Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Long case > Cardio > Flashcards

Cardio Flashcards

1
Q

Work up for MI

A 
Bloods
Cardiac bio makers
ECG
CXR
ECHO
PCI
Coronary perfusion/ CT angio/ Ca score
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Treatment MI

A

REPERFUSION- CABG, PCI

Anti-ischaemic: NOM BC
Nitrates, oxygen, morphine, beta, ca
Anti thrombotic- LMWH
Anticoagulant- ASA, clopidogrel
Anti lipid- statins
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Heart failure investigations

A

Bloods– esp BNP (100-500)
CXR
ECHO
Coronary angiography

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

HF treatment

A

Initial- LMNOP
Loop, morphine, nitrates, oxygen, postural

Vasodilators- nitrates and Nesiritide

Anticoagulants- LMWH

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Non-pharm HF treatment

A 
Fluid and alcohol restriction 
Weight loss and exercise
Devices-- ICD, cardiac catheterization,
Surgery- PCI
Edc- heart failure nurse
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Differential for MI

A 
PE
AD
GERD
Pericarditis
Pneumonia
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

NYHA HF Classification

A

1- strenuous
2- ordinary
3- minimal
4- rest

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

ACC Classification

A

A- high risk no St
B- no sy, yes St
C- sy, St
D- end stage heart failure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Classification valvular diseases

A

Congenital
Infective
Acquired– degenerative or rheumatic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Symptoms of IE

A

Septic emboli
CCF
NEURO- celebrities, mycotic aneurysm, stroke
RENAL- AKI– IC

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Signs of IE

A

Fever
Murmur- new or changing
Embolic phenomenon

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Investigations of IE

A 
Micro- sustained positive blood cultures
Bloods- ESR/CRP, increase WCC, UE, urinalysis 
CXR- HF
ECHO- TOE> TT
Dukes criteria
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Dukes criteria IE

A

MAJOR

  • positive blood cultures
  • ECHO
  • new murmur

MINOR

  • positive blood cultures
  • fever > 38
  • embolic
  • immunologic
  • PRE heart condition
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Treatment IE prosthetic valve

A

Vancomycin
Gentamicin
Rifampin

IV 6 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Treatment native valve acute

A

Vancomycin- high dose IV

Gnetamicin- IV 8 hourly

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Tx subacute IE

A

Amoxicillin- high dose IV

Gnetamicin- IV 12hrly

17
Q

A fib findings

A 
Irregular QRS 
No P waves 
Atrial rate 400bpm
Ventricular rate varies
Rhythm irregular 
Wavy baseline
18
Q

Investigations a fib

A

ECG
ECHO
- TT- thrombus, chambers, valvular disease, pulmonary HTN
- TOE- LA thrombi,

19
Q

Rate control a fib

A

mad d

Metoprolol
Amiodarone
Digoxin
Diltiazem

20
Q

Rhythm control a fib

A 
Sotalol
Dofetilide
Flecainide
Amiodarone
Propafenone
Dronedarone

DCCV, catheter ablation

21
Q

Anticoagulant tx a fib

A

LMWH- waiting for DCCV
Warfarin- INR 2-3 > 4 weeks
RAD- rivaroxaban, apixaban, dabigatran (if can’t use warfarin)

22
Q

Tx a fib

A

Rate control
Rhythm control
Anticoagulants

23
Q

CHADS2VAS

A

Age> 75, stroke/TIA/TE BOTH= 2

2/9--> OAC
CCF
HTN
Age >- 75
Diabetes 
Stroke/TIA/TE
Vascular 
Age 65-74
Sex- female
24
Q

HASBLED score

A 
Age and drugs/alcohol = 2 points 
3/9 
HTN
Abnormal renal / liver 
Stroke
Bleeding
Labile INR
Elderly> 65 
Drugs/ alcohol

Long case (4 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions