Cardiovascular Flashcards

1
Q

Classic ECG finding in atrial flutter

A

“sawtooth” P waves

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2
Q

Definition of unstable angina

A

Angina that is new, is worsening, or occurs at rest

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3
Q

Antihypertensive for a diabetic patient w/ proteinuria

A

ACEI

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4
Q

Beck’s triad for cardiac tamponade

A

Hypotension, distant heart sounds, and JVD

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5
Q

Drugs that slow heart rate

A

Beta-blockers, CCBx, digoxin, amiodarone

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6
Q

Hypercholesterolemia treatment that leads to flushing and pruritis

A

Niacin

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7
Q

Murmur-HOCM

A

A systolic ejection murmur heard along the lateral sternal border. Increases w/ valsalva (decreased preload)

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8
Q

Murmur - Aortic insufficiency

A

Diastolic, decrescendo, low-pitched, blowing murmur that is best heard sitting up; increased w/ increased after load (handgrip)

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9
Q

Murmur - aortic stenosis

A

systolic crescendo/decrescendo murmur that radiates to the neck; increases with increased preload (squatting maneuver)

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10
Q

Murmur - mitral regurgitation

A

Holosystolic murmur that radiates to the axilla; increases w/ increased afterload

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11
Q

Murmur - mitral stenosis

A

Diastolic, mid- to late, low-pitched murmur preceded by an opening snap

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12
Q

Treatment for atrial fibrillation and atrial flutter

A

If unstable, cardiovert. If stable or chronic, rate control with CCBs or beta-blockers

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13
Q

Treatment for ventricular fibrillation

A

Immediate cardioversion

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14
Q

Dressler’s syndrome

A

An autoimmune reaction w/ fever, pericarditis, and increased ESR occurring 2-4 wks post-MI

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15
Q

Pulsus paradoxus

A

A decrease in systolic BP of >10mmHg w/ inspiration; seen in cardiac tamponade

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16
Q

Classic ECG findings in pericarditis

A

low-voltage, diffuse ST-segment elevation

17
Q

Definition of HTN

A

BP> 140/90mmHg on 3 separate occasions 2 wks apart

18
Q

Evaluation of a pulsatile abdominal mass and bruit

A

Abdominal US and CT

19
Q

Indications for surgical repair of abdominal aortic aneurysm

A

> 5.5cm, rapidly enlarging, symptomatic, or ruptured

20
Q

Tx for ACS

A

ASA, heparin, clopidogrel, morphine, O2, sublingual nitroglycerin, IV beta-blockers

21
Q

Metabolic syndrome

A

Abdominal obesity, high TGs, low HDL, HTN, insulin resistance, prothrombotic or pro inflammatory states

22
Q

Target LDL in a Pt w/ diabetes

A
23
Q

ECG findings suggesting MI

A

ST-segment elevation (depression means ischemia), flattened T waves, and Q waves

24
Q

Coronary territories

A

Anterior wall (LAD/diagonal), inferior (PDA), posterior (left circumflex/oblique, RCA/marginal), septum (LAD/diagonal)

25
Q

Young Pt w/ angina at rest and ST-segment elevation w/ normal cardiac enzymes

A

Prinzmetal’s angina