Cardio

Question 1

Native valve rx for endocarditis

Answer 1

Vanc 4-6 weeks

surgery if embolism or huge (> 15 mm)

add gentamycin for atypical questions (prosthetic, etc)

Question 2

prophylaxis for oral/throat surgery w/ hx of bad valve

Answer 2

amoxicillin

Question 3

Peripartum cardiomyopathy

Answer 3

rapid onset systolic heart failure

> 36 weeks prego

Question 4

Pulmonary capillary pressure in cardiogenic shock

Answer 4

elevated

down in hypovolemic/ sepsis

Question 5

Aortoiliac occlusion triad

Answer 5

• B/L hip, thigh, but claudication
• impotence
• symmetric atrophy of lwr ext

Question 6

Cilostazole

Answer 6

phosphodiesterase III inhibitor
arterial vasodilation/ plt inhibitor

commonly used in intermittent lwr ext claudication

Question 7

What improves survival in CHF

Answer 7

ACE
ARB
BB
Spiranolactone

Question 8

cardiac hypertrophy in chronic pressure overload

Answer 8

concentric

Question 9

Abdominal aortic aneurysm screening

Answer 9

men 65-75 who have ever smoked

Question 10

Size of AAA requiring surgery

Answer 10

5.5 cm

Question 11

Cardiac hypertrophy from chronic volume overload

Answer 11

Eccentric

like valve regurg

Question 12

Ventricular aneurysm

Answer 12

5 days - 3 months post MI

ECG shows persistent ST elevation and deep Q wave

Question 13

Specific arrhythmia for digoxin toxicity

Answer 13

Atrial tachycardia with AV block

Question 14

Rx for afib from hypertyroidism

Answer 14

beta-blocker

Question 15

Best rx for claudication

Answer 15

exercise

Question 16

Cor pulmonale

Answer 16

right heart failure from pulm htn from lung disease

Question 17

Chronic venous insufficiency rx

Answer 17

leg elevation
compression
exercise

Question 18

CHAD VASC score

Answer 18

CHF
HTN
Age (75=2, 65+=1)
DM
CVA/TIA =2
Vascular diseases
Sex (female)