2024 Cardiac Tx

Question 1

Av nodal agents

Answer 1

Adenosine, bb, ccb, digoxin

Question 2

Wpw

Answer 2

Procainimide

Avoid av nodal agents

Question 3

Dressler

Answer 3

Asa or colchicine

No NSAIDs

Question 4

V tach

Answer 4

Stable: amiodarone, lido, procainimde

Unstable with pulse,: synchronized cardioversion

No pulse: definitive unsynchronized cardioversion

Question 5

MI conservative tx

Answer 5

Asa +- plavix, statin, bb, ace, nitro prn

Question 6

Sinus tach

Answer 6

Bb

Question 7

Sick sinus syndrome

Answer 7

1st line: atropine

Dopamine, epi

Question 8

Htn urgency

Answer 8

Clonidine, captopril. Furosemide, labatlol, or nicardipine

Question 9

Psvt

Answer 9

Stable with narrow qrs: adenosine

Stable with narrow qrs: amiodarone

Question 10

Ischemia

Answer 10

Bb, ace

? Systolic hf tx

Question 11

Ant lat wall MI

Answer 11

Asa primary, nitro or morphine, + bb, hep, plavix,

Stemi: ace long term

? Sys HF tx

Question 12

Hocm

Answer 12

1st line bb

Caution with digoxin, nitrate, diuretic
(Nitrate and diuretic decrease lv volume)

Question 13

Inf post wall mi

Answer 13

Initial: asa, hep, plavix

No morphine or nitro

Question 14

Prizmental , cocaine mi

Answer 14

1st line ccb
nitrates 2nd choice

No bb

Question 15

Dilated cm

Answer 15

Systolic hf tx no ccb

Decrease mortality with ace

Bb, arb. Diuretic

Question 16

Acs

Answer 16

Nml ekg mona

Nstemi; Mona, hep, bb

Stemi: start reperfusion

Question 17

Angina

Test too

Answer 17

Asa+bb+statin later epi, pacing
Initial test ekg

Coronary angiography definitive test

Question 18

Bradycardia

Answer 18

1st line atropine

Question 19

Afib and flutter

Answer 19

Bb, ccb(diltiazem, verapamil)

Question 20

At block 1st and 2nd degree

Answer 20

1st line atropine

Question 21

3rd degree AV block

Answer 21

Pacing