cardiology

Question 1

Stage 1 HTN in adult

Answer 1

130-139/80-89

Question 2

Stage 2 HTN in Adult

Answer 2

140-149/90-99

Question 3

Name a situation where somone is restricted from sport due to HTN

Answer 3

Stage 2 without end organ.
Any elevated pressure with end organ

Question 4

From ages of 1-13 what is considered normal BP?

Answer 4

<90%

Question 5

What is considered elevated BP for ages 1-13?

Answer 5

SBP and DBP >90% but less then 95% or 120/80 or <95th% (whichever is lower)

Question 6

Stage 1 HTN for 1-13

Answer 6

SBP and DBP >95% or 12 mmHg above >90% or 130-139/90-99 (whichever is lower)

Question 7

Stage 2 HTN for 1-13

Answer 7

SBP and/or DBP ≥95th
percentile + 12 mmHg, or ≥140/90 mmHg (whichever is lower)

Question 8

Was is considered elevated BP in age 13+

Answer 8

120-129 with DBP <80

Question 9

When is renal US appropriate to access for end organ in children with uncontrolled hypertension

Answer 9

Stage 1 and Stage 2

Question 10

Guidlines for echocardiogram and retinal exam for children with uncontrolled HTN to access for end organ damage

Answer 10

• when considering pharmocological therapy
• comordib risk factors for diabetes or renal disease and Bp b/t 90-94% or any patient regardless of risk factors who are stage 2 (95% and up)

Question 11

Guidelines for Lone AF in youth

Answer 11

can play if self terminated with no strucutal abnormalities.

Question 12

RTP after myocardiits diagnosis

Answer 12

3-6 months with no strenuous exercise. Normal LV

Question 13

What is the timing with heart rhythm for commoto cords

Answer 13

30-15 ms before peak of T wave

Question 14

RTP for anomalous Coronary Artery

Answer 14

3 month after surgical correction

Question 15

What is this called and what is it associated with?

Answer 15

Epsilon wave

ARVD

Question 16

Arrhythmogenic Right Ventricular Dysplasia EKG criteria

Answer 16

TWI v1-v4 and inf leads (III, aVF)

Delayed S wave upstroke in V1

Low limb voltage II,III, AVF

Epsilon

Question 17

Pathophysology of Hypertrophic Cardiomyopathy

Answer 17

Auto dominent mutation in sacromere

Question 18

Guidlines for aortic root measurments for those with Marfans

Answer 18

q12 months- <45 mm

q6 monthd >45 mm

Surgery at 50 mm- arotic valve replacement

Question 19

Pharm managment for someone with aortic aneurysm

Answer 19

Beta blocker

and ARB as tolerated

Question 20

EKG FINDINGS FOR WOLF PARKINSON WHITE

Answer 20

SHORT PR

DELTA WAVE

PROLONGED QRS

Question 21

WHAT STUDY IS USED IN WPW TO GAUGE PROPENSITY TO GO INTO A FIB WITH HIGH VENTRICULAR RATE

Answer 21

EP

Question 22

HOW CAN EXERCISE EKG HELP DETERMINE WPW SEVERITY?

Answer 22

IF DELTA WAVE DISAPPEARS DENOTES LOW RISK PATHWAY

EP SHOULD BE DONE I EXERCISE EKG DOES NOT GIVE INFO NEEDED.

Question 23

WHAT DEMOGRAPHIC OF ATHLETES OF WPW WOULD BENIFIT FROM

EP STUDY?

Answer 23

CHILDREN/ADOLSECENTS IN MODERATE TO HIGH INTENSITY SPORTS

Question 24

WHAT IS THE TREATMENT FOR HIGH RISK PATHWAYS WITH WPW?

RTP?

Answer 24

ABLATION

3 MONTHS

Question 25

BRUGADA EKG FINDINGS

Answer 25

PARTIAL RBBB WITH COVED ST SEGMENT