Cardiology

Question 1

Diastolic murmur with opening snap and mid-rumble, loud S1 and P2

Answer 1

Mitral Stenosis

Question 2

Harsh systolic murmur at right second intercostal space, radiates to carotids and apex

Answer 2

Aortic Stenosis

Question 3

Murmur with pulsus parvus et tardus (weak and delayed)

Answer 3

Aortic Stenosis

Question 4

holosystolic murmur that radiates to the axilla and loud P2. prominent S3 during diastole

Answer 4

Mitral Regurgitation

Question 5

murmur associated with SUDDEN pulmonary edema

Answer 5

Mitral Regurgitation

Question 6

blowing, decrescendo diastolic murmur heard at the left third intercostal space

Answer 6

Aortic Regurgitation

Question 7

murmur with widened pulse pressure

Answer 7

Aortic Regurgitation

Question 8

murmur with fixed, split S2

Answer 8

ASD

Question 9

crescendo-decrescendo midsystolic murmur heard at left second intercostal space that occurs with inspiration

Answer 9

Pulmonic Stenosis

Question 10

Mid-diastolic murmur louder with inspiration

Answer 10

Tricuspid Stenosis

Question 11

Decrescendo diastolic murmur heard at the left sternal border that increases with inspiration

Answer 11

Pulmonic Regurgitation

Question 12

Diuretic with ototoxicity

Answer 12

loop diuretics

Question 13

diuretic causing hypocalcemia

Answer 13

loop diuretics

Question 14

diuretic causing neuropathy and hyperchloremic acidosis

Answer 14

carbonic anhydrase inhibitor

Question 15

diuretic causing hyperGLUC

Answer 15

thiazide diuretics

Question 16

diuretic that can cause gout

Answer 16

loop diuretics

Question 17

Dihydropeyridine CCBs

Answer 17

nifedipine, amlodipine

Question 18

non-dihydropyridine CCB

Answer 18

diltiazem, verapamil

Question 19

Tx sudden Afib (ex postop)

Answer 19

DC cardiovert

Question 20

Tx prolonged Afib

Answer 20

rate control (BB or CCBs, digoxin)
Warfarin 6wks INR 2-3
Then cardiovert

Question 21

Tx A flutter

Answer 21

same as Afib

Question 22

Tx multifocal atrial tachycardia

Answer 22

verapamil or BB

Question 23

Tx AV nodal reentry tachycardia

Answer 23

cardiovert if unstable

carotic massage, valsalva or adenosine to disrupt the arrhythmia

Question 24

Tx AV reciprocating tachycardia

Answer 24

same as for AVNRT

Question 25

Tx paroxysmal atrial tachycardia

Answer 25

if unstable, cardiovert

if stable, use adenosine to undercover atrial activity

Question 26

Tx symptomatic PVCs

Answer 26

BB

Question 27

Tx Vtach

Answer 27

cardiovert and amiodarone/lidocaine/procainamide

Question 28

Tx Torsades de Pointes

Answer 28

Mg2+, cardiovert if unstable

correct hypokalemia