Science Quiz / Block 7a Cardio

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Can you name the Block 7a Cardio?

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QuestionAnswerNotes
Drug to close PDA?
Necrotizing vasculitis, granulomas in lung, glomerulonephritis
Electrolyte imbalance that inc digitalis toxicity
Chest leads V5, V6 are which wall?
Spike-and-Dome Bisferians arterial pulse
Which hypertrophy: ASD
Ig assoc w/ Henoch-Schonlein purpura
Leads II, III, and aVF are which wall?
Valve dz assoc w/ rheumatic fever
Diffuse ST elevation with PR depression
Mech: increase CBF, reduce MVO2
Aortic aneurysm assoc w/ ?
Interaction w/ nitrates: increased clearance
Drug to keep PDA open?
Granuloma w/ giant cells assoc w/ rheumatic fever
long PR interval > ? sec
IE organism: prosthetic valve
Decreased pulse in beat after ectopic beat
LAD and R (V5/V6) + S (V1/V2) > 35mm
no pre-systolic accentuation in mitral stenosis during?
Which is worse: VT or AIVR?
Equalization of elevated intracardiac pressures - impairment of ?
Triad: Inc JVP (steep x), low BP, quiet heart
Small-vessel vasculitis with lung/kidney involvement
2 day old with cyanosis, CHF, shock suggests?
THIAZ, ACEI - indicated for HTN + ?
Sawtooth waves on EKG
VSD: likelihood of spontaneous closure before age?
MCC secondary HTN
RAD and Tall R in V1/V2 > 5mm
Mech: Inc cGMP and open K channels
MCC acquired mitral stenosis
Mech: Stop Na/K ATPase to + intropy
Maximal coronary blood flow in?
Vasculitis: spectrum of histiologic changes
MC pediatric heart tumor
LV pressure in diastole = which pressure
Rx: Convert SVT to NSR; half life less than 10s
Na channel blocker: slow rate of binding
MC adult heart tumor
Inverted P wave - which atrial pacemaker
Cause of paroxysmal atrial tachycardia with block (PAT)
Nitro c/i with?
Regional wall motion during stress in CAD ischemia
ACEI cough and angioedema due to?
Vasculitis: inflammation at intima-media jcn
Tx: Prinzmetal angina
Improve CP of pericarditis by?
Infectious indirect cause of aortic insufficiency
RSR' in V1 or V2
Layer of vessel affected by Dissection
Vasculitis: assoc w/ hepatitis B
Activated histiocytes assoc w/ rheumatic fever
Greater contractility and preload after PVC are called
Tx recommended for primary VF?
Ex of endothelin receptor antagonist
MC location for aortic aneurysms
Crescendo-Decrescendo systolic murmur
CABG or PCI? Diabetic
Name ending for K channel openers
Vascular tumor w/ lymphedema or after radiation
Young Asian female with 'pulseless dz'
Pt with Multifocal Atrial Tachycardia also have
IE organism: colon cancer
Sx: palpable purpura on butt/legs, arthralgia, GI
Cardiomyopathy with dilated atria
Triple apical impulse and palpable S4
QuestionAnswerNotes
Exaggerated inspiratory drop in SBP > 10mmHg
Diastolic phase with most filling
Channel blocked: Class IV
Cardiac specific CCB:
Name ending for CCBs
Asymmpotomatic young male athletes with ST elevation in many leads
Channel imp for depol of ventricular myocytes
pulse pressure normally ? with age
Interaction w/ nitrates: inc nitro conc
Endothelial injury -> monocyte adhesion ->?
Wide pulse pressure and bounding pulse with LVH
Effect on EF: digoxin
Vasculitis: C-ANCA
Rheumatic fever - antibodies to which proteins?
MCC holosystolic murmur
MC type of ASD
Systolic BP b/t stage I and II HTN
MC congenital heart defect presenting in adults
Worst prognosis in aortic stenosis
Calcium sensitizing agent
Digitalis Toxicity: cant dialyze so give?
MVP click closer to S1 or S2 with inc preload
HCM - effect on intensity of standing/valsalva
RSR' in V5 or V6
Standard Lead with negative QRS
SCD recurrence higher in?
Ductus dependent? Transposition of great arteries
Same effect of standing in HCM and?
MCC out-of-hostpital SCD
Sign of impaired late filling due to pressure overload
Cardiomyopathy with pulsus alternans
Minutes for myocardial necrosis to start
ACEI, ARB - indicated for HTN + ?
Ductus dependent? TAPVC
Tx: Transposition of Great Arteries
Angina tx: reduce O2 demands, increase O2 supply
Name ending for PDE inhibitor
Worst CHF prognosis: high serum?
Diastolic rumble after opening snap
Na channel blocker: dec refractory period
MVP click closer to S1 or S2 with anxiety
Vasculitis: young male smokes heavily
Major mediator of microvascular vasodilation and increased CBF
VSD: risk of irreversible pulmonary HTN after age?
MC congenital cardiac anomaly causing death in neonate
Atrial waveform: Rapid early filling of RV/LV
(AO-RA)/CO
Sm-Med vegetations on both sides
Chronic mitral stenosis leads to dilation of?
Heart defect often due to congenital rubella
CHF therapy that dec sudden death
LDL guideline for Diabetic
ACEI, ARB, and BB - indicated for HTN+?
IE organism: IVDA
Sx: rash, fever, carditis, polyarthritis, chorea
SE: reflex tachycardia and drug-induced lupus
Improves outcomes when added post MI
Obligate R->L shunt at atrial septum, dep on VSD
(PA-LA)/CO
Fusion of the cusps (aortic stenosis)
Monitor lung, thyroid, liver, eyes
Effect on PR interval: BB, CCB, Dig, Amiodarone
small box = ? sec
Opening snap
systolic BP in hypertensive crisis
Dissection or aneurysm: assoc w/ HTN
PCWP is an estimate of which pressure?
QuestionAnswerNotes
Acute vasculitis of coronary arteries
Sign of impaired early filling due to volume overload
Angina tx: reduce O2 demands, indirectly increase O2 supply
Axis deviation -30 to -90
Leads I and aVL are which wall?
MCC of SCD
Interaction of nitrates with acetylcysteine
Ideal systolic BP
Myxomatous degeneration
Q wave wide than 0.04s is considered?
Take hydralazine, what test might be +?
Effect on afterload: ACE inhibitor
What % has no more coronary flow reserve
Sm-Med red vegetations along line of closure
'shaggy' fibrinous adhesions covering epicardial and pericardial surfaces
Wide and fixed splitting of S2
Pulsus tardus et parvus
MC type of VSD
Vascular tumor w/ arsenic, vinyl chloride, thorotrast
Electrolyte imbalance leading to Torsades
LVH leads to ? dysfunction
Axis deviation +90 to 180
No fusion of the cusps (aortic stenosis)
Virus assoc w/ kaposi's sarcoma
Inherited cause of AV Re-Entrant Tachycardia
Interaction w/nitrates: inc plasma conc
IE organism: native but previous damaged/abnml valve
Classical exam finding in pericarditis
Stage 1 HTN initial tx?
Radiological sign: double barrel aorta
BB, ACEI - indicated for HTN + ?
Which hypertrophy: Aortic stenosis
Drug inducing inverted T waves
MCC chronic mitral regurgitation
Impairment of diastolic filling due to abrupt fluid accumulation
Na channel blocker: inc refractory period
Inherited cause of tall R wave in V1/V2 (not WPW)
Pericardial knock
Pulm veins don't connect to LA; innominate veins
Every ? mmHg double risk for stroke
Bulky friable vegetations extending to valve cords
EKG: Accessory pathway with antegrade conduction
'Boringly regular' wide complex tachycardia
P-mitrale aka bifid P wave
Improve lifespan: ARBs, BB and?
Causes restenosis after angioplasty
Aschoff bodes are characteristic of?
Channel imp for depol of SA node
Roth spots, Osler's nodes, Janeway lesions, Splinter hemorrhages
Tx for strawberry hemangioma
Channel blocked: Class III
Hypertrophy with LBBB and low voltage
MC form of childhood systemic vasculitis
Syndrome leading to chordal rupture
Hypoxia leads to higher ? inside cells
Lab to dx CHF
Rheumatic fever - inflammatory process after infection with?
Name an aldosterone blocker
pulsus paradoxus
Small, warty, tan vegetations along closure of valve
Syndrome assoc w/ cystic medial degeneration
tall P wave > 2.5mm
Decrease slope of phase 4 depolarization
Vasculitis: inflammation at adventitia-media jcn
Cardiomyopathy presenting with systolic CHF
Left to right AND right to left shunt with cyanosis

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