cardio Flashcards
CARDIOLOGY
CARDIOLOGY
What side effect might make a patient stop taking an ACEI?
Cough
Define orthostatic hypotension.
A drop in systolic blood pressure of >20 mmhg when standing up.
You feel a pulse that seems to be vibrating. What term do you use to describe it?
Thrill
What are three things in your differential if you have a paradoxical pulse?
Cardiac tamponade, pericarditis and obstructive lung disease
On palpation what size is normal for the aorta?
Less than 3 cm
A fixed or consistent split S2 should make you think of what diagnosis?
Atrial septal defect
A pathologic S3 is most commonly associated with what diagnosis?
CHF
If you hear a midsystolic click you should immediately be thinking about what diagnosis?
Mitral valve prolapse
An opening snap on auscultation of the heart should make you think of what diagnosis?
Mitral stenosis
A continuous murmur most likely involves what area of the heart?
It is most likely a septal defect.
You hear a continuous machine-like murmur. What is the most likely diagnosis?
Patent ductus arteriosus (PDA)
List three medications which may be used for pharmacological stress test.
Adenosine, dobutamine dipyridamole, and persantine
What is the gold standard for diagnosing coronary artery disease?
Cardiac catheterization
Define stage 1 hypertension according to JNC 7.
Systolic pressure of 140-159 and diastolic of 90-99
What is the treatment goal for a diabetic with hypertension?
130/80
What is the most common cause of secondary hypertension?
Chronic kidney disease
No matter what medications you use you are having trouble keeping a patient’s blood pressure under control. You also notice hyperpigmented skin and truncal obesity. What is the most likely diagnosis?
Cushing’s disease
List three signs or symptoms which will likely be included in a description of a patient with a pheochromocytoma?
Thin, diaphoretic, tachycardic, agitated and hypertensive
You have a patient with diagnosis of a pheochromocytoma. While waiting for surgery, should you use an alpha blocker or a beta blocker?
Alpha blocker. You should never use a pure beta blocker.
A young boy comes into your office. He has elevated blood pressure when taken in his arm, but no femoral pulses can be palpated. What is the most likely diagnosis?
Coarctation of the aorta
According to the CDC what is the range for a normal BMI?
18.5-24.9
What is the first line medical treatment for stage 1 hypertension?
Thiazide diuretic
After a thiazide diuretic what medication should you start in a hypertensive patient who also has diabetes?
An ACEI or an ARB