Science Quiz / Highest Yield Cardio ClinMed/Path/Pharm

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Can you name the High Yield Cardio ClinMed

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

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