Cardio 1

Question 1

management of Mobitz type 1

Answer 1

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

Question 2

management of Mobitz type 2

Answer 2

pacemaker

Question 3

new conduction abnormality in IVDU

Answer 3

perivalvular abscess

Question 4

vagal maneuvers work on what part of the heart

Answer 4

AV node

Question 5

systolic murmur at left upper sternal border and single S2

Answer 5

tetralogy of fallot

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

Question 6

persistent ST elevation after MI and Q waves in same lead

Answer 6

ventricular aneurysm

Question 7

time frame for papillary muscle rupture

Answer 7

2 days to 1 week

Question 8

extension of aortic dissection usually to what coronary artery

Answer 8

right coronary artery, causing inferior MI

Question 9

imaging for aortic dissection

Answer 9

TEE or CT with contrast

Question 10

leading cause of sudden cardiac arrest

Answer 10

acute MI

Question 11

imaging for abdominal aortic aneurysm

Answer 11

abdominal ultrasound

Question 12

type of arrhythmia specific to digitalis toxicity

Answer 12

atrial tachycardia with AV block

Question 13

multifocal atrial tachycardia associated with

Answer 13

pulmonary disease

Question 14

features of cardiac amyloidosis

Answer 14

diastolic CHF
increased ventricle thickness but normal cavity
low voltage EKG

Question 15

biggest association with AAA rupture

Answer 15

smoking

Question 16

indications for AAA repair

Answer 16

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)

Question 17

heart sounds of plum HTN

Answer 17

widely split S2

loud P2

Question 18

T. cruzi causes what heart problems

Answer 18

systolic and diastolic heart failure
arrhythmias
mitral / tricuspid regurg
cardiomegaly

Question 19

MCCs of constrictive pericarditis in US vs developing countries

Answer 19

viral, chest radiation, heart surgery

TB

Question 20

MCC of aortic regurg in developed vs developing countries

Answer 20

aortic root dilation, congenital bicuspid valve

rheumatic heart disease

Question 21

carotid pulse w/ dual upstroke

Answer 21

HOCM

Question 22

suspect aortic dissection. next step?

Answer 22

TEE

Question 23

variant angina

• characteristics
• tx
• avoid

Answer 23

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

CCB or nitrate

ASA, BB

Question 24

beta blocker OD

• sxs
• tx

Answer 24

hypotension
bradycardia
cold extremities
wheezing

glucagon

Question 25

paradoxical splitting, differential

Answer 25

LVOT

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

Question 26

papillary muscle rupture time frame after MI

Answer 26

2-7 days

Question 27

TdP and UNSTABLE - tx?

Answer 27

defibrillation

Question 28

differential for T wave inversion

Answer 28

MI
myocarditis
old pericarditis
myocardial contusion
digoxin toxicity

Question 29

electrolyte disturbances that cause V tach

Answer 29

hypokalemia

hypomagnesemia

Question 30

management of claudication

Answer 30

ASA
statin
exercise therapy
stop smoking