Mastered - cardiology Flashcards
What is the presentation of SVT?
Chest palpitations, tightness
What is the presentation of an aortic dissection.
Tearing chest pain, hypotension (variation in BP)
What is the presentation of MR?
Syncope, angina, fatigue, dyspnea
What are some meds that cause secondary hypertension?
OCPs
how is GPA diagnosed?
C-ANCA
What pack year Hx increases risk of COPD
20
What is the O2 number needed to get home O2?
88
What are the major non- pulmonary causes of cough?
GERD, post nasal drip, Asthma
How do you treat SVT?
adenosine
What are the signs of endocarditis?
Fever Roths Oslers Murmer Jaraway lesions Anemia Nail hemorrhage Emboli
What is the presentation of PE?
tachycardia, tachypnea, pleuritic chest pain, hypoxia
What studies would you order for a COPD exacerbation?
EKG ABG Chest x ray Sputum culture D dimer CBC BMP RRP
What is the most important initial therapy in an MI?
aspirin
What is the best treatment for myasthenia gravis?
neostigmine
Acute management of a STEMI?
morphine
aspirin
oxygen
nitrates
What is the mechanism of diagnosis for amyloidosis?
abdominal fat pad biopsy
What is cor pulmonale?
right sided heart failure due to pulmonary hypertension
What is the most significant thing that can be done to reduce BP non pharmacologically/
weight loss
How should a fib be treated?
beta blocker, give warfarin for stroke prevention
How do nitrates work?
coronary vasodilation and systemic vasodilation
What is the difference between azotemia and uremia?
uremia has symptoms
What is the best way to treat at RV infarct?
fluids to increase preload
What is the most common cause of MR?
myxomatous degeneration
What is the most significant thing that can be done to lower BP non-pharmacologically?
weight loss
What are the causes of inelastic pericarditits?
radiation, pericarditis, post MI
What is the presentation of cardiac tamponade?
Severe chest pain
Pulsus paradoxus
hypotension
What drugs should be given as secondary prevention for a heart attack?
aspirin plavix beta blockers statins ACE-Is
Difference between HOCM and dilated cardio on exam
Increased murmer on valsava for HOCM
What rhythms should be cardio verted?
hemodynamically unstable SVT
What is the most common cause of death in an MI
reentry in the ventricles (ventricular fibrillation)
What does the hepatojugular reflex tell you in a patient with lower extremity edema?
tells you there’s a cardiac disease for LE edema
A young female smoker complains of nocturnal substernal chest pain that lasts 15 minutes and resolves spontaneously. This is..
variant angina, a vasospastic disorder
When should pharmacologic and stenting therapies be considered in patients with PAD?
persistent despite supervised exercise
A patient presents with sharp, nonradiating chest pain that is worse with inspiration. There is tenderness to palpation over the sternum.
Costochondritis
