Cards

Question 1

Accurate test for aortic dissection/pneumonia/pneumothorax

Answer 1

CXR

Question 2

Accurate test for pericarditis

Answer 2

EKG

Question 3

Accurate test for ulcers

Answer 3

UGD

Question 4

Accurate test for GERD

Answer 4

PPI

Question 5

Accurate test for PE

Answer 5

Spiral CT or V/Q

Question 6

Initial test for chest pain

Answer 6

EKG

Question 7

Next step for chest pain if in an office?

In a hospital?

Answer 7

Transfer

CKMB + Troponin

Question 8

What test should you run if an EKG is abnormal but chest pain etiology is unknown?

Answer 8

Stress test

Question 9

Accurate test for CAD?

Answer 9

Angiography

Question 10

Treatment for CAD?

Answer 10

Stent if 1-2 vessels
CABG if 2-3 vessels (2 with DM)
ASA + BBlock + nitro

Question 11

Initial tests for ACS

Answer 11

EKG, myoglobin, CKMB, Troponin

Question 12

Treatment for ACS

Answer 12

ASA + PCI + 2nd antiplatelet
Not time sensitive: BBlock + ACEi + Statin + Heparain
No mortality benefit: O2 + Nitrates

Question 13

NSTEMI treatment

Answer 13

Heparin + G2b/3a inhibitor

Question 14

Initial test for CHF

Answer 14

TTE

Question 15

Accurate test for CHF

Answer 15

MUGA or Nuclear Ventriculography

Question 16

Treatment for CHF

Answer 16

ACEi + BBlocker + Spironolactone + Hydralazine/Nitrates + defibrillator
No mortality benefit: diuretics + digoxin

Question 17

Initial test for acute pulm edema

Answer 17

EKG

Question 18

Treatment for acute pulm edema

Answer 18

O2 + loop + morphine + nitrates

Question 19

Initial test for valvular diseases

Answer 19

ECHO

Question 20

Accurate test for valvular disease

Answer 20

Catheter

Question 21

Treatment for valvular diseases

Answer 21

Diuretics and possible surgery

Question 22

Sound of mitral stenosis

Answer 22

Low pitched diastolic rumble after opening snap

Question 23

Sound for aortic stenosis

Answer 23

Mid systolic crescendo decrescendo radiating to the carotid S

Question 24

Sound for mitral regurg

Answer 24

Holosystolic at apex radiating to the axilla

Question 25

Treatment for mitral regurg

Answer 25

ACEi > Diuretics > Valvuloplasty

Question 26

Aortic regurg sound

Answer 26

Diastolic decrescendo with bounding pulse

Question 27

Treatment for aortic regurg

Answer 27

ACEi or Nifedipine > valvuloplasty

Question 28

Sound of MVP

Answer 28

Mid systolic click with murmur

Question 29

Treatment for MVP

Answer 29

Beta block if symptomatic

Question 30

Initial test for cardiomyopathy

Answer 30

ECHO

Question 31

Treatment for cardiomyopathy

Answer 31

Diuretics

Question 32

Treatment for HCM

Answer 32

Beta blockers

Question 33

Accurate test for RCM?

Answer 33

Endomysial biopsy

Question 34

Treatment for TTCM

Answer 34

Beta block/ACEi

Question 35

Treatment for pericarditis

Answer 35

NSAIDs + Colchicine

Question 36

Treatment for tamponade

Answer 36

Pericardiocentesis

Question 37

Initial test for constrictive pericarditis

Answer 37

CXR

Question 38

Accurate test for constrictive pericarditis

Answer 38

ECHO

Question 39

Treatment for constrictive pericarditis

Answer 39

Diuretics + surg

Question 40

Initial test for PAD

Answer 40

ABI

Question 41

Accurate test for PAD

Answer 41

Angiogram

Question 42

Treatment for PAD

Answer 42

Cilostazol + smoking cessation + ASA

Question 43

Initial test for aortic dissection

Answer 43

CXR

Question 44

Accurate test for aortic dissection

Answer 44

Angiography

Question 45

Treatment for aortic dissection

Answer 45

BP control (BBlock and then Nitroprusside) + surg

Question 46

Screening for AAA

Answer 46

Male smokers >65 get 1 U/S

Question 47

Accurate test for costochondritis

Answer 47

Physical exam