Anglund's cardio cases - SRS

Question 1

How long does troponin I stay in the blood?

Troponin T?

Answer 1

I: 7 days

T: 10-14 days

Question 2

What can make a false positive troponin?

Answer 2

Kidney failure

Question 3

What can make a false positive CK-MB?

Answer 3

Small intestine or uterus (problems I suppose, he isn’t clear on this)

Question 4

Which enzyme can give a clue as to the severity of the infarct?

Answer 4

CK-MB

Question 5

Where is the heart chapman’s point anteriorly? Posteriorly?

Answer 5

Anterior: 2nd Intercostal space at the sternum

Posterior: T3 lateral to spinous process-superior,

Question 6

Where are the anterior and posterior chapman’s points for the bronchus?

Answer 6

Anterior: 2nd intercostal space at the sternum

Posterior: T2 lateral to the spinous process - inferior

Question 7

Where are the anterior and posterior chapman’s points for the lung?

Answer 7

Anterior: 3rd and 4th intercostal space at sternum

Posterior: T3 lateral to spinous process-inferior, T4 lateral to spinous process inferior

Question 8

Where are the chapmans points for the Stomach, anterior and posterior (the points… not the anterior and posterior stomachs, smart ass)?

Answer 8

Anterior: 5th and 6th intercostal space at the costochondral junction left

Posterior: T5 and T6 left lateral to the spinous process-inferior

Question 9

Where are the anterior and posterior chapmans points for the kidney?

Answer 9

Anterior: 1cm superior and 1 cm (I swear his ppt says 1cm… I’ve also seen 1 inch mostly or even 2.5 cm per Huzij, but who the hell knows)

Posterior: L1 lateral to the spinous process-inferior

Question 10

Where are the anterior and posterior chapman’s points for the pancreas?

Answer 10

Anterior: 7th intercostal space at costochondral junction right

Posterior: T7 right lateral to spinous process-inferior

Question 11

What comprises the sympathetic innervation to the heart?

Answer 11

T1-6

Middle and inferior cervical ganglia

Question 12

Describe the parasympathetic innervation to the heart

Answer 12

Vagus

• Right vagal cardiac supplies the SA node
• Left vagal cardiac supplies AV node

Question 13

What is the most likely heart sound after an MI (with reduced compliance of the wall)?

Answer 13

S4

Question 14

What are the osteopathic principles. We’ll probably see a review Q on this….

Answer 14

1. The body is a single unit of function
2. the body is designed to be healthy and heal itself
3. structure and function are interrelated
4. rational treatment is based on these tenets