Cardio OMED Questions Flashcards
If pt presents with multiple myeloma, what heart condition am I thinking? How to make the diagnosis?
amyloidosis causing restrictive cardiomyopathy and I need to get a cardiac biospy
What medicine to never give in the setting of a CHF exacerbation?
beta blocker
What problem to always have in mind with pts with CHF because of a dilated atrium?
a fib or any type of arrhythmia
What is the diagnostic technique for bad valve?
transthroracic echo
what to do next with unstable a fib and rapid ventricular response?
cardiovert
what will PCWP be in cardiogenic and non cardiogenic pulmonary edema?
less than 12 non cardiogenic
more than 12 cardiogenic
what are the 3 types of fibronolytic drugs to give in the pesence of MI that needs a stent but is over 60 minutes away?
TPA, streptokinase, urokinase
What 1 thing to give for right side infarct and what 2 things not to give and why?
right side infarcts are pre load dependent. dont give nitro or morphine because they will cause VD and kill your preload. give fluids to support venous return
what is the antidote to beta blockers?
glucoagon
first step in managing unstable bradycardia?
transcutaneous pacing
side effect of thiazides?
side effects of ace and arbs?
side effect of amlodipine?
side effect of beta blockers?
low potassium
high potassium
peripheral edema
bradycaria
DC cardioversion is used for what kind of arrhythmias?
metoprolol is used for?
amiodarone?
adenosine?
unstable tachy
rate control for afib or a flutter
wide complex tachy
SVT
if someone has known CAD, what is started at max dose?
statin
what is the buzz word for constrictive pericarditis?
what is a chronic inflammatory dz that can cause it?
management?
peristernal or diastolic knocking
lupus
pericardiectomy
what will the jump in HR and BP be in orthostasis causing syncope?
from supine to standing, increase in HR greater than 10 or BP drop of 20 or more
Ecoli ferments what? Urease?
lactose, negative
what can be used to treat the flusing side effect of niacin?
aspirin
CHADS2 score for stroke risk of zero gets what med?
score1?
score2?
aspriin
probably oral anti over aspirin
defintely get oral anti
first 4 lines for heart failure?
ace and beta
furosemide
spironocaltone or iso hydral
inotrope
what happens with the pulse with aortic stenosis?
it is later and weaker than the heart beat.
How to treat unstable angina and what is contraindicated?
MONABASH C
stress test
two big differences between mitral and tricuspid regurg?
mitral is loudest during expiration and tri is loudest during inspiration
mitral is heard at the apex going into the axilla and tri is heard left sternal border
how to treat torsades?
magnesium sulfate
what is the most sensitive test to see lesions and vegetation from infective endocarditis?
TEE
