Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Abim 2014 > Deck 1 > Flashcards

Deck 1 Flashcards

1
Q

Treatment for SBP with renal failure

A

Intravenous albumin with antibiotic therapy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Intermediate risk cardiovascular patient asymptomatic next test performed

A

High sensitivity CRP can help reclassify patients with intermediate risk to either low or high

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Bicuspid aortic valve patient with symptomatic aortic regurgitation and a sending aortic diameter greater than 45 mm

A

Aortic valve replacement and aortic root graft placement

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Rhandomyositis from cyclosporine and statins in heart transplant patient - myalgia and elevated creatinine kinase

A

Calcium channel blockers, antifungal agents, antimicrobial agents, antiseizure medication

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Asymptomatic patient was exposed pacemaker through skin minimal erythema no signs of infection

A

Extract device and leads

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Leading cause of death in women

A

Coronary artery disease

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Side effect of Dronedarone

A

Reduced creatinine clearance but does not decrease kidney function - contraindicated in decompensated heart failure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Symptomatic severe heart failure on beta blocker ace inhibitor and diuresis
-what to add next

A

Spironolactone - rales study

Or epleronone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

NSTMI patient with high TIMI risk score started on heparin Plavix metoprolol sublingual nitro aspirin what else to add

A

Add Staten and GP IIb/IIIa inhibitor

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Treatment for recurrent pericarditis

A

Aspirin plus colchicine - don’t use steroids because they cause recurrence

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Treatment for atrial myxoma asymptomatic patient

A

Surgical resection

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Chest pain in woman with interpretable EKG with intermediate risk of coronary artery disease

A

Exercise EKG stress test

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Dyspnea, pedal edema, clear lungs, JVD with inspiration, cardiac CT pericardial thickening, ventricular interdependence, to and fro diastolic motion of ventricular septum, kusmal sign

A

Constrictive pericarditis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Management of symptomatic atrial fibrillation in setting of structural heart disease or heart failure

A

Amiodarone or dofetilide - can’t use negative Ionotropes or beta blockers

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Ascending aortic dissection management

A

Emergency surgery - May not always have difference in left and right arm blood pressure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Single vessel disease asymptomatic now what will give the patient the greatest reduction in risk of MI

A

Aggressive risk factor reduction such as the addition statin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

When to get in at go with asymptomatic heart murmurs

A

Systolic murmurs greater than three out of six or any diastolic or continuous murmurs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Restrictive cardiomyopathy

A

Infiltration from iron like in hemochromatosis amyloidosis sarcoidosis postradiation fibrosis of myocardium Loeffler syndrome

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Constrictive pericarditis

A

Uniform diastolic pressures and all chambers caused by radiation, postinfection, postsurgical, connective tissue disorder, uremia, sarcoid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Severe symptomatic aortic’s to gnosis with abnormal ventricular function next step

A

Surgical aortic valve replacement if patients good operative candidate if not then Transcatheter aortic valve implantation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Peripartum cardiomyopathy therapy

A

During pregnancy should be treated with beta blockers, digoxin and diuretics and after delivery should add ace inhibitor

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Patient with Hodgkins disease with prior radiation therapy and chemotherapy including doxorubicin with shortness of breath

A

First ruleout cardiomyopathy with transthoracic echocardiogram then consider exercise EKG stress testing to rule out ischemic disease which can be accelerated patients that underwent mantle radiation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Atrial septal defect

A

Fixed split S2, mitral regurgitation murmur, left axis deviation, first-degree AV block, intraventricular conduction delay

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Symptomatic pulmonary valve stenosis or patients with severe pulmonary valve stenosis without symptoms

A

Pulmonary balloons out of your plaster you in patients with pulmonary valve stenosis with peak gradient greater than 50 and less than moderate pulmonary valve regurgitation - pulmonary vasodilator therapy would not be helpful with pulmonary valve stenosis -surgery only with patients with hypoplastic call Marianne illness, some valvular or supravalvular pulmonary stenosis or severe pulmonary valve regurgitation

24
Q

Post infarction VSD

A

New holosystolic murmur with palpable thrill with hypotension and tachycardia

25
Q

Cardiovascular risk assessment in young woman

A

Reynolds risk score better for young women versus Framingham risk score

26
Q

Hemodynamically stable wide complex tachycardia - in patient with known coronary artery disease should be assumed to be ventricular tachycardia

A

Intravenous antiarrhythmic agents such as amiodarone procainamide sotalol and as a second line lidocaine - if does not work elective cardioversion can be used - do not use verapamil or beta blockers

27
Q

Eisenmenger syndrome

A

Cyanotic congenital disease characterized by irreversible pulmonary vascular disease from atrioventricular septal defect showing cyanosis right ventricular hypertrophy decrease pulmonary vascularity, and large central pulmonary arteries, associated with down syndrome

28
Q

Two strongest risk factors associated with myocardial infarction

A

Smoking and dyslipidemia

29
Q

Pregnant woman with mechanical heart valves

A

warfarin - though can cause teratogenicity, miscarriage, fetal loss, increased fetal risk is only option with mechanical valve

30
Q

Life-threatening diagnoses with chest pain in the emergency room

A

Pulmonary embolism, aortic dissection, acute coronary syndrome, pericardial tamponade, pneumothorax, esophageal rupture

31
Q

Hypertrophic cardiomyopathy

A

Dynamic left ventricular outflow tract obstruction, systolic murmur decreased by handgrip which increases after load and increased by maneuvers decreasing preload like Valsalva also asymmetric septal hypertrophy and small ventricular cavity and enlarged left atrium

32
Q

Anticoagulation after atrial fibrillation ablation

A

All patients should be on Coumadin for first to get three months then you should be anticoagulated as if oblation never occurred - use CHADS2 score

33
Q

Cholesterol embolization syndrome

A

Red to purple to blue discoloration of toes livedo reticularis signs of systemic illness elevated white count elevated ESR elevated creatinine

34
Q

Tetralogy of fallot repair

A

Often have pulmonary valve regurgitation and require pulmonary valve replacements and tricuspid valve repair from right-sided chamber enlargement as well as maze procedure for a afib developed

35
Q

Unstable angina in patients with contraindication to beta blockers

A

Use calcium channel blockers when blockers are contraindicated

36
Q

SVT not terminated by adenosine

A

Likely atrial tachycardia

37
Q

Peripheral arterial disease with borderline resting ABI

A

Check exercise ABI

38
Q

Treatment for PJP pneumonia

A

Bactrim and if hypoxic or PaO2 less than 70 or AA gradient greater than 35 then at steroids

39
Q

HIV-AIDS patients exposed to patient with TB

A

Treat patients like latent TB because patient with AIDS can have negative tuberculin skin test despite real exposure

40
Q

Life-threatening candidemia

A

Treat with echinocandin ie caspofungin - can switch to fluconazole when stabilized -don’t use amphotericin B if patient in renal failure

41
Q

Recurrent mild to moderate C diff

A

Can repeat Flagyl 14 day course if my out to moderate c diff again - this is not resistance but hatching of spores present on initial infection - if recurrent severe then treat with prolonged vancomycin taper

42
Q

Primary genital herpes simplex infection - painful the vesicular lesions with erythematous base as well as malaise fevers - chronic suppression therapy with Valacyclivir

A

Empiric acyclovir here valacyclovir here or famciclovir

43
Q

Candida vaginitis with fissures and excoriations from pruritis

A

Single dose from fluconazole

44
Q

Histoplasmosis

A

Ohio Valley with bats - acute pulmonary symptoms fever headache cough shortness of breath chest pain, hilar lymphadenopathy and interstitial infiltrates

45
Q

Blastomycosis

A

No hilar lymphadenopathy - soil exposure wood products - Great Lakes Mississippi River Valley Eastern North America - acute pulmonary infection flulike symptoms cough chest pain

46
Q

Coccidiomycosis

A

Southwest United States farming soil handling - flulike illness the kid pulmonary infection arthralgia maculopapular rash and erythema Nodosum

47
Q

Prosthetic joint infection

A

If no further surgery then lifelong therapy with Bactrim

48
Q

Hemorrhagic colitis

A

Shiga toxin producing E. coli - Gross blood uncooked hamburger

49
Q

Campylobacter jujuni

A

Preformed toxin symptoms occur less than 24 hours after ingestion with nausea vomiting diarrhea but no blood

50
Q

Shigellosis with diarrhea now resolved but patient works in day care setting

A

Empiric Treatment with ciprofloxacin indicated as patient in either food service industry or childcare center where infection may spread

51
Q

Vancomycin intermediate methicillin-resistant staph aureus bacteremia

A

Daptomycin is recommended for treatment when staff aureus partially resistant to vancomycin mic >2

52
Q

Cervicitis - Mucopurulent cervicitis caused by gonorrhea and chlamydia with leukocytes elevated pH negative with test

A

Ceftriaxone IM and azithromycin orally

For chlamydia

53
Q

Pelvic inflammatory disease must have cervical motion tenderness

A

Cefoxitin plus doxycycline

54
Q

Tuberculous screening in patients that received BCG cancer therapy or vaccine

A

Interferon gamma release assay

55
Q

Human bites injury prophylaxis - Strep , staph, eikenella, anaerobes

A

Augmentin and if penicillin allergic then clindamycin and moxifloxacin

57
Q

Varicella prophylaxis patient with leukemia or immunocompromise

A

Varicella zoster immune globulin

58
Q

Bicuspid aortic valve patient with symptomatic aortic regurgitation and a sending aortic diameter greater than 45 mm

A

Aortic valve replacement and aortic root graft placement

Abim 2014 (14 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions