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Reveision > MKSAP > Flashcards

MKSAP Flashcards

1
Q

Contraindication for cilostazole

A

Heart failure

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2
Q

When to do CT angiography for cardiac chest pain evaluation

A

Chest pain resolved; low to intermediate probability of CAD; and equivocal Trop

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3
Q

Rhythm control strategy is preferred within — year of A.fib diagnosis

A

1

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4
Q

RA tumor

A

Cardiac angiosarcoma

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5
Q

High risk features warranting Rx of asymptomatic PVC

A

Syncope
Structural heart Dx
Family h/o SCD

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6
Q

DDx for granulomatous lesions

A

TB CSF V

Tuberculosis
Bartonella
Coxiella
Sarcoidosis
Fungal
Vasculitis - GPA and EGPA

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7
Q

How do you approach NSTEMI? What is the first thing to determine and what are the two Rx pathways that lead from it?

A
  1. Calculate TIMI score
  2. TIMI <2 —> start medical Rx with heparin, aspirin, and plavix. stress testing before discharge —> if evidence of ischemia —> cath.
  3. TIMI >2 —> medical Rx and urgent cath
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8
Q

Three post pregnancy heart issues tested

A
  1. Peripartum CMP —> HF
  2. SCAD —> ACS
  3. Micro vascular dysfunction —> anginal Sx
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9
Q

Most common SVT

A

AVNRT

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10
Q

Indications for PDA closure

A

Left chamber hypertrophy as long as pulm pressure is <50% of the systemic BP

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11
Q

You have high suspicion for LE clarification but ABI is >0.9. Next step?

A

Exercise ABI

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12
Q

Which patients should be considered for staged PCI

A

HD stable patients if non culprit vessel was not addressed in primary PCI

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13
Q

Indications for AAA repair

A
  1. > 5.5 cm
  2. > 5 cm with family history or progression >0.5 cm/year
  3. > 4.5 cm with other surgical procedures
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14
Q

Define recurrent pericarditis

A

Recurrent after Sx free interval of 4-6 weeks

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15
Q

Surgically resectable AAA is identified. What is the next step? Survey or imaging?

A

CTA to determine location - guides the choice between surgical vs open repair

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16
Q

Which test to pursue if symptoms fit to valvular disorders are only present with exercise and resting echo does not show any abnormalities

A

Exercise echo since that is the only thing that will give you the answer

17
Q

Emboli stroke with an undetected source and a PFO. Which one is better - aspirin or PFO closure?

A

PFO closure

18
Q

LVOT gradient for SRT in HOCM

A

50

19
Q

HD compromise in RV STEMI after revascularization

A

IV saline

20
Q

HD compromise after LV infraction

A

AIBP

21
Q

Best test after exercise/dobutamine echo to resolve discrepancies between symptoms and echo finding in valvular Dx

A

Cardiac cath

22
Q

The only test valid to evaluate for ischemia in patients with LBBB

A

Vasodilator SPECT

23
Q

Generalized pustular psoriasis occurs after steroid withdrawal

A

A patient who has chronic plaque psoriasis was recently Rx with steroids for asthma exacerbation and is now presenting with pustules which coalesce to form lakes of pus

24
Q

Popeye sign is seen with —- tendon rupture

A

Biceps

25
Q

Which med does cards want to add after lasix in HFrEF

A

ACE

26
Q

Brugada syndrome EKG

A

ST segment coving -concave and downsloping

27
Q

High risk features in pericarditis requiring hospitalizations

A

Fever >100.4; subacute onset; pericardial effusion; AC on presentation; lack of response to Rx

28
Q

TKI associated with A.fib

A

Ibrutinib

29
Q

Indications for home O2 in COOD with O2 89 and PaO2 59

A
  1. Cor pulmonale
  2. Heart failure
  3. Erythrocytosis
30
Q

2 options for recurrent malignancy pliers effusion

A
  1. In dwelling pleural cath
  2. Chemical pleurodesis
31
Q

Heerfordt syndrome

A

Anterior uveitis, parotitis, facial N palsy, and fever

32
Q

When to discontinue antibiotics in neutropenic fever if no source has been identified

A

resolution of fever and improvement of the patient’s absolute neutrophil count to more than 500/μL (0.5 × 109/L).

33
Q

Indications for HD in ethylene glycol

A
  1. Severe anion gap acidosis
  2. End organ involvement - kidney impairment and visual changes
34
Q

Drugs for smoking cessation in patient admitted with ACS

A

NRT combination OR Verencline mono therapy

35
Q

Medication to reduce binge eating days

A

Lisdexamphetamine

36
Q

Medication for chronic cough refractory to other Rx

A

Gabapentin

37
Q

Analgesic for ESRD

A

Dilaudid

38
Q

Medications most associated with ED

A

Beta blockers
Spirinolactone
Thiazides
Clonidine

39
Q

Emperic topic antibiotic for bacterial conjunctivitis - name 3

A
  1. Trumethoprim-polymyxin
  2. Bacitracin-polymyxin
  3. Erythromycin

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