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Medical Block > CAD > Flashcards

CAD Flashcards

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USMLE® Step 1 flashcards
1
Q

CAD

A

Any disease or process that causes abnormalities in the coronary vessels

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2
Q

2 types of CAD

A

Atherosclerosis

Arteriosclerosis

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3
Q

Arteriosclerosis

A

Hardening of the arteries due to calcium deposit accumulating in walls of the vessels

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4
Q

Arteriosclerosis leads to?

A

HTN and AAA

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5
Q

Atherosclerosis

A

Accumulation of the fatty material (Cholesterol) in the lumen (Intima and Media)

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6
Q

Left anterior decending artery is known as?

A

widow maker

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7
Q

Complications of CAD

A 
Hypertension
Angina
Acute MI
Arrhythmias
Aneurysm
CVA/TIA
Heart Failure
Cardiogenic Shock
Syncope
Myocardial enlargement
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8
Q

Injury

A

Tissue damage, some functionality returns

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9
Q

Infarction

A

Tissue death (4-6min) never function

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10
Q

Angina

A

Transient myocardial ischemia.

O2 demands exceed the blood supply

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11
Q

More prone to MI

A

Women, diabetics, age

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12
Q

Angina duration

A

usually lasts for about 3-5minutes

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13
Q

Chest discomfort special ?’s

A

Nausea/vomiting, dizziness, syncope, SOB

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14
Q

Angina due to spasm of coronary artery. #1 cause= exposure to cold

A

Prinzmetal

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15
Q

STEMI

A

ST elevation myocardial infarction

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16
Q

Silent MI

A

10-20% have no pain

common in diabetics

17
Q

STEMI centers (cath lab)

A 
Alvarado
Balboa
Palomar
Sharp Chula Vista
Sharp Memorial
Sharp Grossmont
Try-City
UCSD Hillcrest/Thornton
Scripps Mercy
Scripps memorial La Jolla
Scripps memorial Encinitas
Scripps Mercy Chula Vista
18
Q

goal for MI

A

overall <3hrs from onset of pain

19
Q

non STEMI

A

2/3 of cardiac patients, no ST elevation

20
Q

Pericardial Tamponade

A

accompanied by pulsus paradoxus

21
Q

Pulsus Alternous

A

Pulse alternates strong weak

left ventricle systolic impairment

Medical Block (20 decks)

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