Cardio Flashcards

1
Q

Class 1A anti-arrhythmic

A
Quinidine, procainamide, disopyramide
QUeen PROClaims DISO's PYRAMID
moderate Na+ channel blockade
K+ channel blockade
↑ AP duration
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Class 1B anti-arrhythmics

A

Lidocaine, Mexiletine
I’d Buy LIDdy’s MEXIcan Tacos
weak Na+ channel blockade
↓ AP duration

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Class 1C anti-arrhythmics

A

Flecainide, Propafenone
Can I have Fries Please
strong Na+ channel blockade
no effect on AP duration

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

-osin

A

prazosin, terazosin, doxazosin, tamsulosin

α1 blockers

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

phenoxybenzamine

A

α-blocker

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

phentolamine

A

α-blocker

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Clonidine

A

α2-agonist

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Albuterol

A

ß2 > ß1 agonist

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

salmeterol

A

ß2 > ß1 agonist

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

terbutaline

A

ß2 > ß1 agonist

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Dobutamine

A

ß1 > ß2 agonist

α agonist

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Dopamine

A

D > ß > α agonist

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

epinephrine

A

ß > α agonist

↓BP, ↑HR, ↑CO

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Norepinephrine

A

α > ß agonist

↑BP → reflex ↓HR, CO remains constant(ish)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Phenylephrine

A

α agonist

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

isopreterenol

A

ß1 = ß2 agonist

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Aortic stenosis

A

Crescendo-decresendo
systolic murmur
loudest at base, radiates to carotids
ejection click

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Mitral/tricuspid regurg

A

Holosystolic
high pitched blowing
loudest at base, radiates toward axilla
early sequelae of rheumatic fever

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Mitral valve prolapse

A

late-systolic crescendo murmur

midsystolic click

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Ventricular septal defect

A

Holosystolic, harsh sounding

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

aortic regurg

A

High pitched blowing

early diastolic decrescendo murmur

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Mitral stenosis

A

Opening snap
delayed rumbling
mid-late diastolic murmur
late sequelae of rheumatic fever

23
Q

Patent ductus arteriosus

A

Continuous machine like murmur

24
Q

Wide splitting

A

Delayed RV emptying

also ASD?

25
Q

Fixed splitting

A

ASD

26
Q

paradoxical splitting

A

Delayed aortic valve closure

27
Q

ß1 blockers

A

-olol from A-M

28
Q

ß1 = ß2 blockers

A

-olol from N-Z

29
Q

ß blockers with α-blocking

A

modified suffix -ilol and -alol (instead of -olol)
carvedilol
labetalol

30
Q

Hydralizine

A

vasodilates

31
Q

Milrinone

A

used in acute decomensated HF
↑ HR and contractility
vasodilation

32
Q
Antiarrhythmics class 3
potassium channel blockers
A

Amiodarone
Ibutilide, Dofetilide
Sotalol
AIDS

33
Q
Antiarrhythmics class 4
calcium channel blockers
A

Verapamil

Diltiazem

34
Q

digoxin

A

inhibits Na-K
inhibits Na-Ca X
↑ Ca+ intracellularly
↑ contractility

35
Q

Fenoldopam

A

Dopamine agonist
coronary, peripheral, renal, and splanchnic vasodilation
↓ BP
↑ natriuresis

36
Q

Dressler syndrome

A

MI complication several weeks after

autoimmune pleuritis

37
Q

Giant cell arteritis

A
temporal arteritis
Large vessel
Unilateral headaceh, temporal artery tenderness
blindness
elderly females
38
Q

Takayasu arteritis

A

Large vessel
asian females
pulseless upper extremities
narrowing of aortic arch

39
Q

Buerger disease

A

aka thromboangitis obliterans
medium vessel
heavy smokers
extremity claudication

40
Q

Kawasaki disease

A
medium vessel
Young asian children
CRASH and burn
Conjunctival injection
Rash
Adenopathy (cervical)
Strawberry tongue
Hand-foot edema, erythema
fever
41
Q

Polyarteritis nodosa

A

medium vessel
think PAN → GI
abdominal pain, melena
Renal damage

42
Q

Behcet syndrome

A
small vessel
Turkish and eastern Mediterranean descent
aphthous ulcers
genital ulcerations
uveitis
erythema nodosum
HLA-B51
43
Q

Eosinophilic granulomatosis with polyangitis

A
aka churg strauss
small vessel
MPO-ANCA/p-ANCA
Upper respiratory
peripheral neuropathy
can also effect heart, GI, kidneys
44
Q

Granulomatosis with polyangiitis

A

aka Wegener
small vessel
PR3-ANCA/c-ANCA
Upper respiratory (including nasal septum perforation)
Lower respiratory (cough, hemoptysis, dyspnea)
Renal

45
Q

Immunoglobulin A vasculitis

A
aka Henoch-schonlein purpura
small vessel
skin → palpable purpura on legs (dramatic)
arthralgies
GI (including intussusception)
46
Q

Microscopic polyangiitis

A
small vessel
MPO-ANCA/p-ANCA
skin
lung
renal
similar to wegener's but w/o nasopahryngeal involvement
47
Q

Amlodipine

Nifedipine

A

calcium channel blocker in vascular smooth muscle, but not heart
vasodilation

48
Q

Bile acid resins

A

Cholestyramine, colestipol, colesevelam
↓ intenstinal reabsorption of bile acids
Only one that ↑ Triglycerides

49
Q

Cholestyramine

A

Bile acid resins

50
Q

colestipol

A

Bile acid resins

51
Q

colesevelam

A

Bile acid resins

52
Q

Ezetimibe

A

prevents cholesterol absorption at SI

53
Q

Fibrates

A

Gemfibrozil, Bezafibrate, Fenofibrate
Upregulate LPL → ↑triglyceride clearance\
↓↓↓ TG

Cholesterol gallstones