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DHA Exam > Cardiology > Flashcards

Cardiology Flashcards

1
Q

Ptn with AF on warfarin developed intracranial hemorrhage, what to give

A

FFP

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2
Q

Ptn present with digoxin toxicity , how to treat

A

In case of AV Block or sever bradycardia give Atropine/ in life threatening arrhythmia give digoxin FAB antibodies also lidocaine and phenytoin can be used

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3
Q

Ptn present arthralgia, fever, with harsh systolic murmur radiated to the neck , two weeks ago the ptn had throats infection with proteinuria and hemorrhagic urine what’s your diagnosis

A

Infective endocarditis

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4
Q

What’s the best to confirm ischemia

A

CT angio

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5
Q

Complete heart block management

A

Permanent pacemaker

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6
Q

Ptn with HF is on IV now develops dyspnea and bilateral basal crepitaion what to do

A

Monitor IV fluids daily

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7
Q

HF due to left ventricular hypertrophy is ……dysfunction

A

Diastolic dysfunction

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8
Q

Lateral MI best intervention

A

PCI

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9
Q

Name absolute contraindication of thrombolytic therapy

A

Intracranial hemorrhage in the last 2 years

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10
Q

Old ptn oh hydrochlothiazide for 5 years with no improvement what to add

A

Add CCB

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11
Q

Ptn with hyperkalemia ( potassium >6.5 ) and ECG show tall T wave what to give

A

Calcium gluconate

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12
Q

Old ptn came for cardiac checkup , everything is normal but when you calculated his 10 years risk of MI the score was 6.9 what to do

A

Reassure , maybe stress ECG

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13
Q

Ptn with DM, HTN on ACEI, furosemide, atrovastatin, his potassium is >6. What go to do

A

Stop ACEI??? Not sure

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14
Q

Ptn with HTN, left ventricular hypertophy , no valves pb. What’s the cause of his HF

A

Diastolic dysfunction

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15
Q

Case of gunshot with raised JVP, no heart sounds, management

A

Pericardiocentesis

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16
Q

Stab wound in the chest came with raised JVP, weak pulse , what happened

A

Cardiac temponade

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17
Q

Child with lower chest stab wound, with hypotension, tachycardia what to do

A

Tube thoracostomy

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18
Q

Ptn with HTN, ejection systolic murmur at right sternal border radiating to carotid artery,loud S2 what is it?

A

Aortic stenosis

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19
Q

STEMI in lead AVL, V5,V6 =

A

Lateral MI

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20
Q

Ptn with CHF, and AF, what to do ?

A

Give Amiodarone ( if compensated = BB,CCB ) if uncompensated = digoxin

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21
Q

ICU Ptn complaining of fever only after operation what to give

A

IV Paracetamol

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22
Q

Low pitched diastolic murmur, heard best at the apex, what is it

A

Mitral stenosis

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23
Q

Ptn with HTN, with FH of HTN , what to givec

A

ACEI

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24
Q

Old ptn otherwise healthy , has atrial fibrillation, what to give / Ptn with TIA symptoms with a fib .

A

Warfarin INR has to be 2-3

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25
Ptn with CKD has atrial fibrillation, what to give
Warfarin
26
Ptn suspected to have chronic thromboembolic disease, what’s the highest diagnostic test
Spiral CT with contrast
27
Ptn with HF and desaturated at88% what to do
Give O2%
28
Smoking increases the risk of MI……
2 times
29
Smoking decrease survival rate by
10
30
Smoking causes lung cancer on …..years
20 years
31
Ptn on lisinopril complain of dry cough what alternative can you give her
Losartan
32
Murmur that goes by valsava maneuver is indicative of…….
Mitral regurgitation
33
Ptn with unstable angina with st segment depression on statin, BB, aspirin, nitrate what to add?
Clopidogril
34
Diabetic ptn on insulin and statins, what else should be added to prevent cardiac disease
Aspirin
35
Ptn says he’s brother died suddenly, what disease should be ruled out?
Hypertrophic cardiomyopathy
36
Ptn with bronchogenic carcinoma present with dyspnea , elevated JVP, clear lung sound, decreased heart sound ,what’s next step
Echo
37
What indicate ventricular function
BNP
38
Drug abuser with painless rash on the soles or palms, retinal splinter hemorrhage , spleenomegaly, what’s your diagnosis?
Bacterial endocarditis
39
Case of STEMI came to a clinic which doesn’t have PCI what to do!
Give ASA, streptokinase, Heparin, BB
40
Ptn known to have HTN, is presented with headache, sweating, palpation, dyspnea, her HTN is not well controlled despite multiple medications, imaging shows Supra-renal mass , what’s the recommended drug
Alpha blocker
41
Ptn with CHF , EF is 25% but ptn is asymptotic, what to give
ACEI
42
Ptn came after 2 weeks of doing PCI, looking pale, cold limbs, swelling ,what your diagnosis
Acute ischemic emboli
43
ECG case with yellow vision, hyperkalemia
Digoxin toxicity
44
Diabetic ptn with cardiac disease, your goal in management is ?
LDL less than 70
45
Ptn with sever HTN 220/180 not decreased with BB and diuretics , management?
Give aplha blocker
46
ECG picture with ST elevation in lead 2-3 AVF ,what’s your diagnosis
Inferior MI
47
Drug that decrease mortality in HFis
Enalpril
48
Ptn with HF, DM, HTN on ACEI but can’t tolerate it, what’s alternative?
ARBs as lorestan
49
Ptn with HF, DM is admitted for hysterectomy, she’s now day 4 and still on IV fluid ( NS ) she developed dyspnea with crackles, how to prevent this
Daily fluid assessment
50
Ptn with flat T wave on ECG, what does it indicate
Hypokalemia
51
Ptn with history of TB present with chest pain, raised JVP, no murmur, what’s your diagnosis
Constrictive Pericarditis
52
Young ptn just diagnosed with HTN, and has high creatinine, what to prescribe?
ACEI
53
Ptn with atrial fibrillation is having PCI because of recent MI, what to give him ?
Warfarin + 2 type of anti platelets
54
ECG picture with history of recent infection and chest pain , what’s the diagnosis
Pericarditis
55
Ptn with very high BP and catecholamines, what’s your treatment
Alpha blockers
56
Ptn with atrial fibrillation and dilated cardiomyopathy, what to give to control the rate
BB
57
Ptn with HF ( dyspnea, cough, bilateral lung crackles) asking about treatment
IV furosemide
58
Pregnant woman present with dyspnea, lower limb edema, bilateral lung crackles , investigation
Echo
59
Ptn with HTN is on 25mg daily hydroclorothiazide but not yet controlled what to add
ACEI
60
Ptn with DM, HTN, TIA and atrial fibrillation, management
Warfarin
61
Cardiomegaly was discovered in ptn who came for routine checkup, ptn is asymptotic, EF is 40 what to do
Give ACEI
62
Ptn with prosthetic valve. What prophylaxis is needed
No antibiotics
63
Ptn with uncontrollable HTN is on CCB, ARBs, thiazide, what to ass
BB
64
Risk factor of stroke is mostly ass. With ……
HTN
65
Ptn with asthma with mitral regurgitation, murmur 3/6 , what’s next
Echo
66
Ptn with DM, HTN, is having ingrown nail, what should you check before the surgery?
Peripheral pulses
67
Ptn with HF complaining of non productive cough for 2 months he’s on ACEI, BB, non smoker, EF 40% ,what to do
Stop ACEI
68
ECG picture with pr depression, global ST elevation, what to give
NSAIDs
69
Ptn with atrial fibrillation for 2 hours , he’s stable what to give
Amiodarone
70
ECG show’s diffuse ST elevation, treatment
Ibuprofen
71
Ptn with cannon A wave and raised JVP , asking about management
Permanent pacemaker
72
Ptn with dyspnea, fever , arthralgia , history of dental visits 2 weeks ago and 2 months ago, on examination there’s murmur radiating to axilla , on urine analysis = proteinuria, hematuria, diagnosis
Infective endocarditis
73
Ptn with mid systolic murmur, best heard at the right lower sternal border , has S4 no S3 best heard at the apex, diagnosis
Aortic stenosis
74
Female ptn, smoker, taking OCP for 6 years , went for surgery, in the surgery she developed tachycardia, hypotension, cause?
PE
75
Diffuse ST segment elevation =
Pericarditis
76
Case of acute attack of PE what should you give?
Enoxaparin = stable / unstable = alteplase
77
Empirical treatment for infective endocarditis?
Vancomycin + ceftriaxone
78
When to consider mitral valve critical?
Less than 1 cm

DHA Exam (21 decks)

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