Cardiology- Vascular, Other

Question 1

Diuretics are poor choices for what other co-morbdities

Answer 1

Renal Failure
DM
Gout
Dyslipidemia
Sulfa allergy

Question 2

s/e of aldosterone receptor blockers

Answer 2

ie spironolactone

gynecomastia
hyperkalemia

Question 3

Counting squares on EKG to determine rate

Answer 3

300-150-100-75-60-50

Question 4

what type of premature beat could need treatment?

Answer 4

ventricular premature beats (PVCs)
tx in symptomatic patient
carefuly in underlying heart disese
may warrant tx

Question 5

premature beat with no preceding pwave and a normal QRS

Answer 5

junctional premature beat

Question 6

treatment of unstable new onset afib

Answer 6

cardioversion:
electrical biphasic shock
or IV ibutilide, PO amiodarone

Question 7

Pt with AMI hx
EKG described as
Rate >100 wide QRS with constant axis
with some mild beat to beat variation

Answer 7

vtach
amiodarone
or synchronized cardioversion 100J if unstable

Question 8

tx for Vfib

Answer 8

electrical defibrillation
CPR
then maybe amiodarone or lidocaine

Question 9

Triad of
raynauds
extremity claudication
superficial vein thrombophlebitis

Answer 9

Thromboangiitis Obliterans

aka Buerger’s Dise

Question 10

6s Ps of artery occlusion

Answer 10

Pain
Pallor
Pulselessness
Paresthesia
Paralysis
Poikilothermia

Question 11

Normal ABI

Answer 11

> 1

Question 12

bilat LE with hair loss and smooth shiny skin

elevation of legs leads to pallor and when put back in dependent position there is rubor

Answer 12

PAD

Question 13

MC type of aortic dissection

Answer 13

Standord A Debakey I or II

proximal/ascencing

Question 14

acute “ripping” retrosternal CP radiating to back

TOC

Answer 14

TEE

Aortic Dissection

Question 15

elective repair of AAA at what size

Answer 15

> 5.5cm

Question 16

AAA dx at what size

Answer 16

> 3cm