Cardiology

Question 1

Features of hyper trophic cardiomyopathy

Answer 1

Genetic illness, abnormal thickening of left ventricle, patient may have no symptoms or chest pain, dyspnea syncope, palpitations, heart, failure, or death. Classic finding is systolic ejection, murmur at Apex and lower left sternal border that increases in intensity

Question 2

Treatment of hypertrophic cardiomyopathy

Answer 2

First line medical therapy and symptomatic children with outflow tract obstruction are beta blockers

Question 3

Etiologies of dilated cardiomyopathy

Answer 3

Viral including parvovirus, influenza EBV Coxsackie HSV adenovirus
Idiopathic
Secondary to genetic disposition
Toxicity for medication

Start with echocardiogram

Question 4

Management of tet spell

Answer 4

Soothe patient
Increase systemic, vascular resistance with knees to chest and oxygen
Narcotics
Fluid bolus
Phenylephrine
Beta blockers

Question 5

Most common cyanotic, congenital heart disease

Answer 5

Transposition of the great arteries
Egg shape on X-ray

Question 6

Peaked T waves

Answer 6

Hyper kalemia

Question 7

ST depression inverted T waves, and U waves

Answer 7

Hypokalemia

Question 8

Widened T waves short ST segment?

Answer 8

Hypercalcemia

Question 9

Prolonged ST segment, prolonged QT interval’s

Answer 9

Hypocalcemia

Question 10

Prolonged PR interval’s QRS widening

Answer 10

Hypermagnesemia

Question 11

Tall, T waves, ST depression

Answer 11

Hypomagnesemia