IM Cardiology

Question 1

Sick Sinus Syndrome

Answer 1

alternating brady and tachycardia
with underlying a-fib

A-fib give warfarin
A-flutter give ASA

Patient will need a Ventricular Pacemaker

Question 2

what can you give for CHF/ pulmonary edema if patient does not respond to

loop dieuretic,
nitrates,
morphine

Answer 2

Dobutamine (also decreases afterload)

Question 3

Treatment of pulm edema second to heart failure

Answer 3

1. Loops
2. Morphine
3. Nitrates

Question 4

Echo for

Answer 4

Chronic problems

Question 5

Duroziez’s sign

Answer 5

systolic murmur over femoral arteries.

Question 6

What is the pathogenesis of Duroziez’s sign

Answer 6

Aortic Regurg

Question 7

Crescendo-decrescendo

Answer 7

Aortic Stenosis

Question 8

Sensitive test for Pheo

Answer 8

free fractioned metanephrines most sensitive 97%

Urinary VMA 87% sensitive but easier to get

Question 9

Lab test for Carcinoid Syndrome

Answer 9

5-hydroxyindoleacetic acid

Question 10

Pheo location

Answer 10

adrenal medulla

Question 11

HOCM treatment

Answer 11

Metoprolol

Question 12

what decreases mortality in patients with elevated LDL

Answer 12

Statins!

Question 13

what level of HDL is a risk factor

Answer 13

below 40

Question 14

Reduces mortality after MI

Answer 14

1. ASA (most effective)

2. /3. ACE/ B-blockers

Question 15

when do you want an INR of 3-4

Answer 15

mechanical heart valves

Question 16

In DVT what do you do when anticoags can’t be used?

Answer 16

IVC filter

Question 17

DVT prophylaxis in those with HIT

Answer 17

Argatroban