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PANCE > Cardiology > Flashcards

Cardiology Flashcards

1
Q

Secondary prevention of MI

A 
ASA
B BLOCKER
ACEI
CLOPIDOGREL
STATIN

ALDOSTERONE IF EF<40

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2
Q

CABG Indications

A 
>50% left main
3 vessel CAD
2 vessel CAD involving LAD or CX         
     >70%
Multiple vessels in DM
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3
Q

SIRS CRITERIA

A

Fever>100.4 OR Hypothermia <96.8

Hyperventilation
Tachycardia
Leukocytosis >12,000

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4
Q

MURMURS

A

AS - crescendo decrescendo, radiates to neck

MR - holosystolic, apex to axilla

TR - pansystolic, worse with inspiration

AR - diastolic, blowing decrescendo

MS - opening snap

MVP - mid systolic click

ASD - fixed split S2

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5
Q

Pericarditis treatment

A

NSAIDS

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6
Q

Cardiac tamponade

A

IV FLUIDS

PERICARDIOCENTESIS

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7
Q

AFib management

A

> 48 hours OR UNSTABLE? Amiodarone, b blocker, direct current cardioversiom

> 48 hours? 3 weeks anticoagulation with warfarin or dabigatran

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8
Q

Normal EF

A

50-70%

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9
Q

Systolic bs diastolic HF in EF

A

Systol < 40%

Diastol > 50%

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10
Q

CHF TX

A

1st line
Furosemide
ACEI

2nd line
B blocker - carvedilol
Sporonolactone

Acute: dobutamine and milrinone

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11
Q

PAD WORKUP

A

Assymptomatic - ABI
Claudicstion - US

Angiography for definitive dx

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12
Q

PAD TX

A

ASA, clopidogrel, statin

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13
Q

Acute arterial occlusion tx

A

Heparin, urgent revascularization

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14
Q

Distal extremity ischemia in young males

A

Buergers disease/thromboangiitis obliterans

Smoking

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15
Q

Aaa size

A

<3 cm none
3-4 annual ultrasound
4-5.4 ultrasound q 6 mo
>5.5 stent/repair

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16
Q

DVT Tx

A

Heparin then anticoagulate for 3-6 months with warfarin or dabigatran

17
Q

Orthostasis

A

Systolic drop >20

Diastolic drop >10

18
Q

Hypertensive urgency tx

A

BP 180/120

Lower BP by 25% in 24 hours with labetalol as outpatient

19
Q

Hypertensive emergency tx

A

Lower BP by 25% in 1 hour with notroprusside

Malignant when papilloedema

20
Q

Metabolic syndrome

A

Waist > 40 men >35 women

TG > 150

HDL < 40 men < 50 women

BP > 130/85

FASTING BG > 100

21
Q

HLD guidelines

A

H/O ASCVD, stroke, TIA, or PAD

LDL >190

DM

High ACSVD risk score > 7.5%

PANCE (12 decks)

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