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Question 1

if u suspect restrictive heart dz (sarcoid, amyloid) what test do you get?

Answer 1

cardiac MRI

Question 2

which murmur radiates to axilla? which to carotids?

Answer 2

AS - carotids

MR - axilla

Question 3

EKG leads I, V5, V6, aVL. what part of heart?

Answer 3

lateral (left)

Question 4

EKG leads V3,V4. what part of heart

Answer 4

anterior

Question 5

EKG leads V1-V2, what part of heart

Answer 5

septal

Question 6

if patient can’t perform stress test with exercise due to disability or whatnot, what can u do to induce “stress”? (2 options, also contraindications for each)

Answer 6

adenosine/dipyramidole.
they will dilate coronary arteries. but stenosed aa won’t be as dilated. will see the difference in blood flow on nuclear test.
but don’t use if they’re already on dipyramidole or theophylline, or have reactive airway disease.

Dobutamine stress echo. this increases HR so don’t use for tachyarrythmias.

Question 7

classic triad for late AS

Answer 7

Angina
Dyspnea ON EXERTION
Syncope ON EXERTION