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UWorld Step 2 > Cardio 1 > Flashcards

Cardio 1 Flashcards

1
Q

management of Mobitz type 1

A

observation if asymptomatic, and tx reversible causes that block AV node conduction

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2
Q

management of Mobitz type 2

A

pacemaker

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3
Q

new conduction abnormality in IVDU

A

perivalvular abscess

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4
Q

vagal maneuvers work on what part of the heart

A

AV node

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5
Q

systolic murmur at left upper sternal border and single S2

A

tetralogy of fallot

  • systolic murmur from right ventricular outflow tract
  • single S2 from poor flow through pulmonary valve
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6
Q

persistent ST elevation after MI and Q waves in same lead

A

ventricular aneurysm

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7
Q

time frame for papillary muscle rupture

A

2 days to 1 week

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8
Q

extension of aortic dissection usually to what coronary artery

A

right coronary artery, causing inferior MI

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9
Q

imaging for aortic dissection

A

TEE or CT with contrast

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10
Q

leading cause of sudden cardiac arrest

A

acute MI

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11
Q

imaging for abdominal aortic aneurysm

A

abdominal ultrasound

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12
Q

type of arrhythmia specific to digitalis toxicity

A

atrial tachycardia with AV block

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13
Q

multifocal atrial tachycardia associated with

A

pulmonary disease

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14
Q

features of cardiac amyloidosis

A

diastolic CHF
increased ventricle thickness but normal cavity
low voltage EKG

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15
Q

biggest association with AAA rupture

A

smoking

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16
Q

indications for AAA repair

A

larger than 5.5 cm
greater than .5 cm in 6 months or 1 cm in 1 yr
sxs (abd, back, flank pain, limb ischemia)

17
Q

heart sounds of plum HTN

A

widely split S2

loud P2

18
Q

T. cruzi causes what heart problems

A

systolic and diastolic heart failure
arrhythmias
mitral / tricuspid regurg
cardiomegaly

19
Q

MCCs of constrictive pericarditis in US vs developing countries

A

viral, chest radiation, heart surgery

TB

20
Q

MCC of aortic regurg in developed vs developing countries

A

aortic root dilation, congenital bicuspid valve

rheumatic heart disease

21
Q

carotid pulse w/ dual upstroke

A

HOCM

22
Q

suspect aortic dissection. next step?

A

TEE

23
Q

variant angina

  • characteristics
  • tx
  • avoid
A

night sxs
patient is smoker and low other risk factors
transient ST elevations

CCB or nitrate

ASA, BB

24
Q

beta blocker OD

  • sxs
  • tx
A

hypotension
bradycardia
cold extremities
wheezing

glucagon

25
Q

paradoxical splitting, differential

A

LVOT

  • AS or sub aortic stenosis
  • LBBB
  • RV paced rhythm
26
Q

papillary muscle rupture time frame after MI

A

2-7 days

27
Q

TdP and UNSTABLE - tx?

A

defibrillation

28
Q

differential for T wave inversion

A 
MI
myocarditis
old pericarditis
myocardial contusion
digoxin toxicity
29
Q

electrolyte disturbances that cause V tach

A

hypokalemia

hypomagnesemia

30
Q

management of claudication

A

ASA
statin
exercise therapy
stop smoking

UWorld Step 2 (32 decks)

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