Key Phrases Flashcards

1
Q

Isolated mid systolic click

A

MVP

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2
Q

Machinery murmur

A

PDA

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3
Q

Opening snap

A

Mitral stenosis

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4
Q

Large bounding carotid pulse

A

Aortic regurgitation

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5
Q

Asymptomatic
systolic murmur in pulmonic area
Wide split S2

A

ASD

Noncyanotic congenital defect

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6
Q

Harsh pansystolic murmur
@ LSB
With thrill

A

VSD

Most close spontaneously b4 6yo. Indications for surg = CHF or pulm htn

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7
Q

Pulses paradoxes

A

Think cardiac tamponade

Def: dec in BP >10mmhg during inspiration

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8
Q

Becks triad

A

Think cardiac tamponade

  1. JVD
  2. Muffled heart tones
  3. Hypotension
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9
Q

Aortic stenosis symptoms

A
  1. Angina pectoris
  2. Dyspnea
  3. Exertional syncope
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10
Q

Aortic insufficiency

A

HTN and widened pulse pressure

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11
Q

Pulsus alternans

A

Think Left ventricular failure

Alternating strong and weak beats

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12
Q

First heart sound (S1)

A

Closing of mitral and tricuspid valves

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13
Q

Tetralogy of fallot

A
  1. Overriding aorta
  2. VSD
  3. RVH
  4. Pulmonary stenosis
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14
Q

Harsh systolic murmur
Along LSB
radiation to neck
In infant

A

Infant aortic stenosis

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15
Q

Absent femoral pulses

Rib notching on CXR

A

Coarctation of aorta

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16
Q

Pyloric stenosis

  • avg age of onset?
  • PE finding?
  • Sign on barium enema?
A

4-6 weeks old
Olive mass
String sign

17
Q

Hirschsprung disease

A

Megacolon

18
Q

EKG for HYPERkalemia

A

Peaked T waves

19
Q

EKG for HYPOkalemia

A

Prominent U waves

20
Q

EKG for Myocardial ischemia

A

T wave inversion

ST depression

21
Q

Early sign of dig tox

A

Early PVCs

22
Q

Treatment of asystole

A

Transcutaneous paving
Epinephrine
Atropine

23
Q

Torsades

A

Prolonged QT interval
Hypomagnesemia
HYPOkalemia
Overdrive pacing

24
Q

Causes of PEA

A

Hypovolemia
Tamponade
Tension PTX
PE

25
Q

Treatment of PSVT

A

Adenosine (blocks AV node)

26
Q

Main cause of peripheral arterial emboli disease

A

A-fib

27
Q

Definition of ortho static hypotension

A

Dec in systolic of 20, diastolic of 10, or pulse of 20

28
Q

Treatment of hyperkalemia

A

Kaexylate
Insulin with glucose
Bicarbonate

29
Q

1 cause of respiratory alkalosis

A

Hyperventilation

30
Q

Causes of ST Elevation

A
Pericarditis
Myocarditis
Acute aortic dissection 
Cholecystitis
PE
MI
31
Q

6 life threatening causes of chest pain

A

Acute MI
Cardiac tamponade
Aortic dissection

PE
PTX

Esophageal rupture

32
Q

Classification of unstable angina

A
  1. New onset
  2. More frequent, longer episodes, no relief with mess
  3. So produced by less exertion