Cardio Flashcards

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1
Q

What are the 4 K+ sparing diuretics?

A
  • Spironolactone
  • Eplerenone
  • Amiloride
  • Triamterene
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2
Q

Which ECG leads are most likely affected by an occlusion of the posterior descending coronary artery?

A
  • Inferior MI

- II, III, aVF

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3
Q

Diastolic murmur heard best at the left lower sternum that increases with inspiration?

A

Tricuspid stenosis

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4
Q

Late diastolic murmur with an opening snap?

A

Mitral stenosis

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5
Q

Systolic murmur heard best in the second right interspace?

A

aortic stenosis

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6
Q

Systolic murmur heard best in the second left interspace?

A

pulmonic stenosis

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7
Q

Late systolic murmur heard best at the apex?

A

Mitral valve prolapse

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8
Q

Diastolic murmur with a widened pulse pressure?

A

Aortic regurge

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9
Q

Holosystolic murmur at the left lower sternum that is louder with inspiration?

A

Tricuspid regurge

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10
Q

Holosystolic murmur at the apex that radiates to the axilla?

A

Mitral regurge

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11
Q

Which meds can negatively affect lipid measurements?

A
Oral estrogens
thiazides
b-blockers
atypical antipsychotics
protease inhibitors
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12
Q

Tx for elevated homocysteine?

A

Vit B6
Vit B12
Folate

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13
Q

What cardiac auscultation findings are benign when there is no evidence of disease?

A

Split S1
Split S2 on inspiration
S3 in pt under 40
Early quiet systolic murmur

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14
Q

What is the Fick Principle Eqn?

A

CO=(rate of O2 consumption)/(arterial O2 content-venous O2 content)

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15
Q

What disease causes signs of heart failure + DM + elevated LFTs?

A

Hemachromatosis

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16
Q

Tx for acute decompensated CHF presenting with pulm edema?

A

NO LIP

Nitrates, O2, Loops, Inotropes, Poisitoning (legs down)

17
Q

What drugs are proven to reduce mortality in CHF?

A

ACE-Is, B-blockers, Aldo antags

18
Q

Side Effect association w/ alpha blockers?

A

First dose orthostatic hypotension

19
Q

Side Effect association w/ minoxidil?

A

Hypertrichosis

20
Q

Side Effect association w/ clonidine?

A

Dry mouth, sedation, severe rebound htn.

21
Q

Side Effect association w/ non-selective B-blockers?

A

Bradycardia and asthma exacerbation

22
Q

Side Effect association w/ arterial vasodilators?

A

Reflex tachycardia

23
Q

Side Effect association w/ ACE-I?

A

Cough, Angioedema

24
Q

Side Effect association w/ diuretics?

A

avoid in pt’s with sulfa allergy

25
Q

Side Effect association w/ hydralazine?

A

development of drug-induced lupus

26
Q

Tx of endocarditis?

A

long term IV abx (vanco) 4-6wks

27
Q

What medication should a patient with aortic regurgitation be started on? Why?

A
  • ACE inhibitor

- decrease after load