MKSAP

Question 1

4 Indications for PPM

Answer 1

1. Symptomatic
2. Mobitz type 2 and above
3. CHB
4. Alternating BBB

Question 2

AC with CVD benefit in PAD patient

Answer 2

Rivaroxaban low dose

Question 3

Does cilostazol reduce CV mortality in PAD patients?

Answer 3

No

Question 4

Imaging test for suspected low risk, low probability NSTEMI with equivocal Trop

Answer 4

CTA coronary arteries

Question 5

Old females with A.fib, HFrEF, HTN, and DM - rate or rythym

Answer 5

Rhythm control

Question 6

Scan for cardiac amyloidosis

Answer 6

Gadolinium Cardiac MRI

Question 7

Scan to differentiate ATTR from light chain amyloidosis

Answer 7

99 technician scan

Question 8

Right atria Tumor

Answer 8

Atrial leimyosarcoma

Question 9

Coronary micro vascular dysfunction

Answer 9

Intermittent chest pain with clean coronaries

Question 10

Most common cause of secondary MR

Answer 10

LV dysfunction

Question 11

ABI in patients with PAD

Answer 11

0.40-0.90

Question 12

EKG finding of HOCM

Answer 12

LVH and deep Q waves in 1, avL, V4-V6

Question 13

What’s re the 6 things we look for in an EKG when evaluations palpitations

Answer 13

1. Pre excitation
2. AV blocks
3. Ectopic
4. IV conduction delays
5. HOCM
6. Previous MI

Question 14

Which strategy (rate or rhythm) is preferred for flutter

Answer 14

Rhythm since rate is hard to control

Question 15

EKG pattern of A.flutter

Answer 15

Inverted flutter waves in inferior leads and positive waves in V1

Question 16

Define recurrent idiopathic pericarditis

Answer 16

Acute episode followed by recurrence in 4-6 weeks

Question 17

Rx of idiopathic pericarditis

Answer 17

NSAIDs—> NSAID + colchicine —> NSAID + colchicine + prednisone

Question 18

Indications for DAPT after 1 year of DES

Answer 18

Patients with high risk of repeat CV event:
1. Diabetes Mellitus
2. Low LVEF
3. Saphenous vein graft stent

Question 19

Most common cause of pregnancy associated MI

Answer 19

Spontaneous CAD occurring during or with 1 month of delivery

Question 20

Antiarhythmic used for HOCM

Answer 20

Dysopyramide

Question 21

What is a high degree AV block

Answer 21

More than one successive non conducted P waves

Question 22

Diagnostic test for POTS

Answer 22

Tilt table test

Question 23

Diagnostic criteria (HR) for POTS

Answer 23

> 30/min increase or >120 within 10 min of standing

Question 24

How long is AC considered before cardioversion for A fib

Answer 24

3 weeks

Question 25

Resting HR goal in A.fib

Answer 25

<80

Question 26

Rhythm com trim strategy proffered over rate control in the following patients (think 89 patient)

Answer 26

1. Age >65
2. Female
3. Heart failure
4. HTN
5. DM
6. CKD
7. LVH

Question 27

Which patients have most favorable outcomes with catheter ablation fkr A.fib

Answer 27

Without LA enlargement

Question 28

CHADSVASC >3 cannot be AC due to bleeding. Next step.

Answer 28

LA appendage occlusion

Question 29

Anticoagulation post cardioversion

Answer 29

4 weeks of AC regardless of CHADSVASC

Question 30

What is high burden PVC

Answer 30

> 10% of beats or >10,000 PVCs per day

Question 31

High risk features in PVC

Answer 31

1. Syncope
2. Structural heart disease
3. Family history of SCD

Question 32

Cardiac index for high output failure

Answer 32

> 4

Question 33

Most common cause of HF

Answer 33

CAD

Question 34

What are the three indications of antibiotic prophylaxis before dental procedures

Answer 34

1. Prosthetic valve
2. Previous h/o IE
3. CHD - Unrepaired or with residual flow impairment

Question 35

Antiarrythmics contraindicated in ischemic heart disease

Answer 35

Flecainide and Propafenone

Question 36

To agree or is the preferred anti platelet in ACS except in these three conditions

Answer 36

1. Dyspnea/COPD
2. Bradycardia
3. Elevated bleeding risk