cardio 5

Question 1

HCM management?

Answer 1

Avoid volume deplesion BB/CCB Surgery if symptom persist

Question 2

Complication?

Answer 2

HF Stroke SCD

Question 3

BB/NDCCB mechanism for management?

Answer 3

Decrease contraction and increase diastole period–decrease LVOT also, decrease anginal symptom NDCCB if symptom persist despite CCB

Question 4

Common time of Dressler syndrome?

Answer 4

1-6 weeks post-MI.

Question 5

Uremic pericarditis treatment?

Answer 5

Hemodialysis

Question 6

Acute aortic dissection risk factor?

Answer 6

HTN(70 %), Marfan Bicuspid aortic valve Cocaine age >60

Question 7

Acute aortic dissection sign and symptom?

Answer 7

Severe chest pain radiating to back SBP difference of >=20 in 2 arms

Question 8

complication?

Answer 8

Stroke(C.artery) AAR(root dilation) Horner syndrome(carotid sympathetic plexus injury) MI: Ostia obstruction Pericardial effution(pericardium) Hemothorax (pleural cavity) Renal injury: renal arteries Abdominal pain: mesenteric ischemia LE paraplegia (spinal arteries)

Question 9

Is atherosclerosis is the risk?

Answer 9

Yes but not be as a single cause is usually found in a patient with thoracic and abdominal aneurythm

Question 10

ECG future of Hypertrophic cardiomyopathy?

Answer 10

Tall long R wave in aVL and deep S wave in V3 Defect in depolarization in the anterior lead (I,aVL, V4,V5, and V6)

Question 11

Pulmonary embolism ECG feature?

Answer 11

S wave in V1 Q wave in V3 T wave abnormality in V3

Question 12

How many factors d/t mobtize type 1 with 2

Answer 12

6

Question 13

Level of the block?

Answer 13

I-AV node II–below AV node(e.g Purkinje)

Question 14

ECG feature?

Answer 14

I–(progressive PR prolongation with dropped QRS wave follow P wave at the end (grouped beat) and narrow QRS

II-PR interval remains the same but some unconducted p wave(dropped QRS with narrow(but wider than I) or wide QRS.

Question 15

Exercise /atropin?

Answer 15

I–improve II–worsen

Question 16

Carotid massage?

Answer 16

I–worsens type 1 II–paradoxically improve ll

Question 17

Risk of progression to complete HB?

Answer 17

I–low risk ll–high risk–indication for pacemaker

Question 18

When do we say PR is prolonged and QRS is wider?

Answer 18

PR>20OMS QRS>120MS

Question 19

Heart block risk?

Answer 19

athletes underling heart disease drug(digoxin,BB and CCB) old age

Question 20

A common cause of MR in westerns?

Answer 20

MVP

Question 21

MVP mechanism of pathophysiology?

Answer 21

myxomatous degeneration of valve leaflet and cordea tendinea.