Science Quiz / Block 7a Cardio

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Can you name the Block 7a Cardio?

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

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Created Aug 26, 2012ReportNominate
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