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Step 3 and Residency Flashcards > MKSAP Cardio Qs > Flashcards

MKSAP Cardio Qs Flashcards

1
Q

What is the best way to prevent heart failure readmission?

A

Phone call 2-3 days after the fact

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2
Q

What sign is associated with monomorphic VT?

A

cannon a waves

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3
Q

Young female with PVCs that are driving her crazy, not a secondary cause, what is the next best step for her?

A

Propranolol

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4
Q

A claudication patient has ABIs 0.92 and 0.94 bilaterally, still complaining of pain. What is the next best test for evaluation?

A

Exercise Ankle-Brachial Index testing

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5
Q

What is Ecolocumab?

A

A PCSK9 inhibitor, can use if patient is struggling to get LDL under 70

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6
Q

Severe Aortic Stenosis has what?
Valve area?
High Peak Velocity?
Mean Gradient?

A

Valve area less than 1.0
Velocity greater than 4 m/s
High Mean Gradient > 40 mmHg

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7
Q

If I had an ASD closed 1 year ago, do I require dental cleaning antibiotics?

A

NO

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8
Q

62 Year old female with chest pain, equivocal EKG, D-dimer, and S4, what is the next best step?

A

Coronary CT angiography

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9
Q

Adenosine Myocardial Perfusion imaging cannot be done in patients with a history of what?

A

eating beforehand?

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10
Q

A mechanical valve patient on warfarin, has bruising, INR 3.4 (Goal is 2.5-3.5), stable hemoglobin, what should be done?

A

Nothing, stay the course, stable hemoglobin, do not change anything

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11
Q

Cilostazol is contraindicated in what disease?

A

Heart Failure

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12
Q

Neck cancer patients can incidentally have what cardiac disease despite no risk factors?

A

Coronary Artery Disease

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13
Q

Ascending aorta or aortic root greater than 4.5 cm requires what?

A

Surgery

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14
Q

Marfan’s Syndrome plus an aorta greater than 4mm, what should a woman have done if she is going to become pregnant?

A

Have Aortic Root Surgery

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15
Q

If the aorta grows more than how many mm a year, then surgery should happen?

A

5 mm a year

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16
Q

Cardiac MRI is the gold standard to address patients with what type of disease?

A

Infiltrative Cardiomyopathy, amyloidosis

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17
Q

Warfarin is ok in pregnancy, 1st trimester, under what dose?

A

5mg is ok, 2nd and 3rd warfarin is prefered

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18
Q

Bicuspid Aortic Valve, patient could not have aorta visualized well with echo, what is the next best test?

A

CT chest angio of thoracic

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19
Q

Bad valves and the severity is moderate what is the next best test?

A

Stress echo or Stress Dobutamine, if story sounds like moderate symptoms, do this first before intervention

20
Q

68 year old man with a known PAD history, bilateral carotid and femoral bruits, starts graded exercise program. What is the best drug to start him on?

A

Rivaroxaban

21
Q

What is the first line atrial flutter treatment?

A

Catheter Ablation

22
Q

New onset post pregnancy chest pain, elevated troponins, and elevated ST elevations, what could this be?

A

Spontaneous Coronary Artery Dissection

23
Q

Peripartum Cardiomyopathy after pregnancy will demonstrate what on the echo?

A

Global Systolic Function reduction

24
Q

New onset, post pregnancy heart failure, what are the first two drugs to order?

A

Lasixs and an ACE inhibitor

25
Q

If a pacemaker pocket becomes infected, what is the next best step?

A

Pacemaker extraction, do not aspirate anything

26
Q

If a STEMI comes in with a culprit LAD lesion, and a 70% RCA lesion. Assuming the LAD lesion is dealt with easily, what else should be done before the patient leaves the hospital?

A

RCA lesions should be worked on

27
Q

Long term cardiomyopathy and A-fib, what is the best long term solution?

A

Cardiac Transplant

28
Q

Patient comes in on clopidogrel, rivaroxaban, and aspirin with bruising, what drug(s) should be stopped?

A

Aspirin

29
Q

Systolic Ejection murmur that decreases with squatting, what is this?

A

HOCM

30
Q

1 year post DES stent placement, patient is on aspirin and plavix. Should medications be continued, stopped, or changed? The patient has no horrible reasons to discontinue medication?

A

Continue Plavix and Aspirin

31
Q

Glaring AO dissection, blood pressure is low, what is the next best step?

A

Open Aortic Surgery

32
Q

Left Atrial Myxoma, what is the next best step?

A

Surgery, especially if weight loss, fever, and night sweats

33
Q

Symptomatic PAD, on statin, makes everything worse, what is the next best step?

A

Keep on the statin

34
Q

2 week history of palpitations, not associated with any activity, what is the next best test?

A

12 lead EKG

35
Q

Post RCA MI, rounds of heart block, bradycardia, what is the next best step?

A

Temporary pacing, do not jump for pacemaker right away

36
Q

Acute limb ischemia, what is the next step?

A

unfractionated heparin

37
Q

Stroke with a PFO, what is next best step, close the hole or give aspirin?

A

Close the hole

38
Q

NSTEMI patients, what is the best drug to give with troponins wnl, no ST elevations, and no chest pain, but had chest pain 2x throughout the day?

A

Give Clopidogrel

39
Q

HF with reduced ejection fraction, gynecomastia with spironolactone, what is the next best step?

A

Start Eplerenone

40
Q

Any ischemic heart disease, what medication should be discontinued?

A

Flecanide

41
Q

Mitral valve regurgitation has an EF less than 60% and a left ventricle end-systolic dimension (End Systolic Volume) of 60 mm means what? (name of the intervention)

A

Surgical Repair

42
Q

Pulsus Paradoxus, weight loss, distant heart sounds, what is the next best thing?

A

Echo

43
Q

CABG, LBBB, chest pain in exercise routine, what is the best test?

A

vasodilator single-photon emission CT

44
Q

Type 2 DM and atherosclerotic heart disease/stroke, what is the next best drug? (high sugars)

A

Empagliflozin

45
Q

High risk bleeding patient, on plavix, post stent after 6 months, now has ecchymosis on limbs, what is the next step?

A

Stop Plavix

Step 3 and Residency Flashcards (19 decks)

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