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Amex Flashcards > IM-Surg > Flashcards

IM-Surg Flashcards

1
Q

Initial investigation of choice for suspected spontaneous aortic dissection

A

Contrast enhanced spiral ct scan

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2
Q

Autoimmune disorder characterized by the presence of TSH receptor antibodies

A

Graves disease

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3
Q

DOC: Long term prophylaxis for gouty attack

A

Allopurinol

Give several weeks after last attack

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4
Q

episodic LOC, esp in elderly, manifesting as falls, Cannon a waves in jvp

A

Complete heart block

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5
Q

Chest pain worsened by inspiration + pericardial friction rub +ecg changes (diffuse st elevation with no reciprocal depression)

A

Acute pericarditis

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6
Q

DOC acute pericarditis

A

NSAIDS

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7
Q

Inflammatory blockage of arterioles in distal extremities often seen in smokers less than 40yo

A

Thromboangiitis obliterans (Buerger disease)

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8
Q

When to start preventive therapy for migraines? DOC?

A

More than 2-3 attacks per month

Amitryptyline
Pizotifen
Propranolol
Sodium valproate

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9
Q

Age of eligibility for absolute CVD risk assessment

A

> 45 yo for Australian

>35 for Aboriginal and Torres Strait Islander

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10
Q

Considered as high risk for cardiovascular event (no need for cvd risk assessment; >15% chance for cva in the next 5 years)

A

DM and >60yo
DM with microalbuminuria
Mod or severe chronic kidney disease (macroalbuminuria or decreased gfr <45)
Familial hypercholesterolemia
Sbp > 180 or dbp >110
Serum total chol >7.5mmol/L
Aboriginal or Torres Strait Islander > 74yo

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11
Q

Drug class: antihypertensives preventing onset of nephropathy and reduces mortality in EARLY DM

A

ACEi

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12
Q

Drug class: antihypertensives that prevent coronary heart disease in patients with hypertension

A

ACEi

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13
Q

Drug class: antihypertensives that prevent kidney failure in patients with ADVANCED DM nephropathy

A

ARBs

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14
Q

Drug class: antihypertensives superior in preventing heart failure

A

Diuretics

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15
Q

Drug class: antihypertensives that are superior in preventing stroke and all causes of mortality

A

CCBs

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16
Q

Antihypertensives contraindicated in pregnancy, angioedema, hyperkalemia, bilateral renal artery stenosis

A

ACEi, ARBs

17
Q

Antihypertensives contraindicated in Gout, AGE

A

Diuretics

18
Q

Antihypertensives contraindicated in asthma, bradycardia, av block, uncontrolled HF

A

Beta blockers

19
Q

Test used to reclassify intermediate risk hypertensive patients to low or high risk (to start medications or not)

A

High sensitivity CRP

20
Q

Test for definitive diagnosis of CAD

A

Coronary angiogram

21
Q

First line therapy in acute angina

A

Nitrates

22
Q

Gold standard imaging for carotid arteries

A

Cerebral angiogram

23
Q

Valvular diseases producing HOLOCYSTOLIC murmur

A

MR, TR, VSD

24
Q

Heart disease associated w Eisenmenger syndrome

A

VSD

25
Q

Heart defects assoc with Down’s syndrome

A

Endocardial cushion defect, VSD

Amex Flashcards (8 decks)

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