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Best PANCE Prep > Hard subject (cardio) > Flashcards

Hard subject (cardio) Flashcards

1
Q

HCMP loud murmur when?

A

Standing, Valsalva

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2
Q

Corrective cardiac surgery related with what disease?

A

SSS

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3
Q

SSS strongly related with

A

A Fib

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4
Q

A fib usually form at

A

Left atrial

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5
Q

Atrial flutter or A fib potentially cause

A

hypotension

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6
Q

A fib more than 48 hours how do you treat?

A

Do not DCC right away, for 3 weeks anticouagulation then DCC

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7
Q

Post DCC what do you do?

A

3 weeks of anticouagulation

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8
Q

Any possible form of stroke what do you used?

A

CHA2DS2 VAS
C- CHF
H- HTN
A-Age 75< (2)
D- DM
S- Stroke (2)
V- vascular disease
A- Age 65-74
S- Sex(female)

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9
Q

Delta wave, PRI short, Wide QRS dx?

A

WPW

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10
Q

in WPW what do you not use?

A

A- adenosin
B- BB
C- CCB
D- digoxin

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11
Q

LBBB vs RBBB

A

LBBB - deep Q V1
RBBB - Bunny V1

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12
Q

P wave inverted?

A

AV junctional

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13
Q

What do you do VTech with No Pulse?

A

Defib + CPR

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14
Q

What type of electrolyte imbalance cause torsades de pointes?

A

HYPO MCK
(M-mg, C- Ca, K - K+)

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15
Q

RBBB + ST elevation V1,2,3

A

Brugada syndrome

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16
Q

How to tx V fib?

A

CPR -> defib -> epi -> defib -> amiodarone -> defib

17
Q

how to tx PEA?

A

CPR -> Epi -> defib

18
Q

what cause prolong QT syndrome?

A

Aza, erythromycin, diuretic

19
Q

what are important hx for hyperkalemia?

A

DKA, kidney failure, rhabdomyolysis

20
Q

Peak T wave dx and tx?

A

Hyperkalemia,
calcium gluconate -> insulin -> albuterol + bicarb

21
Q

what is strongly associate with recurrent syncope?

A

Prolonged QT syndrome

22
Q

Prolonged QT syndrome criteria? and complication?

A

> 460 msec
torsade point

23
Q

ASD, VSD possible complication?

A

Fetal alcohol syndrome, down syndrome

24
Q

in PAD if you need keep open, what do you need to use?

A

Prostaglandin E1

25
Q

What cause close of PAD? tx?

A

Bradykin, NSAID (inhibit prostaglandin production)

26
Q

Children upper and down BP difference?

A

COA

27
Q

X-ray shows what in COA?

A

Rib notching, figure 3

28
Q

What congenital disease strongly associate with turner syndrome?

A

COA

29
Q

What is Rick factor for TOF?

A

Trisomy 21, digeorge syndrome

30
Q

What is complication of TOF?

A

polycythemia

31
Q

in TOF corrected surgery and shown right ventricular pressure <50 mmhg Do you need to limit sport activities?

A

No limit if it is less than 50mmHg

Best PANCE Prep (3 decks)

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