Cardiology

Question 1

Vessel involved in anterior MI

Answer 1

LAD

Question 2

EKG leads involved in anterior MI

Answer 2

V1-V4

Question 3

Vessel involved in lateral MI

Answer 3

Circumflex

Question 4

EKG leads involved in lateral MI

Answer 4

I
avL
V4-V6

Question 5

Vessel involved in inferior MI

Answer 5

RCA

Question 6

EKG leads involved in inferior MI

Answer 6

II
III
avF

Question 7

Vessel involved in R. ventricular MI

Answer 7

RCA

Question 8

EKG leads involved in R. ventricular MI

Answer 8

V4 on R sided EKG

Question 9

Treatment of Right sided MI

Answer 9

Aggressive fluid resuscitation

Question 10

What peaks first? (AKA best for recurrent MI)

Answer 10

Myoglobin

Question 11

Most common cause of death post-MI

Answer 11

arrhythmia

Question 12

“Step Up” in O2 post MI

Answer 12

septal rupture

Question 13

Persistent ST elevation 1 month later + systolic MR murmur

Answer 13

ventricular wall aneurysm

Question 14

“Cannon A Waves”

Answer 14

AV dissociation due to Vfib or 3rd degree heart block

Question 15

How do you diagnose Prinzmetal’s Angina?

Answer 15

Ergonovine simulation test

Question 16

“Progressive prolongation of PR interval followed by a dropped beat”

Answer 16

Wenckebach (Mobitz I)

Question 17

“Varying PR intervals w/ >3 morphologically distinct P waves”

Seen in elderly w/ COPD

Answer 17

Multifocal Atrial Tachycardia

Question 18

“>3 beats w/ QRS <120ms at a rate of >120 bpm”

Answer 18

V tach

Question 19

“Delta wave”

“Short PR Interval w/ wide QRS”

Answer 19

WPW

Question 20

Treatment of WPW

Answer 20

Procainamide

Question 21

Treatment of SVT

Answer 21

Carotid massage

Ice bath to the face

Question 22

Peaked T waves
Wide QRS
Short QT
Prolonged PR

Burn victim/Crush injury

Answer 22

Hyperkalemia

Question 23

Systolic Crescendo decrescendo murmur

Answer 23

AS

Question 24

Parvus et tardus murmur

Answer 24

AS

Question 25

Systolic murmur that increases w/ valsalva

Answer 25

Hypertrophic Cardiomyopathy

Question 26

Late Systolic murmur with a click

Answer 26

MVP

Question 27

Holosystolic murmur that radiates to axilla

Answer 27

MR

Question 28

Holosystolic murmur with a late diastolic rumble

Answer 28

VSD

Question 29

Wide, fixed split S2

Answer 29

ASD

Question 30

Rumbling diastolic murmur with an opening snap

Answer 30

MS

Question 31

Blowing diastolic murmur

Answer 31

AR

Question 32

“Water hammer pulse”

Answer 32

AR

Question 33

Distinguishing CHF from pHTN

Answer 33

PCWP high in CHF, normal in pHTN

Question 34

Right Ventricular infarct symptoms

Answer 34

Hypotension
Tachycardia
Clear lungs
JVD
NO pulsus paradoxus

Question 35

Causes of Systolic CHF

Answer 35

Viral
EtOH (reversible)
Cocaine
Chagas

Question 36

Causes of Diastolic CHF

Answer 36

HTN
Amyloidosis
Hemachromatosis (reversible)

Question 37

Given to improve survival in NYHA Class III and IV

Answer 37

spironolactone