6/10/13

Question 1

What causes an S4?

Answer 1

LA contracting against a stiff, hypertrophic LV

Question 2

What is the effect of hand-grip maneuver on the murmur of aortic stenosis?

Answer 2

decrease

Question 3

Why does the murmur of aortic stenosis decrease with hand-grip?

Answer 3

up afterload –> less outflow from LV

Question 4

What is the effect of the hand-grip maneuver on mitral regurgitation?

Answer 4

louder

Question 5

What are the effects of squatting on preload and afterload?

Answer 5

both increased

Question 6

What is the #1 cause of cancer death in women?

Answer 6

lung cancer

Question 7

Which is the preferred treatment for pts w/ symptomatic, severe aortic stenosis, valve replacement or balloon valvuloplasty?

Answer 7

replacement

hi risk of restenosis w/ valvuloplasty

Question 8

Pts w/ severe aortic stenosis (<1cm) and an ejection fraction less than ___ should undergo valve replacement.

Answer 8

50%

Question 9

A cancer pt undergoing chemotherapy has acute renal failure w/ acidic urine w/ numerous uric acid crystals. What is the cause?

Answer 9

Tumor lysis syndrome

Question 10

What does rasburicase do?

Answer 10

converts uric acid to allantoin

Question 11

When a pt goes into PEA or asystole, what are the first 2 interventions, Mr. ACLS-certified?

Answer 11

CPR and Epi

Question 12

How much Epi should be given, how often in the case of Asystole/PEA?

Answer 12

1mg every 3-5 min

Question 13

Which β-adrenergic receptors are found in the heart?

Answer 13

β1

Question 14

Which β-adrenergic receptors does propranolol work on?

Answer 14

β1 and β2

Question 15

Which β-adrenergic receptors does metoprolol work on?

Answer 15

only β1

Question 16

Which is preferred for chronic hep C (w/ elevated ALT, detectable HCV RNA, and at least moderate hepatitis), monotherapy or combined therapy?

Answer 16

combined

Question 17

What drugs are used to treat chronic hep C?

Answer 17

interferon + ribavirin

Question 18

Which type of esophageal carcinoma is assoc’ed w/ drinking and smoking?

Answer 18

squamous cell

Question 19

What is the Tx for MALToma restricted to the stomach?

Answer 19

H. pylori triple therapy

Question 20

_______ restults in left atrial dilation and a risk of atrial fibrillation and cardiac emboli. The pressure is also transmitted to the pulmonary vasculature, which can result in dyspnea, cough, and hemoptysis.

Answer 20

Mitral stenosis

Question 21

What type makes up the majority of cancers on the lip?

Answer 21

squamous cell