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cv boards > ACCsap > Flashcards

ACCsap Flashcards

1
Q

Chylous pericardial effusion after surgery

A

Try diet with medium chain triglycerides

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2
Q

Most common cardiac mass?

A

Malignant metastasis

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3
Q

Factor V Leiden

A

Causes activated protein c resistance and is autosomal dominant. Low lifetime risk of DVT.

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4
Q

Contraindicated with dofetilide

A

Hctz, increases dofetilide concentration

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5
Q

Avoid these medications with ticagrelor

A 
Rifampin
Phenytoin
Carbamazepine 
Phenobarbital 
Dexamethasone
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6
Q

Contraindications to treadmill stress

A

Preexcitation
LBBB
paced ventricular rhythm
>1 mm st depressions

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7
Q

Symptomatic mesenteric ischemia meds

A

Needs statin regardless of LDL

Does not need warfarin or DOAC

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8
Q

Rf ablation vs cryoablation

A

RF more permanent but higher risk of permanent heart block

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9
Q

Coronary anolomy associated with TOF

A

Lad off rca or right sinus

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10
Q

Vorapaxar

A

Inhibits PAR-1, thrombin receptor on plt.

Increased risk of intracranial hemorrhage, contraindicated in stroke or TIA.

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11
Q

Serve-HF

A

Harm associated with adaptive servoventilation in patients with heart failure and central sleep apnea

Best to optimize HF therapy to treat Cheyne stokes respirations

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12
Q

Carney complex

A

Nevi
Other tumors
Endocrinopathies
Myxomas

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13
Q

Cardiac fibroma

A

More common in kids

Arrthymia medically refractory

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14
Q

Nevoid basal cell carcinoma syndrome

A

Cardiac fibromas

Bifid ribs

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15
Q

Rhabdomyoma

A

Tuberous sclerosis

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16
Q

Side effect of VEGF inhibitors like bevacizumab

A

Hypertension

Preferred tx is ace-I or dihydropyridine CCB

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17
Q

Chronic HTN in pregnancy

A

Goal is same, less than 140/90

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18
Q

Waveform in constriction vs tamponade

A

Steep y descent- constriction
Rapid early filling

Blunted y descent - tamponade
No early diastolic filling

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19
Q

Tuberculous pericardial effusion

A

Adenosine deaminase > 40, elevated protein, and high LDH

20
Q

Pulmonary arterial hypertension numbers

A

Mean PA > 25
PCWP < 15 (normal LV filling pressure)
PVR >=3 units
Exercise mean PA >30-35

PVR = TPG/CO
TPG = MEAN PA - PCWP
21
Q

In high risk PAH patients, what is first line drug?

A

Epoprostenol

22
Q

Goal for PH patients walk distance with treatment

A

> 380-440m

23
Q

Class IV pulmonary hypertension

A

Syncope defines class 4

24
Q

Vasodilators in PHTN

A

Nifedipine, amlodipine, diltiazem

NOT VERAPAMIL!!!

25
Q

Cilostazol contraindicated in…

A

Heart failure. It’s a PDE inhibitor, can lead to arrhythmic death

26
Q

Fix a popliteal artery aneurysm at

A

> 2 cm

27
Q

Post exercise ABI

A

Drop by 20% or ankle pressure drop by >30 mmHg

28
Q

Colesevelam effect on labs

A

Can lower LDL and A1C

May raise triglycerides

29
Q

With HIV hyperlipidemia

A

Use pravastatin

Can use rosouvastatin

30
Q

Ivabradine contraindications

A

Liver disease

Qt prolonging meds

31
Q

Ranolazine contraindications

A

Liver disease

Qt prolonging meds

32
Q

Syntax score in -

LM

THREE VESSEL

A

LM: 33, bypass superior

THREE VESSEL: 22, bypass superior

33
Q

Blunted Y descent

Rapid x and y

Blunted x

A

Tamponade

Constriction

Restrictive CM

34
Q

Torsades

A

EAD

35
Q

Cryoballoon vs rf ablation

A

Similar efficacy and complication rate

More phrenic nerve injury Right phrenology nerve

36
Q

Macrolide antibiotics

A

Block Ikr so can prolong QT interval

37
Q

SCD with swimming

A

Long qt 1 - iks mutation, loss of function in potassium channel

38
Q

Amiodarone and warfarin

A

DECREASE dose of warfarin

39
Q

Tyrosine kinase inhibitors

A

Hypertension

40
Q

Checkpoint inhibitors

A

Myositis and myocarditis

41
Q

Fabry’s inheritance pattern

A

X linked

42
Q

Scimitar syndrome

A

Hypoplastic right lung

Rlpv to ivc

43
Q

Patent ductus with pulmonary htn hands and feet

A

Pink hands blue feet

44
Q

LBBB on resting ECG

A

Exercise echo or pharm MPI - class 1

45
Q

CCB as anti anginal

A

Verapamil and diltiazem, not the dihydropyridine ones

46
Q

Pioglitazone

A

Can increase risk of HF

47
Q

In stable ischemic HD

A

Plavix 6 months

No ticagrelor or prasugrel

cv boards (2 decks)

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