CV2

Question 1

RAD

V1 is high

Answer 1

Right ventricualr hypertrophy

Question 2

How do you treat a sinus bradycardia?

Answer 2

Atropine

Question 3

s for each pacemaker

Answer 3

SA/Atrial 100-80
AV: 80-60
Junctional 60-40
Ventricular 40-20

Question 4

Atrial arrhthymia numbers?

Answer 4

Wandering pacemaker <100
MAT 100+
A fib = 350-600
A flutter = 250-350
Paroxysmal atrial contraction = 150-250

Question 5

what causes MAT? How do you treat

Answer 5

Lung stuff like COPD

DC theophylline

Question 6

Rates for V tach and V flutter

Answer 6

V tach 150-250

V flutter 250-350

Question 7

What will ECG show in a pt with PE

Answer 7

RBBB, Inverted T waves in V1-V4, and S1Q3T3

Question 8

What do you give high dose ASA and Colchicine for?

Answer 8

Endocarditis and pericarditis

Question 9

What micro causes each?
Pericarditis
Endocarditis
Myocarditis

Answer 9

Peri: Coxsackie, TB

Endo: Staph a, Strept V.

Myo: Coxackie, trichinella, Chagas

Question 10

You see FROM JANE on PE. Dx?

Answer 10

Infective endocarditis

Question 11

what is the ultimate synergistic effect in pharm?

Answer 11

Genatmicin needs

Penicillin, ampicilllin and vanco can pop holes in the guy

Question 12

How do you treat HACEK

Answer 12

Ceftriaxone

Question 13

What is colchicine

Answer 13

Tubuiln binder to decrease inflammation

Question 14

Which valve dysfunctino can cause ortner syndrome?

Answer 14

Mitral stenosis Can compress the left recurrent laryngeal resulting in this due to LVH

Question 15

What lab should you get in a pt with Aortic stenosis?

Answer 15

CBC for hemoglobin o see if they have Microangiopathic hemolytic anemia

Question 16

RBBB + LAD
LBBB + LAD
LBBB + RAD

Answer 16

Mitral stenosis
L+L –> myocardial dysfunction
L+R –> congestive cardiomyopathy

Question 17

What are some drugs that can cause sinus bradyardia

Answer 17

Digoxin, quinidine, Hyperkalemia

Question 18

Tx PAC?

Answer 18

Beta blocker

Question 19

What are the ECG stuff for PE?

Answer 19

• RBBB
• S1Q3T3
• T1-4 inversion

Question 20

If a pt is experiencing vagal caused a fib, what do you use?

Answer 20

Disopyramide, because it’s a vagolytic

Question 21

When do you choose a Class 2 antiarrhythmic?

When is it contraindicated?

Answer 21

if arrhythmia is caused by catecholamines

Asthma, PVD, Raynaud

Question 22

What is first line for V fib?

Answer 22

Amiodarone

Question 23

Treat V fib

Answer 23

Defib

Amiodarone

Question 24

Empiric treatment for Acute Rheumatic Fever

Empiric Treatment for infectious endocarditis?

Answer 24

ARF: Pen G Gent for Strept Pyogenes
IE: Vanco Gent for Staph A and Strept Viridans

Question 25

Who is highly susceptible to Pen G

Answer 25

S. Viridans

Question 26

we want a shorter abx course to minimize adverse effects in a pt with IE

Answer 26

Gen and Pen G

Question 27

Adverse effects of colchicine

Answer 27

Hair loss, bone marrow suck, peripheral neuritis, myopathy

Question 28

pt is unable to perform a stress test. WHat pharm do you give them to induce stress?

Answer 28

anything to incresae HR --> Dipyridamole, Adenosine, regedonone

Question 29

What are some drugs you can give for angina

Answer 29

Clopidrogel and ASA

Question 30

what arteries supply the nodes

Answer 30

``` RCA= SA and AV LAD = RBB LAD = Left anterior BB RCA = Left posterior BB ```

Question 31

What are inotropes

Answer 31

Dopamine Doputamine Milrinone

Question 32

Pt is in shock. What test do you run to discover it is cardiogenic? What is the tx for a cardiogenic shock?

Answer 32

Echo Pressors: Epi! Inotrope: dopamine, dobutamine, milrinone

Question 33

how do you increase natriuetic eptides?

Answer 33

Use valsartan/sacubitril to inhibit neprilysn which increases natruretic peptides

Question 34

Wat does ivabradine do? | when do you use it?

Answer 34

Inhibit funny Na channel HF when BB are contraindicated (ADHF)

Question 35

how to reverse digoxin toxicity?

Answer 35

Anti-digoxin abs KCL phenytoin Lidocaine

Question 36

What is hydralazine? When do you use it? ASE?

Answer 36

(not understood) Vasodilator CHF if ACE is contrainidcated (Preg, angioedema) Angina, flushing, edema, tachycardia Pruritus Drug induced lupus

Question 37

What is nesiritide? When to use? ASE?

Answer 37

Synthetic BNP Acute decompensated Hypotension, increase creatinine

Question 38

What is milrinone? WHen to use? ASE?

Answer 38

PDE inhibitor Vasodilates Short term decompensated 3rd line) Arrhythmia, hypotension

Question 39

What worsens Chronic diastolic HF?

Answer 39

anything that increases MAP, like a fib (not pushing blood forward = backed up

Question 40

A black patient presents with HF what do you give htem

Answer 40

Isosorbide and hydralazine

Question 41

When is lactate important

Answer 41

Shock, decrease of O2

Question 42

What are these thing used for? - PET - Echo & CMRI - CT - Angiography

Answer 42

PET: Coronary flow Echo & CMRI: Wall abnormalities CT: LVH LBBB Digitalis ANgiograph: Gold standard atherosclerosis

Question 43

Empiric treatment for RHF? If allergic? joint pain?

Answer 43

Pen G and Gent Allergic = macrolides ASA and naproxen

Question 44

Tx for staph aureus IE? | What if they are beta lactam sensitive?

Answer 44

Naficillin | Beta lactam sensitive: dapto or vanco

Question 45

Pt with hair loss, myopahty, bone marrow decreased

Answer 45

Colchicine