Cards/Pulm

Question 1

What type of MI is associated with bradycardia?

Answer 1

RV infarct due to AV node involvement

Question 2

What EKG findings are suggestive of RV involvement in an inferior MI?

Answer 2

When STE in III > II or when there is STE in V1

Question 3

What are the Jones criteria for rheumatic heart disease?

Answer 3

Carditis
Arthritis
Syndenham’s chorea
Erythema marginatum
SubQ nodules
Minor criteria: arthralgia, elevated ESR, prolonged PR, fever

Question 4

To what temperature must a hypothermic patient be warmed before terminating CPR?

Answer 4

32C

Or if K>12

Question 5

What is first line treatment for HOCM?

Answer 5

Beta blockers

Second line is septal myomectomy

Question 6

What are epsilon waves?

Answer 6

Positive deflection after the QRS

Seen in arrhythmogenic right ventricular cardiomyopathy, presents with palpitations and exertional syncope

Question 7

What are the indications for endocarditis prophylaxis?

Answer 7

Prosthetic valve
History of endocarditis
Valvular disease and heart transplant
Unrepaired congenital heart disease

Question 8

How is massive hemoptysis defined?

Answer 8

100-600cc blood over 24 hours

Question 9

What drugs increase the risk of bleeding on warfarin?

Answer 9

NSAIDs
Sulfas
Erythromycin
Fluoroquinolones

Question 9

What drugs are used to reverse warfarin in the acutely bleeding patient?

Answer 9

1) vitamin K 5-10mg (PO preferred)

2) 3- or 4-factor PCC (preferred) or FFP

Question 9

What is the target BP in cases of aortic dissection?

Answer 9

Goal SBP 100-120