Cardiology Flashcards

1
Q

cath findings that indicate CABG

A

> 50% stenosis on L main coronary

>3 vessel blockage

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2
Q

type of STEMI with elevations in V2-V5

A

anterior wall STEMI

LAD

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3
Q

type of STEMI with elevations in II, III, aVF

A

Inferior wall MI

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4
Q

type of STEMI with elevations in I, aVL

A

Lateral wall MI

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5
Q

vasculitis of kidney, upper airway, lungs

associated w/nasal septum perforation

A

granulomatosis polyangiitis (Wegeners)

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6
Q

vasculitis of kidney and GI tract, SPARES lungs

associated w/Hep B

A

polyarteritis nodosa

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7
Q

vasculitis in young asthmatic

A

Churg Strauss (eosinophilic granulomatous polyangiitis)

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8
Q

vasculitis in young male smoker

A

Buerger (thromoangiitis obliterans)

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9
Q

20y/o Asian woman w/weak pulses in BUE

A

Takayasu arteritis

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10
Q

elderly woman w/unilateral headache, jaw claudication

associated w/polymyalgia rheumatica

A

Giant cell arteritis (Temporal)

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11
Q

medications demonstrated to reduce mortality in CHF

A

ACE inhibitors/ ARBs
B-blockers (bisoprolo, carvedilol, metoprolol XR)
Aldosterone antagonists (spironolactone, eplerenone)

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12
Q

which aortic dissection requires urgent surgery

A
Stanford A (includes Ascending aorta/ proximal to vessels)
Start IV B-blocker and get to surgery
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13
Q

treat cardiogenic shock

A

inotropes (dobutamine, dopamine)

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14
Q

next step in acute HF tx if diuresis response inadequate

A

IV vasodilators (nitroglycerin)

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15
Q

trastuzumab vs doxarubicin cardiotoxicity

A

trastuzumab- reversible, not related to dose

doxarubicin (anthracycline)- irreversible b/c myocytes die

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16
Q

sx of radiation cardiotoxicity

A
restrictive cardiomyopathy
diastolic dysfunction
fibrosis of valves
MI/ CAD (damage to intimal layer of vessels)
conduction defects
17
Q

sx of anthracycline cardiotoxicity

A

dilated cardiomyopathy