Buzzwords

Question 1

Murmur with crescendo-decrescendo

Answer 1

Aortic stenosis

Question 2

Murmur with an Opening snap

Answer 2

Mitral stenosis

Question 3

Holosystolic murmur in pt with history of IV drug use

Answer 3

Tricuspid regurgitation

Question 4

Holosystolic murmur in pt with hx of rheumatic fever

Answer 4

Mitral regurgitation

Question 5

Systolic ejection murmur at LUSB in pediatric patient

Answer 5

Consider coartication of the aorta

Question 6

Can’t feel femoral pulses in pediatric patient

Answer 6

Coartication of the aorta

Question 7

Continuous murmur at LUSB in pediatric patient and wide pulse pressure

Answer 7

Consider patent ductus arteriosis

Question 8

Harsh, holosystolic murmur at LLSB in pediatric patient

Answer 8

Ventricular septal defect

Question 9

Murmur at LUSB and widely split S2 in pediatric patient

Answer 9

Atrial septal defect

Question 10

Pediatric patient with pulse ox <89%

Answer 10

Immediate, emergent referral/intervention

Question 11

Always palpate on pediatric patient?

Answer 11

Upper and lower extremity pulses

Precordium

Question 12

Boot sign

Answer 12

Tetralogy of Fallot

Question 13

Conal septal displacement

Answer 13

Tetraology of Fallot

Question 14

Turner Syndrome

Answer 14

Coartication of the aorta

Question 15

Most common congenital heart defect

Answer 15

Ventricular septal defect

Question 16

Most common cyanotic congenital defect

Answer 16

Tetraology of Fallot

Question 17

Sawtooth pattern on EKG

Answer 17

Atrial flutter

Question 18

Irregularly irregular pattern on EKG

Answer 18

A-fib

Question 19

Delta wave seen on EKG

Answer 19

Wolff-Parkinson-White

Delta wave is a slurred, wide QRS

Question 20

Sinusoidal waveform

Answer 20

Torsades de Point

Also described as “ribbon-like”

Question 21

S3 gallop

Answer 21

Consider dilated cardiomyopathy, left-sided HF, HFrEF

Question 22

Low-voltage QRS (two conditions)

Answer 22

Restrictive cardiomyopathy

Pericardial effusion

Question 23

Spade-shaped left ventricle

Answer 23

Hypertrophic cardiomyopathy

Question 24

Severe emotional stress in post-menopausal woman

Answer 24

Takosubo cardiomyopathy

Question 25

Symptoms of ACS (ST elevation, troponin, etc) with absolutely no evidence of CAD on angiography

Answer 25

Takosubo cardiomyopathy

Question 26

Syncope while supine

Answer 26

Cardiac syncope

Question 27

Chest pain in middle of the night/early morning

Answer 27

Prinzmetal angina

Question 28

Chest pain while at rest

Answer 28

Prinzmetal angina

Question 29

Xanthomas

Answer 29

Dyslipidemia

Question 30

Proteinurea

Answer 30

Choose an ACEI or ARB in treatment plan

Question 31

BP 120/80

Answer 31

Stage I HTN (AHA) If ASCVD risk is >10% OR DM/CKD is present, start 1 med (If less, start with lifestyle modifications)

Question 32

BP 140/90

Answer 32

Stage II HTN (AHA) | Start 2 meds

Question 33

First line HTN med in Black patient with no proteinurea

Answer 33

Thiazide diuretic

Question 34

HTN that will not respond to ANY medication! Rude

Answer 34

Think secondary HTN - maybe renovascular disease But rule out poor compliance or white coat HTN

Question 35

Pediatric HTN

Answer 35

Refer to nephrology

Question 36

Persistent, postural, pleuritic chest pain

Answer 36

Acute pericarditis

Question 37

EKG with ST elevations, then normal, then T wave inversion, then normal

Answer 37

Acute pericarditis

Question 38

Muffled heart sounds

Answer 38

Think pericardial effusion or cardiac tamponade

Question 39

Electrical alternans

Answer 39

Pericardial effusion

Question 40

Water bottle sign on CXR

Answer 40

Pericardial effusion

Question 41

Muffled heart sounds + increased JVP + hypotension

Answer 41

Cardiac tamponade

Question 42

Batwings on CXR

Answer 42

Congestive HF

Question 43

BNP >100

Answer 43

CHF

Question 44

S4 gallop

Answer 44

Consider HFpEF

Question 45

Intermediate ASCVD risk range?

Answer 45

7.5 - 20%

Question 46

High ASCVD risk range?

Answer 46

> 20%

Question 47

Murmur gets louder with valsalva maneuver or rapid standing from squat

Answer 47

Hypertrophic cardiomyopathy | decreased preload

Question 48

Murmur gets softer with valsalva or rapid standing from squat

Answer 48

Most murmurs except hypertrophic cardiomyopathy | decreased preload

Question 49

Murmur gets softer with squatting or leg raise

Answer 49

Hypertropic cardiomyopathy | increased preload

Question 50

Murmur gets louder with squatting or leg raise

Answer 50

Most murmurs except hypertrophic cardiomyopathy | increased preload

Question 51

Diagnostic measurement of hypertrophic cardiomyopathy

Answer 51

> 3cm

Question 52

Spike and dome carotid impulse

Answer 52

Hypertrophic cardiomyopathy

Question 53

Palpable, sustained S4 at apical impulse

Answer 53

Hypertrophic cardiomyopathy

Question 54

Kussmaul's sign

Answer 54

Restrictive cardiomyopathy | Pt has no inspiratory decline/increase in JVP

Question 55

Amyloidosis associated with...?

Answer 55

Restrictive cardiomyopathy

Question 56

Hypomagnesemia

Answer 56

Ventricular tachycardia

Question 57

Kerley B Lines

Answer 57

Pulmonary edema | CHF

Question 58

Machine-like murmur

Answer 58

PDA

Question 59

Mid-systolic click

Answer 59

Mitral valve prolapse

Question 60

Scoliosis

Answer 60

Mitral valve prolapse