HIGH YIELD II

Question 1

if there is a rupture into the pericardium what would this be called?

Answer 1

pericardial tamponade

Question 2

acute dissection into the aortic valvular annulus is called?

Answer 2

myocardial ischemia

Question 3

widening of the aortic root is called?

Answer 3

aortic regurgitation

Question 4

aortic dissection demographics?

Answer 4

usually 60-80 yr old males

woman have a delayed presentation

familial dissections common in younger patients

Question 5

hypertension more common in what type?

Answer 5

Type B

Question 6

main causes of acute htn?

Answer 6

cocaine
weight lifting
energy drinks

Question 7

genetic conditions associated with aortic dissection?

Answer 7

marfan syndrome
loeys Dietz syndrome
Ehlers danlos syndrome

Question 8

most common symptom?

Answer 8

pain

with

syncope
stroke
HF, ACS

Question 9

type A pain, where? Type B?

Answer 9

chest pain, abdominal pain

pain in the back with associated abdominal pain

Question 10

pulse deficit more common with what?

Answer 10

ascending and arch dissection

Question 11

hypotension associated with what type of dissection?

Answer 11

ascending

Question 12

associated neurologic deficits?

Answer 12

type A
syncope
altered LOC
stroke
horners syndrome
compression of superior cervical sympathetic ganglion

Question 13

imaging for stable patient?

Answer 13

CT angiography

Question 14

best test for unstable patient?

Answer 14

trans esophageal echocardiogram