hint
|
answer
|
acute HF treatment
|
lasix + nitroprusside
|
heart valve most likely to be affected by endocarditis
|
mitral
|
ICDs are considered in patients with EF
|
35
|
Standard HF treatment
|
diuretic + ACEi ± BB
|
Med regimen for HFrEF includes these 3 classes
|
ACE/ARB + diuretic + BB
|
hpertriglyceridemia is treated with this class of meds
|
fibrates
|
aspirin, P2Y12 inhibitors (clopidogrel) and glycoprotein IIA/IIB are all meds in this class of drugs
|
antiplatelets
|
Heparin, fondaparinux, and direct thrombin inhibitors (dabigatran) are all meds in this drug class
|
Anticoagulants
|
Medication that improves intermittent claudication in PAD
|
Cilastozol
|
ABI < this indicates PAD
|
0.9
|
Artery MC affected in PAD of the lower limbs
|
Superficial femoral
|
Triglycerides > this increase your risk for pancreatitis
|
1,000
|
Most common innocent murmur in kids, characterized by vibratory, musical quality
|
Still murmur
|
antihypertensive regimen in african americans includes these two med classes
|
CCB + thiazide
|
Class X HF per the NYHA includes slight limitation of activity with normal daily activities
|
2
|
Class X HF per the NYHA includes pain/SOB even at rest
|
4
|
Congenital heart disease commonly associated with turner syndrome
|
Coarctation of the aorta
|
Most common cause of aortic regurgitation
|
Endocarditis
|
Surgical valve replacement/repair is indicated in pts w/ acute aortic regurgitation, symptomatic AR, or EF < what?
|
55
|
Pulsus bisferiens, triple apical impulse, and S4 are associated with
|
HOCM
|
this type of MI is preload dependent; nitroglycerin is contraindicated
|
inferior
|
this med is contraindicated in RV (inferior) infarct
|
Nitroglycerin
|
this class of meds is contraindicated in WPW
|
AV node blockers (BB)
|
verapamil, amiodarone, digoxin, or beta-blockers are AV nodal blockers contraindicated in
|
WPW
|
med class contraindicated in cocaine induced MI and vasospastic angina
|
Betablockers
|
Medications that decrease preload such as nitrites, ACEi/ARBs, diuretics and digoxin should be avoided in
|
HOCM
|
This class of drugs used in the tx of chronic stable angina should be avoided in acute decompensated HF
|
BB
|
Midsystolic click is characteristic of
|
MVP
|
CABG is indicated if LAD stenosis exceeds
|
50%
|
In addition to ASCVD score 7.5%+, LDL above what indicates the need for high intensity statin
|
190
|
Treat hypertriglyceridemia when tri exceed this value
|
500
|
Example of high intensity statin regimen
|
Rosuvastatin 20mg, atorvastatin 40mg
|
MCC of tricuspid stenosis
|
RHD
|
Left sided HF is MCC by
|
CAD, hypertension
|
Right sided HF is MCC by
|
Left sided HF, lung disease
|
this class of meds, which includes epoprostenol, is used in the treatment of pulmonary hypertension
|
prostacyclin analogs
|
Patients will often present with a linear erythematous induration that is tender to palpation, or palpable cord on the leg, indicating this condition
|
superficial thrombophlebitis
|
|
hint
|
answer
|
disorders characterized by an opening snap
|
mitral stenosis, tricuspid stenosis
|
only two medications that reduce mortality in stable angina
|
aspirin, BB
|
the only valve disease for which valve replacement is preferred to valve repair
|
aortic stenosis
|
MC congenital heart condition among adults
|
bicuspid aortic valve
|
MC congenital valve defect
|
VSD
|
pulmonary embolism is associated with this cardiac rhythm on EKG
|
RBBB
|
first-line antihypertensive agents in patients with acute aortic dissection
|
esmolol, labetalol
|
first line tx for hypertensive crisis
|
nicardipine, labetalol
|
surgical repair is indicated when abdominal aneurysm exceeds this size
|
5.5cm
|
endovenous laser ablation is indicated when venous reflux exceeds this many ms
|
1000
|
refers to post-MI pericarditis
|
dressler syndrome
|
Hypotension, distended neck veins, and muffled heart sounds are known as Beck’s triad, indicating
|
cardiac tamponade
|
MC pathogen responsible for acute pericarditis
|
coxsackie
|
reciprocal leads showing ST depression in inferior STEMI
|
V1-V3
|
lateral wall STEMI affects which artery?
|
left circumflex
|
amount of IV NS/LR Xmg/kg a patient should be given for shock
|
30mg/kg
|
first-line vasopressor or inotropic agent of choice for cardiogenic shock
|
norepinephrine
|
symptom caused by increased capillary hydrostatic pressure, hypoalbuminemia, increased capillary permeability, or lymphatic obstruction
|
edema
|
“R on T” phenomenon refers to the cause of this dangerous rhythm which is preceded by multiple PVCs
|
ventricular tachycardia
|
the difference between the two types of premature cardiac contractions (PAC vs PVC) is that this form has a compensatory pause following
|
PVC
|
most common and most important predisposing risk factor found in patients with aortic dissection
|
hypertension
|
MCC of aortic stenosis
|
calcification, CAD, atherosclerosis
|
sinus tachycardia w/ low QRS voltage on EKG is a sign of
|
cardiac tampanade
|
MCC of nontraumatic cardiac tamponade
|
malignancy
|
vagal maneuvers should first be attempted in this arrhythmia
|
PSVT
|
classic symptoms of this cardiac emergency include abdominal/flank/back pain, hypotension, and pulsatile abdominal mass
|
ruptured AAA
|
Exam findings highly suggestive of this condition include an S3 gallop, abdominojugular reflux, and jugular venous distension
|
acute heart failure
|
this hyperadrenergic state can cause acute heart failure, and may also present with the following symptoms: hyperthermia, hypertension, tachycardia (often out of proportion to temperature), anxiety, tremors, diaphoresis, hair thinning, diarrhea, exophthalmos, an anterior neck mass, dyspnea on exertion, elevated jugular venous pressure with jugular venous distension, and pulmonary edema
|
thyroid storm
|
in hypertensive emergency, blood pressure should be reduced by this much within the first hour
|
25%
|
MCC of mitral stenosis
|
RHD
|
ideal total cholesterol is less than
|
200
|
AAA above this size in diameter should be monitored regularly w/ US
|
3cm
|
Toxic megacolon is colonic dilation beyond
|
6cm
|
Most important predisposing risk factor for aortic dissection
|
Hypertension
|
MC valve disorder in the US
|
aortic stenosis
|
critical limb ischemia is defined as ABI <
|
0.4
|
|