Braunwald Question book Flashcards

1
Q

Characteristic ECG findings of LAFB

A
  • rS in inferior leads
  • qR in anterolateral leads
  • May have deep S waves in precordial leads
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2
Q

Marked increase of E/A ratio of mitral valve inflow velocity

A

Constrictive pericarditis

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3
Q

One French unit is equivalent to

A

0.33mm

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4
Q

What type of contrast to use in a patient with baseline renal insufficiency? What other benefit of this contrast?

A

Non-ionic low osmolar contrast agents. They also reduce the likelihood of adversity with anemic and electrophysiologic reactions during angiography

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5
Q

ECG changes of

1) hypocalcemia
2) hypercalcemia
3) hyperkalemia
4) hypokalemia

A

1) Long Isoelectric QT interval
2) J wave (Osborn wave) - also in hypothermia
3) narrow, peaked T wave Then a shortened QT interval. Then widened QRS. PR prolongation. Sine wave
4) flattened T wave, U wave prominence

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6
Q

Organize the following based on refractory period

  • AV node
  • His
  • RBB
  • LBB
A

RBB>LBB=AV node»His

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7
Q

What is the common morphology in Ashman beats

A

RBBB

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8
Q

What is the timing of an innocent murmur

A

Mid systolic

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9
Q
  • a wave
  • X descent
  • c wave
  • V wave
  • y descent
A
  • venous distention due to right atrial contraction
  • atrial relaxation and downward to send of the base of the right atrium during RV systole
  • ventricular contraction, is inconstant
  • right atrial filling during the ventricular systole when the tricuspid valve is closed
  • decline in right atrial pressure after the tricuspid valve opens
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10
Q

What is kussmaul’s sign

A

Paradoxical rise in the height of the venous pressure during inspiration. Reflect inability of the right side and chambers to accept additional volume
-constrictive pericarditis, right-sided heart failure, tricuspid stenosis

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11
Q

Conditions that make the a wave more prominent

A
  • RV hypertrophy
  • Pulm HTN
  • tricuspid stenosis
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12
Q

One French unit is equivalent to

A

0.33mm

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13
Q

What type of contrast to use in a patient with baseline renal insufficiency? What other benefit of this contrast?

A

Non-ionic low osmolar contrast agents. They also reduce the likelihood of adversity with anemic and electrophysiologic reactions during angiography

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14
Q

ECG changes of

1) hypocalcemia
2) hypercalcemia
3) hyperkalemia
4) hypokalemia

A

1) Long Isoelectric QT interval
2) J wave (Osborn wave) - also in hypothermia
3) narrow, peaked T wave Then a shortened QT interval. Then widened QRS. PR prolongation. Sine wave
4) flattened T wave, U wave prominence

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15
Q

Organize the following based on refractory period

  • AV node
  • His
  • RBB
  • LBB
A

RBB>LBB=AV node»His

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16
Q

What is the common morphology in Ashman beats

A

RBBB

17
Q

What is the timing of an innocent murmur

A

Mid systolic

18
Q
  • a wave
  • X descent
  • c wave
  • V wave
  • y descent
A
  • venous distention due to right atrial contraction
  • atrial relaxation and downward to send of the base of the right atrium during RV systole
  • ventricular contraction, is inconstant
  • right atrial filling during the ventricular systole when the tricuspid valve is closed
  • decline in right atrial pressure after the tricuspid valve opens
19
Q

What is kussmaul’s sign

A

Paradoxical rise in the height of the venous pressure during inspiration. Reflect inability of the right side and chambers to accept additional volume
-constrictive pericarditis, right-sided heart failure, tricuspid stenosis

20
Q

Conditions that make the a wave more prominent

A
  • RV hypertrophy
  • Pulm HTN
  • tricuspid stenosis