Science Quiz / Block 7a Cardio

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Can you name the Block 7a Cardio?

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

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