Gross- Yellow/tan with soft red/tan margins; Micro- Early granulation tissue at margins
What is the drug of choice for CHF patients w/ prior MI?*
Common causative agent of infective endocarditis in IVDAa
Most common cause of inpatient pericarditis (O)
Can't take or have taken sildenafil within 24 hours of this type of drug
WHy do you need to use pharmacologic stress testing on people with a LBBB?
CHF Stage: Structural disease with current or Hx of symptoms
Second most common cause of native valve endocarditis in people over 16 years old
Daptomycin can't be used to treat this condition
Beck's triad is the primary finding in this condition
If a person is admitted to the floor with sepsis they must get antibiotics within how many hours
What side of the stethoscope do you use to hear high frequency sounds like S1 and S2
Used to treat severe or recurrent CDiff
If culture has vancomycin sensitive strain but MIC ≥ 2 use
Most common cause of adult aortic stenosis
Prominent jugular venous pulse is indicative of what?
SIRS: Temperature must be above ______ C or below ______ C
SIRS: HR must be greater than:
What is the best type of stethoscope tubing made of?
Case: 72 year old male with chronic AFib of more than 10 years duration is admitted following a syncopal episode. A 2D echo shows LVEF 60%. Telemetry shows AFib with slow ventricul
T/F: When a person has sepsis they should be given multiple broad spectrum antibiotics
Mortality rate of severe sepsis
MI Time frame: Gross- Red/gray with depressed borders; Micro- Well-established granulation tissue
Second most common cause of prosthetic valve endocarditis in people over 16 years old within the first 60 days after replacement
Class of lipid lowering drug that intereferes with many orally given drugs
MI Time frame: Gross- Scar; Micro: Collagen deposition with decreased cellularity
This antibiotic causes all body fluids to be colored orange/brown
Most common cause of native valve endocarditis in people over 16 years old
Screening test for someone with atypical chest pain in the ED
Side effect of older antipsychotics: repetitive, involuntary movements of the oral and limb musculature

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