CV Flashcards

1
Q

Mitral stenosis is usually do to:

A

Rheumatic Fever

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2
Q

Aortic Stenosis is associated with which of the following:

A

Maintained SV because of C.H.

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3
Q

Mitral stenosis will usually result in:

A

Embolic events and afib

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4
Q

AS can be caused by all of the following:

A

Bicuspid valve, IE, AV sclerosis, Rheumatic valvular disease

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5
Q

AI causes:

A

Volume overload of LV

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6
Q

MR is associated with:

A

Reduction in forward SV

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7
Q

MR management includes the following:

A

Maintain or slightly increase preload

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8
Q

Acute AR presents with sudden onset of:

A

Pulmonary edema & Hypotension

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9
Q

MR has a regurgitation volume that is based on:

A

HR, MV size, LA/LV pressure gradient

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10
Q

How should afterload be managed in the hypertrophic cardiomyopathy patient:

A

Increased

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11
Q

Which law explains why an AA is more likely to rupture during HTN:

A

Laplace

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12
Q

Most reliable assessment of cerebral function during a carotid endarterectomy:

A

An awake patient

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13
Q

A-line should be placed in the L radial artery for a thoracic aneurysm repair:

A

False

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14
Q

During Carotid cross clamping, MAP should be kept where in regards to perioperative value:

A

20% or greater

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15
Q

During a carotid endarterectomy, what factor play the major role in determining cerebral perfusion pressure:

A

MAP

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16
Q

Which of the following increases after placement of an infra-renal aortic cross clamp:

A

Arterial BP above clamp

17
Q

Complications attributed to Ketamine for coronary artery surgery:

A

Tachycardia, HTN, inc plasma Epinephrine levels

18
Q

Ketamine Receptor:

A

NMDA

19
Q

Propofol receptor:

A

GABA-A

20
Q

Dexmedetomidine receptor:

A

Alpha-2

21
Q

Fentanyl receptor:

A

MU

22
Q

Induction dose of etomidate:

A

0.2-0.3mg/kg

23
Q

Which of the following drugs acts indirectly on receptors to release catecholamines in the body:

A

Ephedrine

24
Q

Administering an induction dose of this agent is likely to produce a rise in PaCO2:

A

Ketamine

25
Q

Right IJ CVC insertion depth:

A

15cm

26
Q

Causes of overestimated CO during thermodilution method:

A

Warm solution, thrombus on PA catheter, wedged PA catheter

27
Q

Best TEE view to monitor myocardial ischemia:

A

Transgastric midpapillary short axis view

28
Q

Event to cause decrease in mixed venous O2 sat, SvO2:

A

Acute blood loss

29
Q

Functions of pre-op beta blockers:

A

Redistribute coronary blood flow to subendocardium, reduce perioperative ischemia, stabilizes plaques, restores O2 supply/demand mismatch

30
Q

CO

A

HR x SV

31
Q

CI

A

CO / BSA

32
Q

SV

A

EDV - ESV

33
Q

SV

A

CO x 1000 / HR

34
Q

SV Index

A

SV / BSA

35
Q

EF

A

[ (EDV - ESV) / EDV ] x 100

36
Q

MAP

A

(1/3 SBP) + (2/3 DBP)

37
Q

SVR

A

(MAP-CVP / CO) x 80

38
Q

PVR

A

(MPAP-PAOP / CO) x 80