Cardiology

Question 1

Intermediate CvD risk 5 - 7.5% 10 yr

Next test?

Answer 1

hsCRP

> 3.0 is high risk

JUpITER trial with rosuvastatin and placebo, pts with level > 2 had less major CV events

Question 2

QT prolonging medications

Answer 2

Sotalol
Dofetilide
FQs
Macrolides
Antipsychotics
Antidepressants

Question 3

CABG indications

Answer 3

LM disease
Multivessel disease with prox LAD
Concomitant low EF
Concomitant DM

Question 4

Cyanosis and clubbing of the lower extremities with known congenital heart problem

Holosystolic murmur

Answer 4

Eisenmenger PDA

Question 5

Indication for Abx ppx for dental procedure

Answer 5

H/o infective endocarditis
H:o cardiac transplant
H/o prosthetic valve
Complex congenital heart disease

Question 6

Fixed split S2

RV heave

Pulmonary midsystolic flow murmur

Tricuspid diastolic flow rumble

Dx? Pick Type from below.

1) RAD, incomplete RBBB
2) 1st degree AVB, LAD, RBBB

Answer 6

ASD

Secundum

Primum

Question 7

Cutoff for AAA repair

Answer 7

5. 5 men

5. 0 women

Question 8

Constructive pericarditis tx

Answer 8

NSAID or prednisone

Pericardiectomy if unsuccessful

Question 9

MVP murmur

Sound?
Standing?
Valsalva?
Handgrip?

Answer 9

Mid to Late systolic click

Murmur at apex

Worse with standing and valsalva

Better with handgrip

Question 10

Cilostazole indications and CI

Answer 10

Claudication symptoms

HF with EF < 40

Question 11

Accelerated idioventricular rhythm 24 hrs after reperfusion

Tx?

Answer 11

Do nothing

Question 12

Cardiac resynchronization indications

Answer 12

Class 3-4 HF

EF <35%

On GDMT

LBBB or QRS > 150 ms

Question 13

Features making ECG stress unhelpful

Answer 13

LBBB
LVH
Pacing
WPW

Question 14

Fixed split S2

MR murmur

LAD on EKG

Dx?

Answer 14

ASD primum