Cardiology

Question 1

Orthopnea, paroxysmal nocturnal dyspnea, jugular venous distension, S3

Answer 1

CHF

Question 2

Sudden death in athlete

Answer 2

Hypertrophic Cardiomyopathy (HOCM)

Question 3

Fixed wide splitting of S2

Answer 3

Atrial Septal Defect

Question 4

XR, rib notching, 3 sign

Answer 4

Coarctation of Aorta

Question 5

Machine like murmur

Answer 5

Patent Ductus Arteriosus

Question 6

Cyanosis with crying or feeding, squatting down

Answer 6

Tetralogy of Fallot

Question 7

Holosystolic murmur

Answer 7

ventricular septal defect

Question 8

Hypotensive, cool, clammy skin, and MI

Answer 8

Cardiogenic shock

Question 9

Irregularly irregular rhythm

Answer 9

Atrial Fibrillation

Question 10

Saw tooth pattern

Answer 10

Atrial Flutter

Question 11

Long PR interval

Answer 11

AV block

Question 12

Progressively lengthening PR interval

Answer 12

Mobitz I (wenckebach, second degree)

Question 13

Dropped QRS without lengthening

Answer 13

Mobitz 2

Question 14

Independent P wave and QRS complex

Answer 14

Third degree heart block

Question 15

Narrow complex tachycardia

Answer 15

Paroxysmal supraventricular tachycardia

Question 16

Chest pain relieved with rest

Answer 16

Stable angina

Question 17

Diffuse ST segment elevations, coronary artery spasm

Answer 17

Prinzmetal Angina

Question 18

UA, STEMI, NSTEMI, Morphine, Nitrates, loading does of P2y12 (Plavix, platelet inhibitor)

Answer 18

Acute Coronary Syndrome

Question 19

No Beta Blockers! give BZDs

Answer 19

Cocaine Induced MI

Question 20

Tobacco - ultrasound > 65 y/o

Answer 20

Aortic Aneurysm

Question 21

Marfan Syndrome, ehlers danlos syndrome, tearing chest pain, wide mediastinum

Answer 21

Aortic dissection

Question 22

Jaw claudication, visual disturbance, >50 y/o, elevated ESR

Answer 22

Giant cell arteritis

Question 23

Leg pain relieved with rest, cilostazol

Answer 23

Peripheral arterial disease

Question 24

Palpable cord

Answer 24

superficial thrombophlebitis

Question 25

Virchow's triad, unilateral LE swelling pain and erythema, Homan sign

Answer 25

Deep Vein Thrombosis

Question 26

Squatting / leg raise / handgrip increases the sound of all murmurs except ____ and ___

Answer 26

``` Mitral valve prolapse Hypertrophic Cardiomyopathy (HOCM) ```

Question 27

Systolic, 2nd right intercostal space, radiates to neck

Answer 27

Aortic Stenosis

Question 28

Holosystolic murmur

Answer 28

Mitral regurgitation

Question 29

Women, anxiety, mid-systolic click

Answer 29

Mitral valve prolapse

Question 30

Wide pulse pressure, water hammer pulse

Answer 30

Aortic regurgitation

Question 31

New murmur, fever, injection drug use, streptococcus viridans, Jane way lesions, osler nodes, roth spots

Answer 31

Endocarditis

Question 32

Pleuritic chest pain, worse upon laying, improves with sitting, ST segment elevation, PR depression

Answer 32

Pericarditis