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Comquest incorrects > cardio incorrects > Flashcards

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
Q

treatment in hfPef?

A

diueretics for symptomatic use

loop diuretics
mineralocorticoids for HTN and hf

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26
Q

treatment in hfRef

A

ACEI ARBS spironolactone b blocker

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27
Q

digoxin is used in

A

rate control in a fib

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28
Q

diltiazem is used in

A

rate control in a fib

HTN in african americans

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29
Q

essential hypertension with no other symptoms what to prescribe?

A

ACEI, ARB, thiazide diuretic, CCB in blacks

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30
Q

lvh is caused by

A

chronic htn

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31
Q

dc cardioversion is used in

A

symptomatic tachycardia

32
Q

treatment superficial thrombopletis

A

watch, nsaids, unless it gets worse, surgery if it goes to dvt

33
Q

what does tricuspid stenosis look like?

A

fatigue,a abdominal pain
venous congestion

low pitched diastaolc murmur at left sternal border with opening snap, more with inspiration

34
Q

what disease causes prosthetic valve issues in endocarditis

A

s epidermitis

or s aureus

35
Q

native valve endocarditis?

A

s viridans

36
Q

signs of constrictive pericarditis?

A

edema
ascites
jvd
pericardial knock

37
Q

treatment of contrictive pericarditis?

A

surgery of pericardium

38
Q

what causes multifocal atrial tachycardia

A

copd mostly

3 or more different p waves

39
Q

initial treatment of v fib?

A

unsynchronized delivery of electricity or

emergency defibrillation

40
Q

rheumatic fever can lead to

A

mitral regurg then stenosis

41
Q

CHF reduced ef, what to give first?

A

b blocker

42
Q

end stage renal disease causes coronary artery disease how?

A

proteinuria

reduced GFR

43
Q

dilated cardiomyopathy?

A

left ventricle bigger= high bnp

edema, tachypnea , jvd

44
Q

first line treatment for vascular claudication? ABI index will be?

A

aspirin (antiplatelet therapy) + statin

less than .9

45
Q

symptomatic treatment for vascular claudication?

A

cilastozol

46
Q

when do you give statins?

A

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
Q

what happens with aortic stenosis?

A

carotid pulse felt after heartbeat

angina, syncope, heart failure signs

left ventricular hypertrophy

48
Q

decreased murmur with squatting happens with

A

HOCM

MVP

49
Q

left parasternal lift happens with

A

right ventricular hypertrophy

50
Q

widened pulse pressure happens with

A

aortic regurg

51
Q

HTN emergency, what will lower BP quickly?

A

nicardipine

52
Q

WPW symptoms?

A

exercise intolerance
palpittions
chest dyscomfort

53
Q

acute pericarditis causes what on ekg?

A

diffuse st segment elevation, low voltage

54
Q

cardiac tamponade shows up on ekg as

A

electrans alternans, decreased bp on inspiration

becks triaad

55
Q

what is becks triad?

A

for cardiac tamponade

jvd
deceased heart sounds
hypotension

56
Q

treatment for av block?

A

pacemaker placement

57
Q

treatment for a flutter?

A

beta blocker

58
Q

adenosine is used to treat

A

SVT

59
Q

defibrillation is used to treat

A

v fib

60
Q

synchronized cardioversian used to treat

A

unstable v flutter with hypotension

61
Q

how to check for reinfarction for people with recent MI?

A

ekg

62
Q

test of choice for pe?

A

spiral ct scan

63
Q

sick sinus syndrome presents as what?

A

presnts in 7th-8th decade of life
as node dysfunctions
fatigue, light headed
sinus bradycardia,pauses

64
Q

junctional escape rhythm presents as

A

narrow qrs with no p wave

sinus bradycardia

65
Q

brugada syndrome presents as

A

elevated st with RBB in v1

66
Q

what is increased in hfpreserved ejection fraction

A

left ventricular diastolic pressre, decreased diastolic filliing

67
Q

avnrt is

A

svt with narrow complex 120-220 beats per minute

68
Q

bundle of kent looks like

A

widened qrs short pr

69
Q

what to use for a fib?

A

direct oral anticoagulants, apixaban

70
Q

first step to close pda?

A

ibuprofen

71
Q

stable vtach is treated with

A

amioadarone, procainamide

72
Q

best test to look at heart valves?

A

transesophageal esophagram

73
Q

aortic regurgitation murmur is

A

early diastolic blowing murmur at left sternal border

wide pulse pressures

PMI displaced inferiorly and laterally

74
Q

what to do svt and unstable?

A

sedate and cardiovert

75
Q

sct and stable?

A

vagal maneuvers then adenosine

76
Q

first stem in treatment for nstemi?

A

pci

77
Q

initial test for aortic dissection?

A

chest radiography

Comquest incorrects (20 decks)

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