Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Step 2 CK > Cardiology > Flashcards

Cardiology Flashcards

1
Q

PCI within how many minutes of arriving in the ED with chest pain

A

90 minutes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Major bleeding
Recent surgery (within past two weeks)
Severe HTN (>180/110)
Nonhemorrhagic stroke within the last 6 months

A

Absolute contraindications to thrombolytics

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Common complication of Acute MI

A

Sinus bradycardia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Complications of Acute MI

A

Third degree AV block

Cannon “a” waves

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Treated first with atropine
Then place pacemaker if the atropine is not effective
Pace all permanent 3rd degree blocks

A

Symptomatic bradycardia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

New inferior wall MI and clear lungs on auscultation
ST elevation in right lead 4
Treated with high volume fluid
Avoid nitroglycerin

A

RV infarction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q 
Sudden loss of pulse
Clear lungs 
Complication of acute MI/tachycardia
Occurs several days after infarction
Best test Echo
Treated by pericardiocentesis
A

Tamponade/ Free wall rupture

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

New onset murmur and pulmonary congestion
Complication of acute MI/Tachycardia
Mitral regurgitation best heard at apex with radiation to the axilla
Ventricular septal rupture best heard at LL sternal border
Look for step up in oxygen sat as you go from RA to RV for septal rupture

A

Valve or Septal rupture

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

The following may be present in what cardiac event:

Recurrence of pain
New rales
Bump up in CK-MB
sudden onset pulmonary edema

A

Reinfarction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is the next best step in management for re-infarction

A

Repeat EKG
Retreat with angioplasty or thrombolytics
Continue aspirin, metoprolol, nitrates, ACE, statin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Complication of acute MI
Bradycardia
Cannon A waves

A

Third degree AV block

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Complication of acute MI

No cannon A wave

A

Sinus bradycardia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Complication of acute MI

Sudden loss of pulse, JV distension

A

Tamponade/wall rupture

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

complication of acute MI
IWMI in history, clear lungs
Tachycardia
Hypotension with nitroglycerin

A

RV infarction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Complication of acute MI

New murmur, rales/congestion

A

Valve rupture

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Complication of acute MI

New murmur, increase in oxygen saturation on entering the RV

A

Septal rupture

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Complication of acute MI

Loss of pulse, need EKG to answer question

A

Ventricular fibrillation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Dyspnea
Pulsus paradoxus
Decreased heart sounds
JVD

A

Tamponade

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Dyspnea
Palpitations
Syncope

A

Arrhythmia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Dyspnea
Long smoking history
Barrel chest

A

COPD

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q 
Dyspnea
Recent anesthetic use
Brown blood not improved with oxygen
Clear lungs on auscultation
Cyanosis
A

Methemoglobinemia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Dyspnea
Burning building or car
Wood burning stove in winter
Suicide attempt

A

Carbon monoxide poisoning

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Dyspnea
Sudden onset
Clear lungs

A

Pulmonary Embolus

24
Q

Dyspnea
Sudden onset
Wheezing
Increased expiratory phase

A

Asthma

25
Q 
Dyspnea
Slower
Fever
Sputum
Unilateral rales/rhonci
A

Pneumonia

26
Q

Dyspnea
Decreased breath sounds
Unilateral
Tracheal deviation

A

Pneumothorax

27
Q

Dyspnea
Circumoral numbness
Caffeine use
History of anxiety

A

Panic attack

28
Q

Dyspnea
Pallor
Gradual over days to weeks

A

Anemia

29
Q

What is the best initial test in CHF

A

TTE

30
Q

What’s the most accurate test in CHF

A

MUGA or multiple gated acquisition scan or nuclear ventriculography

31
Q

When is BNP the most appropriate next step in management?

A

Acute SOB

Etiology unclear

32
Q

CHF treatment in systolic dysfunction

A 
ACEi or ARBs
BB
Spironolactone, Eplerenone
Diuretics
Digoxin
33
Q

What is the next best step in management is a pt with CHF is still dyspneic after using an ACEi, BB, diuretic, digoxin and mineralcorticoid inhibitor?

A

Ivabradine
Sacubitril/valsartan
Hydralazine/nitrates

34
Q

Drugs that provide mortality benefit in systolic dysfunction

A 
ACEi
BB
Spironolactone
Hydralazine/nitrates
Implantable defibrillator
35
Q

Most accurate test in Valvular heart disease

A

Catheterization

36
Q

Best initial test for Valvular heart disease?

A

Echocardiogram TEE more sensitive and specific than TTE

37
Q 
SOB
CHF
Dysphasia
Hoarseness
A fib and stroke
Hemoptysis
A

Mitral Stenosis

38
Q

Murmur that increases with squatting and leg raises

A

Mitral stenosis

39
Q

Best initial test in MS?

A

TTE

40
Q

Most accurate test in MS?

A

Catherization

41
Q

Triad of Aortic Stenosis

A

Angina
Syncope
CHF

42
Q

Valsalva and standing decrease intensity of murmur

Hand grip soften murmur

A

Aortic Stenosis

43
Q

Squatting and leg raising worsens murmur

A

MR

44
Q

All left sided murmurs except - and - will increase with expiration

A

MVP

HOCM

45
Q

Treatment of MR

A

ACEi or ARBs best

46
Q

Handgrip worsens this murmur while valsalva and standing soften this murmur

A

AR

47
Q 
Wide pulse pressure
Water hammer pulse
Quincke pulse
Hill sign (BP in legs as much as 40mmHg above arm BP)
Head bobbing (de Musset sign)
A

AR

48
Q

Atypical Chest
Palpitations
Panic attack

A

Most common presentation of MVP

49
Q

Valsalva and standing worsen this murmur while squatting and handgrip improve

A

MVP

50
Q

Treatment for MVP

A

B Blocker when symptomatic

51
Q

QRS>120
Biventricular pacemaker
Automated implantable cardioverter/defibrillator has mortality benefit

A

Dilated cardiomyopathy treatment

52
Q

Best initial therapy in both HOCM and HCM

A

B blockers

53
Q

Most accurate test in diagnosing Restrictive Cardiomyopathy

A

Endomyocardial biopsy

54
Q

What disease process causes equalization of pressures in diastole on R heart catheterization

A

Pericardial tamponade

55
Q

Best initial test in constrictive pericarditis

A

Chest x Ray: calcification and fibrosis

Step 2 CK (6 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions