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

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