Cardio2

Question 1

A drug used in post-MI to reduce morbidity/mortality and recurrence?

Answer 1

 Aspirin/ADP(p2y12) receptor blocker like clopidogrel (dual antiplatelet therapy)  -ACEI and ARB  -Beta-blocker  -HMG reeducates inhibitor  -Aldosterone antagonist in a patient with HF symptom with ejection fraction <40 % and DM patients

Question 2

Long-acting nitrates are only used acutely for the management of symptoms.

Answer 2

-

Question 3

When we need oral anticoagulant treatment for patients diagnosed with atrial fibrillation.

Answer 3

 Valvular heart disease (MS)  CHAD score > or = 2

Question 4

Component of CHAD Score?

Answer 4

 Congestive Heart Failure  HTN >140/90  Age >75  Diabetes mellitus  Stroke  TIA  Thromboembolism

Question 5

If chad score is 1

Answer 5

-Antithrombotic

Question 6

If chad score is 0

Answer 6

—No Antithrombotic or antiplatelet needed

Question 7

Major S/E of Amidadrone?

Answer 7

 Sinus bradycardia, QT prolongation, and heart block  Hypothyroidism or hyperthyroidism  Chronic interstitial pneumonia, ARDS, Acute lung hemorrhage, Lung solitary mass ad pulmonary nodule  Peripheral neuropathy  Blue-green skin discoloration  Corneal deposit and optic neuropathy  Hepatitis and elevated liver function test

Question 8

Chronic interstitial pneumonia symptom and dx?

Answer 8

 Cough, SOB, fever, and inspiratory crackles  CXR-Ground glass opacity  Decrease diffusion capacity of CO

Question 9

Cluse to etiology of syncope?

Answer 9

 Vasovagal—during defecation, urination and cough, emotional distress, and prolonged standing o Pathophysiology—Cardio inhibition by high PSNS activation and vasodepressor by decrease SNS activation o D/T symptom—Prodromal symptom(nausea, sweating, and light deadness)  Carotid hypersensitivity due to stimulation  Autonomic dysfunction—Orthostasis, DM, Parkinson,agibg…  Hypervolemia—Orthostatic and fluid loss  LVOO—Syncope during exercise and murmur  Ventricular arrhythmia—Previous history of CMPATHY or ischemic heart disease and no warning symptom  Conduction abnormality—preceding lightheadedness and fatigue with RCG abnormality

Question 10

Orthostatic hypotension—

Answer 10

Drop-in systolic B/P by >=20 and diastolic by >=10 during standing Caused by volume depletion, drug side effect, and diseases like Parkinson and DM

Question 11

The common cause of outside hospital SCA?

Answer 11

ViTac secondary to MI/Ischemic heart disease

Question 12

Survival percent

Answer 12

>1/3 restabilization of circulation and 10 % discharge with improvement?

Question 13

What determine survival?

Answer 13

Elapsed time to effective resuscitation

Question 14

What is effective resuscitation?

Answer 14

Able to analyses type of arrhythmia and do Defibrillation in shakable waves and epinephrine in non-shokable ones.

Question 15

What advantage did ViTac to asystole and pulseless electrical activity?

Answer 15

They form a shakable wave.

Question 16

Time to breathing rescue dost determine survival why?

Answer 16

A patient who had only chest compression-CPR have a better outcome than of who had standard CPR(involving rescue breathing)

Question 17

Time to breathing rescue dost determine survival why?

Answer 17

A patient who had only chest compression-CPR have a beater outcome to that of who had standard CPR(involving rescue breathing)

Question 18

What determines survival in patients with SCD?

Answer 18

Elapsed time to effective resuscitation.

Question 19

What is effective resuscitation?

Answer 19

Able to analyses type of arrhythmia and do defibrillation in shokable waves and epinephrine in non-shokable ones.

Question 20

What advantage did ViTac to asystole and pulseless electrical activity?

Answer 20

They form a shakable wave.

Question 21

Time to breathing rescue dost determine survival why?

Answer 21

A patient who had only chest compression-CPR have a better outcome than that who had standard CPR(involving rescue breathing)