Cardiology

Question 1

Sign that shows rise in JVP with inspiration

Answer 1

Kussmaul sign

Question 2

Constrictive pericarditis is associated with what changes in hemodynamics

Answer 2

Rise in LV pressure and decrease in RV pressure with inspiration

Question 3

Pathophysiology of Long QT syndrome

Answer 3

Loss of function of potassium channels (type 1 and 2) or a gain of function of sodium channels (type 3)

Question 4

A loud systolic murmur in the setting of known VSD suggests what

Answer 4

Normal RV pressure

Question 5

Test used to distinguish severe aortic stenosis from pseudostenosis

Answer 5

Dobutamine stress echo

Question 6

3 findings that suggest afib with an accessory conduction pathway

Answer 6

wide complex tachycardia
irregularly irregular rhythm
varying QRS widths

Question 7

Heart block that can be induced by placement of a PA catheter

Answer 7

Right BBB

Question 8

2 antibiotics known to cause long QT

Answer 8

Fluoroquinolones and macrolides

Question 9

2 electrolytes that cause long QT

Answer 9

low potassium or magnesium

Question 10

Difference in ACLS for post CABG patient compared to normal

Answer 10

3 Stacked shocks
Call surgeon for resternotomy
Amiodarone and NO EPI (or significantly reduced doses)

Question 11

Type of MI where complete heart block is more likely

Answer 11

Anterior MI

Question 12

Preferred presser for HOCM

Answer 12

Phenylephrine

Question 13

Preferred medication for RVR afib where there could be an accessory pathway

Answer 13

Procainamide

Question 14

PVR formula

Answer 14

(MPAP - Wedge)/ cardiac output

Question 15

Temporizing measure in patient with MR acutely from ruptured pap

Answer 15

Balloon pump

Question 16

Treatment for refractory VT (electrical storm) after amiodarone

Answer 16

Propranolol preferred

Question 17

Preferred treatment for spontaneous coronary artery dissection in pregnancy

Answer 17

Medical management over revascularization

Question 18

S3

Answer 18

Floppy LV

Question 19

S4

Answer 19

Stiff LV

Question 20

Crescendo-decrescendo systolic murmur radiating to carotids

Answer 20

Aortic stenosis

Question 21

Pansystolic murmur radiating to axilla

Answer 21

Mitral regurgitation

Question 22

Early diastolic murmur over left sternal edge

Answer 22

Aortic regurg

Question 23

Mid-diastolic murmur, low pitched, at apex

Answer 23

mitral stenosis

Question 24

Mid systolic click with mid to late systolic murmur

Answer 24

mitral valve prolapse

Question 25

Pansystolic murmur heard best over left sternal border

Answer 25

tricuspid regurg

Question 26

Soft diastolic murmur at the left sternal border

Answer 26

tricuspid stenosis