Brainscape's Knowledge GenomeTM

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


See full index

SMLE | Cardiology 🫀 > IE > Flashcards

IE Flashcards

1
Q

Rheumatic Fever is a consequence of infection with […]

A

Group A ß-hemolytic streptococcus
(Strep pharyngitis)

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

RF
Diagnostic criteria

A

J❤️NES criteria
Joint (migratory arthritis)
❤️ carditis
Nodules subcutaneous
Erhythema marginatum
Sydenham chorea

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

What laboratory test support diagnosis of RF ?

A

High ASO titer

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

Can RF be prevented ?

A

Yes by treating strep pharyngitis
Penicillin 10 days

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

How to prevent RF re-attack ?

A

Penicillin injection every 4 weeks
🫀 + heart disease: for 10 years or until 40
🚫 - heart disease: for 5 years or until 21

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

What drug may be added for carditis in RF ?

A

Steroids

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

Rheumatic Fever is a consequence of infection with […]

A

🔹 Acute : S aureus
🔹 Subacute : S viridans

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

Most common organism in all IE : […]

A

S aureus

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

Most common organism of IE in congenitally abnormal or diseased valve : […]

A

S. Viridans

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

Most common organism of IE after dental procedure : […]

A

S viridans

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

Most common organism of IE after GI/GU procedure : […]

A

Enterococcus

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

Most common organism of IE & colon cancer : […]

A

S gallolyticus ( S bovis )

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

Most common organism of IE in prosthetic valve : […]

A

< 60 days : S aureus or S epidermidis
> 60 days : S viridans

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

IE
Diagnostic criteria

A

Duke criteria (2M, 1M+3m, 5m)
Major: BE
minor: TIMER

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

IE
Signs & Symptoms:

A

Fever + new murmur
- immunologic phenomenon:
🔸osler node
🔸roth spot
🔸glomerulonephritis
- vascular phenomenon:
🔸 septic emboli
🔸 splinter hemorrhage
🔸 janeway lesion

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

Tricuspid disease in IE usually associated with […]

A

IV drug users

17
Q

Which congenital anomaly has the strongest association with IE ?

A

VSD

18
Q

Which congenital anomaly has the least association with IE ?

A

ASD

19
Q

Gram (-) organisms of IE :

A

HACEK
Haemophilus
Aggregatibacter
Cardiobacter
Eikenella
Kingella

20
Q

Culture (-) organisms of IE :

A

Coxiella
Bartonella

21
Q

Indications of prophylaxis for IE:

A

Cardiac indication + Procedure
1. PHx of IE
2. Cyanotic heart disease unrepaired
3. Prosthetic valve
4. Cardiac transplant
+
Procedure above diaphragm / dental work / skin or MSK procedure

22
Q

Drug of choice for IE prophylaxis

A

Amoxicillin
1 hr before procedure

23
Q

Antibiotic choice of IE:

A

MRSA: Vancomycin
MSSA: oxacillin

🔸S viridan: ceftriaxone + genta

Prosthetic valve
<60 d: vanco + genta + rifampin
🔸>60 d: ceftriaxone + genta

24
Q

Which is more accurate regarding IE diagnosis
TTE or TEE ?

A

TEE
Trans-esophageal > Trans-thoracic

25
Q

[…] murmur that is highly specific sequelae of RF

A

Mitral Stenosis

SMLE | Cardiology 🫀 (10 decks)

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