Cardiology

Question 1

What is the common Tetraology of Fallot post-op sequela?

Answer 1

Pulmonary Regurgitation

Question 2

If a patient has HFrEF, what is the best medication to give?

Answer 2

Entresto

Question 3

Bad ABIs 0.62 and 0.44, what is the next best step, for the patient?

Answer 3

Invasive Angiography

Question 4

ABIs that are symptomatic, above 0.68 and 0.98, what are the next best treatment steps?

Answer 4

Supervised Exercise Training Program

Question 5

If a patient has a NSTEMI, EKG looks ok, what is the next best treatment option?

Answer 5

Plavix and Aspirin

Question 6

Left Atrial Myxoma, what is the next best step? Particularly if the patient has a TIA and SOB

Answer 6

Surgically Remove Left Atrial Myxoma

Question 7

A TAVR valve candidate requires what life parameters?

Answer 7

80 years old, and less than 10 years of life left, or patient is a poor surgical candidate to live at any point

Question 8

S/p myocardial infarction, what is the most common cause of M.I. in woman?

Answer 8

Spontaneous Coronary Artery Dissection

Question 9

After a STEMI, is there benefit to having another culprit lesion fixed 4-6 weeks after the fact?

Answer 9

Yes

Question 10

AAA screening shows a 6.1cm Aneurysm, what is the next best step?

Answer 10

CT angiography

Question 11

Patient has a bicuspid aortic valve, what is the next test that should be done?

Answer 11

CT aortaography

Question 11

Symptomatic PVCs, Echo is wnl, no CAD, what is the next best step?

Answer 11

Propranolol

Question 12

A patient with end stage restrictive heart disease, RVSP 64, what should be considered next?

Answer 12

Cardiac transplant

Question 13

Patient has a high bleeding risk, had a stent placed 4 months ago. What should be done for the patient’s aspirin and plavix?

Answer 13

Hold the Plavix, high risk bleeding, 3 months at a minimum, but 6 months is ideal with the plavix and high GI bleeding risk

Question 13

Patient has a recurrent peridcarditis, what should be done?

Answer 13

Give Colchicine and Ibuprofen, Steroids are only given if NSAIDS are contrainicated

Question 13

What two statins have a low risk of muscle inflammation and low CK values?

Answer 13

Fluvastatin and pravastatin

Question 14

Osborne Wave is seen in an EKG for what?

Answer 14

Hypothermia

Question 14

Voyager and Compass trail have said that a decreased dose of what can treat PAD (peripheral artery disease)?

Answer 14

DOAC, low dose

Question 15

A patient has an elevated RCRI score, what tests should be done pre-surgery to determine if ok to go?

Answer 15

EKG, XR chest, and Echo

Question 16

What questionarie for functional capacity during preoperative evaluation should be done?

Answer 16

Duke Activity Status Index Questionnaire

Question 17

Patient undergoing surgery, what needs to be evaluated if patient needs an EKG?

Answer 17

Type of surgery needed