Cardio Flashcards
pt presents post URI w arthritis, subcutaneous nodules:
diagnosis?
wt caused URI?
type of rxn? mech?
Rheumatic fever
strep pyogenes
type II hypersensitivity (IgM mediated)
what are tall peaked T waves and widened QRS pathognomic for?
hyperkalemia
Wt are flattened T waves and U waves indicitive of?
Hypokalemia
wt causes a fixed split S2? associated murmur?
ASD
mid systolic ejection murmur at left upper sternal border
wt causes a midsystolic click?
Mitral valve prolapse
2 causes heart murmurs heard in diastole?
aortic regurgitation
mitral stenosis
pt presents w diastolic murmur w opening snap,
diagnosis?
wt is a specific association?
mitral stenosis
RF
pt presents w high pitched diastolic murmur and wide pulse pressure,
diagnosis?
wt physical sign will be evident in some patients?
aortic regurgitation
head bobbing
cause of crescendo-decrescendo murmur?
how will pulses be affected?
Aortic stenosis
Weak pulses
cause of systolic high-pitched blowing murmur?
mitral regurgitation
cause of machine like murmur?
PDA
2 formulas for calculating MAP?
MAP = CO * TPR MAP = 2/3 diastolic + 1/3 systolic
where is the mean systolic pressure located on a CO/Venous return x RA pressure curve?
x axis intersect of RA pressure
wt is the effect of low Hematocrit on viscosity?
low hematocrit will decrease viscosity
wt cells would be found in bronchoalveolar lavage in a pt w CHF?
hemosiderin laden macrophages
is verapamil or dilatezem stronger?
verapamil
in amyloidosis when are the following seen? AA AF AL A Cal
AA (acute phase reactants)
AF (Familial and old Fogies)
AL (Light chain, Multiple myeloma, Lymphoma)
A Cal (Calcitonin)
wt space is involved in cardiac tamponade? located bw?
pericardial space
bw
epicardium (visceral)
parietal pericardium
in coarction of the aorta, wt else would be seen and why?
A. Anomalies of the radii of the arms
This is the correct answer. B. Erosion of the inferior aspect of the ribs
C. Expansion of the marrow space
D. Resorption of the distal clavicles
Answer selection is incorrect. E. Scalloping of the anterior aspect of the vertebral bodies
Erosion of the inferior aspect of the ribs
due to collateral flow from left subclavian
pathologic cause of S3?
3 normal causes?
CHF
pregnancy
kids
athletes
wt defect accompanies persistent truncus arteriosus?
VSD
which of the following would be increased 1 hour after excercise?
during exercise?
A. Adenosine B. Basic fibroblast growth factor C. Growth hormone D. Tissue oxygen partial pressure This is the correct answer. E. Vascular endothelial growth factor
VEGF 1 hr
Adenosine during
wt is associated w coronary sinus dilation?
right atria dilation (Pulmonary HTN)
most common heart defect in pts w downs syndrome?
atrial/ventricular septal defects (and complete atrioventricular canal)
