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cardio incorrects Flashcards

1
Q

what is a mobitz second degree type 2?

A

sudden QRS drop, but stable pr interval throughout

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2
Q

what is a mobitz first degree ?

A

prolonged pr interval, benign

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3
Q

what is a mobitz third degree ?

A

complete dissociation between p wave and qrs

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4
Q

what is a mobitz second degree type 1?

A

prolonged pr interval then qrs drops

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5
Q

wolff parkinson white syndrome?

A

delta wave
short pr interval
widened qrs interval

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6
Q

2,3 avf, what artery is blocked in stemi?

A

RCA

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7
Q

V1-V6 stemi artery?

A

LAD

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8
Q

I, V5,V6, AVL what artery affect?

A

LCA

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9
Q

V1, AVR, what artery affected?

A

left main coronar atery

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10
Q

st depression V1-V3?

A

posterior descending artery

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11
Q

left ventricular hypertrophy on EKG? how to treat it?

A

peaked r waves

ACEI or ARB

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12
Q

initial step of IE treatment?

A

3-5 blood cultures

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13
Q

best way to decrease patient mortalit in dyslipidemia?

A

statins

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14
Q

vtach without pulse, what to do?

A

shock em then epi

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15
Q

treatment for SVT?

A

shock then adenosine

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16
Q

tachycardia in unstable patiebt, what to do?

A

cardioversion

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17
Q

unstable bradycardia what to do?

A

atropine

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18
Q

what does tricuspid stenosis sound like? what causes it ?

A

diastolic rumble at left sternal border that increases with inspiration
right heart failure symptoms

caused by chronic rheumatic fever

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19
Q

what does mitral stenosis sound like?

A

opening snap diastolic tumor that increases with expiration

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20
Q

what does aortic stenosis sound like? what cuases it

A

mid systolic crescendo decrescendo murmur

age

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21
Q

what does mitral regurgitation sound like? what cuases it

A

holosystolic blowing murmur that radiates to axila

caused by MVP, rheumatic fever, endocarditis

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22
Q

what does tricuspid regurgitation sound like? what cuases it

A

holosystolic blowing murmur at left sternal border

infective endocardits, RF

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23
Q

variant angina symptoms and treatment?

A

st elevation at rest, pain in chest at night, goes back to normal with nitro, coronary artery spasm

calcium channel blockers

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24
Q

pericarditis on ekg? symptoms?

A

elevated st, depressed pr

will have sharp pain that increases with inspiration

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25
treatment in hfPef?
diueretics for symptomatic use loop diuretics mineralocorticoids for HTN and hf
26
treatment in hfRef
ACEI ARBS spironolactone b blocker
27
digoxin is used in
rate control in a fib
28
diltiazem is used in
rate control in a fib HTN in african americans
29
essential hypertension with no other symptoms what to prescribe?
ACEI, ARB, thiazide diuretic, CCB in blacks
30
lvh is caused by
chronic htn
31
dc cardioversion is used in
symptomatic tachycardia
32
treatment superficial thrombopletis
watch, nsaids, unless it gets worse, surgery if it goes to dvt
33
what does tricuspid stenosis look like?
fatigue,a abdominal pain venous congestion low pitched diastaolc murmur at left sternal border with opening snap, more with inspiration
34
what disease causes prosthetic valve issues in endocarditis
s epidermitis | or s aureus
35
native valve endocarditis?
s viridans
36
signs of constrictive pericarditis?
edema ascites jvd pericardial knock
37
treatment of contrictive pericarditis?
surgery of pericardium
38
what causes multifocal atrial tachycardia
copd mostly 3 or more different p waves
39
initial treatment of v fib?
unsynchronized delivery of electricity or emergency defibrillation
40
rheumatic fever can lead to
mitral regurg then stenosis
41
CHF reduced ef, what to give first?
b blocker
42
end stage renal disease causes coronary artery disease how?
proteinuria | reduced GFR
43
dilated cardiomyopathy?
left ventricle bigger= high bnp | edema, tachypnea , jvd
44
first line treatment for vascular claudication? ABI index will be?
aspirin (antiplatelet therapy) + statin less than .9
45
symptomatic treatment for vascular claudication?
cilastozol
46
when do you give statins?
if you have high ldl if you are 40-75 with diabetes regardless of ldl patients under 40 if they had diabetes for at least 10 years ASCVD risk of 20% or higher patients 20-39 with family history of early ascvd and ldl of 160 or higher
47
what happens with aortic stenosis?
carotid pulse felt after heartbeat angina, syncope, heart failure signs left ventricular hypertrophy
48
decreased murmur with squatting happens with
HOCM MVP
49
left parasternal lift happens with
right ventricular hypertrophy
50
widened pulse pressure happens with
aortic regurg
51
HTN emergency, what will lower BP quickly?
nicardipine
52
WPW symptoms?
exercise intolerance palpittions chest dyscomfort
53
acute pericarditis causes what on ekg?
diffuse st segment elevation, low voltage
54
cardiac tamponade shows up on ekg as
electrans alternans, decreased bp on inspiration becks triaad
55
what is becks triad?
for cardiac tamponade jvd deceased heart sounds hypotension
56
treatment for av block?
pacemaker placement
57
treatment for a flutter?
beta blocker
58
adenosine is used to treat
SVT
59
defibrillation is used to treat
v fib
60
synchronized cardioversian used to treat
unstable v flutter with hypotension
61
how to check for reinfarction for people with recent MI?
ekg
62
test of choice for pe?
spiral ct scan
63
sick sinus syndrome presents as what?
presnts in 7th-8th decade of life as node dysfunctions fatigue, light headed sinus bradycardia,pauses
64
junctional escape rhythm presents as
narrow qrs with no p wave | sinus bradycardia
65
brugada syndrome presents as
elevated st with RBB in v1
66
what is increased in hfpreserved ejection fraction
left ventricular diastolic pressre, decreased diastolic filliing
67
avnrt is
svt with narrow complex 120-220 beats per minute
68
bundle of kent looks like
widened qrs short pr
69
what to use for a fib?
direct oral anticoagulants, apixaban
70
first step to close pda?
ibuprofen
71
stable vtach is treated with
amioadarone, procainamide
72
best test to look at heart valves?
transesophageal esophagram
73
aortic regurgitation murmur is
early diastolic blowing murmur at left sternal border wide pulse pressures PMI displaced inferiorly and laterally
74
what to do svt and unstable?
sedate and cardiovert
75
sct and stable?
vagal maneuvers then adenosine
76
first stem in treatment for nstemi?
pci
77
initial test for aortic dissection?
chest radiography

Comquest incorrects (20 decks)

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