Cardiology Review

Question 1

Infarction in leads V1-V4

Answer 1

Left anterior descending artery

Question 2

Infarction in leads 2, 3, and AVF

Answer 2

right coronary artery

Question 3

Infarction in leads V5 and V6

Answer 3

circumflex artery

Question 4

unequal pulses
HTN
young person

Answer 4

coarctation of the aorta

Question 5

Shock
Low CO
High PCWP/SVR

Answer 5

cardiogenic shock

Question 6

Hx of cancer/recent infection
pulsus paradoxicus
decreased heart sounds
JVD

Answer 6

pericardial effusion +/- tamponade

Question 7

Chest pain that is better when leaning forward

Global ST elevation and PR depression

Answer 7

Pericarditis

Question 8

Palpitations
syncope
Young person
no murmur

Answer 8

WPW (short PR, delta wave)

Long QT syndrome

Question 9

Vertebrobasilar symptoms with arm exercise

unequal bp or pulse

Answer 9

Subclavian steal

Question 10

Post MI

Immediate death

Answer 10

Arrythmia

Question 11

3-10 days post MI, new MR murmur

Answer 11

Papillary muscle rupture

Question 12

3-10 days post MI

holosystolic murmur @ LSB

Answer 12

Interventricular septum rupture

Question 13

3-10 days post MI

signs of tamponade

Answer 13

LV free wall rupture

Question 14

Several weeks post MI
fever
pleuritic chest pain
pleural friction rub

Answer 14

Dressler’s (autoimmune/fibrinous pericarditis)

Question 15

AE of Digoxin

Answer 15

visual symptoms
N/V
ECG changes

Question 16

AE of ACE inhibitors

Answer 16

Angioedema

cough

Question 17

AE of Hydralazine

Answer 17

Lupus like syndrome

Anti-histone antibodies

Question 18

AE of spironolactone

Answer 18

High potassium

gynecomastia

Question 19

Early decresendo diastolic murmur at the left third intercostal space
young, healthy person
brisk pulses

Answer 19

aortic regurgitation

Question 20

Older pt
DOE/syncope/chest pain
Systolic murmur radiating to right carotid

Answer 20

Aortic stenosis

Question 21

Young person
cresendo/decresendo systolic murmur at the L sternal border
increases with valsalva

Answer 21

hypertrophic cardiomyopathy

Question 22

holosystolic murmur at the apex radiating to the axilla
Edema
Left atrial and ventricular hypertrophy
cardiomegaly
pulmonary congestion

Answer 22

mitral regurgitation

Question 23

diastolic murmur at left sternal border

more likely to be found during pregnancy

Answer 23

mitral stenosis

Question 24

Aortic arch that Ductus arteriosis arises from

Answer 24

6th

Question 25

Fixed split S2

Answer 25

ASD

Question 26

Systolic murmur at LSB that increases with inspiration

Answer 26

TR

Question 27

3-4 week old infant CHF holosystolic murmur at 4th LICS dynamic precordium

Answer 27

VSD

Question 28

Baby continuous murmur (infraclavicular) esp in premies

Answer 28

PDA

Question 29

Tx for PDA

Answer 29

indomethacin

Question 30

Early cyanotic baby | not in distress

Answer 30

Tetralogy of Fallot

Question 31

CHF symptoms in baby with Down's syndrome

Answer 31

AV canal or AV septal defects

Question 32

``` Elementary aged boy bilateral conjunctivitis fissured lips red tongue erythema and edema of hands cervical LAN ```

Answer 32

Kawasaki disease

Question 33

Complication of Kawasaki Disease

Answer 33

Coronary artery aneurysms

Question 34

``` Post URI fever joint pain chest pain rash with sharp borders mildly tender and swollen knees and wrists ```

Answer 34

Acute rheumatic fever

Question 35

Long term complication of Acute Rheumatic fever

Answer 35

Valvular heart disease

Question 36

Hear condition after radio treatment for breast cancer

Answer 36

constrictive pericarditis

Question 37

AE of Ace inhibitor

Answer 37

cough

Question 38

Which HTN drug should be avoided in pregnancy

Answer 38

ACE-I

Question 39

AE of Ca channel blockers

Answer 39

LE swelling

Question 40

AE of doxorubicin or trastuzumab chemo

Answer 40

CHF from dilated cardiomyopathy

Question 41

AE of amiodarone

Answer 41

pulmonary fibrosis or thyroid dysfunction

Question 42

Lab findings in adrenal adenoma

Answer 42

Low potassium and high bicarb due to inc aldosterone