11/7/2022

Question 1

Holosystolic apex

Answer 1

Papillary muscle rupture
Mitral insufficiency
Inferior MI

Question 2

Left sternal border
Systolic murmur

Answer 2

VSD

Question 3

LAD / anterior MI is associated with which rhythm issue

Answer 3

2nd degree
RBBB

(Supplies the common bundle of HIS)

Question 4

Sinus Brady & CHB is associated with which infarct

Answer 4

Inferior

Question 5

Which vasodilator to give with CAD

Answer 5

Labetalol

Question 6

Neg inotropes

Answer 6

BB, CCB

Question 7

Positive initropes

Answer 7

Donutamine
Dopamine (5-10) lower dose
Milrinone

Question 8

Tx of RV infarct

Answer 8

Ensure adequate preload (fluids)

Until pci can be done

Question 9

What does septic shock do to oxygen consumption?

Answer 9

Decreases r/T cell inability to use oxygen

Question 10

What does fever do to oxyhemoglobin dissociation curve

Answer 10

R shift, hgb more likely to release o2 to tissues

Question 11

Cardiogenic shock treatment

Answer 11

Inotropes
Vasodilators to decrease workload (decrease preload and after load)

Question 12

SIRS Criteria

Answer 12

2 or more
temp <36 or >38
HR >90
RR>20
WBC <4000 or >12000

Question 13

Sepsis definition

Answer 13

SIRS & documented infection
no organ dysfunction