Day 5 - CV4 Quiz

Question 1

Next step: CHD w/ early cyanosis

Answer 1

Prostaglandin E (to keep PDA open)

Question 2

Med to close PDA

Answer 2

Indomethacin

Question 3

6 wk old infant p/w irritability, signs of left-sided heart failure, EKG read as left-sided MI

Answer 3

Anomalous origin of left coronary artery

Question 4

Class meds for hereditary prolongation of QT to prevent Vfib

Answer 4

Beta blockers, such as propranolol

Question 5

Vasculitis: Weak pulses in upper extremities

Answer 5

Takayasu’s arteritis

Question 6

Vasculitis: Necrotizing granulomas of lung & Necrotizing glomerulonephritis

Answer 6

Wegener’s granulomatosis

Question 7

Vasculitis: Necrotizing infllammation & immune complex deposit of visceral & renal vessels

Answer 7

Polyarteritis nodosa

Question 8

Vasculitis: Young male smokers

Answer 8

Berger’s disease

Question 9

Vasculitis: Young Asian women

Answer 9

Takayasu’s arteritis

Question 10

Vasculitis: Young asthmatics

Answer 10

Churg-Strauss syndrome

Question 11

Vasculitis: Infants & young children w/ issues involving coronary arteries

Answer 11

Kawasaki disease

Question 12

Vasculitis: Most common

Answer 12

Temporal arteritis

Question 13

Vasculitis: Assoc. w/ Hep B

Answer 13

Polyarteritis nodosa

Question 14

Vasculitis: Occlusion of opthlamic artery, can lead to blindness

Answer 14

Temporal arteritis

Question 15

Vasculitis: Perforation of nasal septum

Answer 15

Wegener’s granulomatosis

Question 16

Vasculitis: Unilateral HA, jaw claudication

Answer 16

Temporal arteritis

Question 17

Defects of Tetralogy of Fallot

Answer 17

VSD, pulmonary outflow obstruction, RVH, overriding aorta

Question 18

Next step in pt w/ DVT who has high likelihood of falling

Answer 18

Assess for IVC filter

Question 19

Medical mgt PAD

Answer 19

Smoking cessation, Glucose/Bp control, Daily exercise, Cilostazol (preferred over Pentoxyfiline, both contraindicated if HF); To prevent cardiac events, ASA/Plavix, Statins, increase walking distance

Question 20

Indications for operating on AAA

Answer 20

(1) Diameter > 5.5 cm (2) Growing > 0.5 cm in 6 mo. interval (3) Sx

Question 21

Who to screen for AAA

Answer 21

(1) Sx (2) Males age 65-75 w/ any smoking hx

Question 22

HSP p/w

Answer 22

Recent URI, arthritis, LE purpura, ab pain (possibly GI bleeding), renal disease (proteinuria, hematuria)

Question 23

Kawasaki disease p/w

Answer 23

Fever 5+ days and 4+ CRUSH sx: Conjunctivitis, Rash, Adenopathy of cervical LN, Straweberry tongue, Hands/feet w/ induration, desquamation, erythema