Card

Question 1

What is the treatment of choice for a stable patient with sustained ventricular tachycardia?

Answer 1

Amiodarone, procainamide, or lidocaine.

Question 2

Hypertrophic Cardiomyopathy Murmur

Answer 2

PE will show harsh crescendo-decrescendo systolic murmur which increases in intensity with Valsalva and decreases with squatting

Question 3

Wolff-Parkinson-White (WPW) Syndrome ECG will show

Answer 3

short PR interval, delta wave, wide QRS

Question 4

electrocardiographic findings of Brugada syndrome

Answer 4

Incomplete right bundle branch block

ST segment elevation in leads V1 through V3

Question 5

Brugada syndrome

Answer 5

a sodium channel disorder associated with sudden cardiac death from ventricular fibrillation.

Question 6

Acute mitral regurgitation

Answer 6

-true emergency
-Flash pulmonary edema ensues
Acute rx: nitroprusside, dobutamine, intra-aortic balloon pump, emergency surgery

Question 7

blowing holosystolic murmur, best heard at apex with radiation to axilla

Answer 7

MR

Question 8

What are the management implications of a type A dissection?

Answer 8

Type A dissections are any dissection involving the ascending aorta and should all be considered for surgical repair because of the increased mortality rate seen with medical management.

Question 9

What are the components of the San Francisco syncope rule?

Answer 9

History of CHF, hematocrit <30%, abnormal ECG, dyspnea, systolic BP <90—defines high-risk criteria for patients with syncope.