Science Quiz / Block 7a Cardio

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QUIZ: Can you name the Block 7a Cardio?

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

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