Cardio OMED Questions

Question 1

If pt presents with multiple myeloma, what heart condition am I thinking? How to make the diagnosis?

Answer 1

amyloidosis causing restrictive cardiomyopathy and I need to get a cardiac biospy

Question 2

What medicine to never give in the setting of a CHF exacerbation?

Answer 2

beta blocker

Question 3

What problem to always have in mind with pts with CHF because of a dilated atrium?

Answer 3

a fib or any type of arrhythmia

Question 4

What is the diagnostic technique for bad valve?

Answer 4

transthroracic echo

Question 5

what to do next with unstable a fib and rapid ventricular response?

Answer 5

cardiovert

Question 6

what will PCWP be in cardiogenic and non cardiogenic pulmonary edema?

Answer 6

less than 12 non cardiogenic

more than 12 cardiogenic

Question 7

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?

Answer 7

TPA, streptokinase, urokinase

Question 8

What 1 thing to give for right side infarct and what 2 things not to give and why?

Answer 8

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

Question 9

what is the antidote to beta blockers?

Answer 9

glucoagon

Question 10

first step in managing unstable bradycardia?

Answer 10

transcutaneous pacing

Question 11

side effect of thiazides?
side effects of ace and arbs?
side effect of amlodipine?
side effect of beta blockers?

Answer 11

low potassium
high potassium
peripheral edema
bradycaria

Question 12

DC cardioversion is used for what kind of arrhythmias?
metoprolol is used for?
amiodarone?
adenosine?

Answer 12

unstable tachy
rate control for afib or a flutter
wide complex tachy
SVT

Question 13

if someone has known CAD, what is started at max dose?

Answer 13

statin

Question 14

what is the buzz word for constrictive pericarditis?
what is a chronic inflammatory dz that can cause it?
management?

Answer 14

peristernal or diastolic knocking
lupus
pericardiectomy

Question 15

what will the jump in HR and BP be in orthostasis causing syncope?

Answer 15

from supine to standing, increase in HR greater than 10 or BP drop of 20 or more

Question 16

Ecoli ferments what? Urease?

Answer 16

lactose, negative

Question 17

what can be used to treat the flusing side effect of niacin?

Answer 17

aspirin

Question 18

CHADS2 score for stroke risk of zero gets what med?
score1?
score2?

Answer 18

aspriin
probably oral anti over aspirin
defintely get oral anti

Question 19

first 4 lines for heart failure?

Answer 19

ace and beta
furosemide
spironocaltone or iso hydral
inotrope

Question 20

what happens with the pulse with aortic stenosis?

Answer 20

it is later and weaker than the heart beat.

Question 21

How to treat unstable angina and what is contraindicated?

Answer 21

MONABASH C

stress test

Question 22

two big differences between mitral and tricuspid regurg?

Answer 22

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

Question 23

how to treat torsades?

Answer 23

magnesium sulfate

Question 24

what is the most sensitive test to see lesions and vegetation from infective endocarditis?

Answer 24

TEE

Question 25

what does Aortic regurg sound like?

Answer 25

high pitched, blowing early

Question 26

3 major risk factors for afib?

Answer 26

pulmonary disease, hyperthyroid, and atrial dilation

Question 27

3 main causes of atrial dilation?

Answer 27

mitral stenosis, mitral regurgitation, and hypertension.

Question 28

what procedures need abx prophylaxis for infective endocaridtis?

Answer 28

dental, respiratory tract and skin/subq/msk tissue

Question 29

What can happen to an untreated VSD in a kid?

Answer 29

eisenmenger syndrome. eventual right to left shunting because of high pulmonary pressures.

Question 30

most important risk factor for getting primary HTN?

Answer 30

family history