Moucellaneous

Question 1

MC peds cardiac tumor

Answer 1

rhabdo (60-80%), think tuberous sclerosis

Question 2

tuberous sclerosis!

Answer 2

rhabomyoma

Question 3

rhabdomyoma genetic disease

Answer 3

tuberous sclerosis

Question 4

Px rhabdomyoma

Answer 4

regression, usually do nothing unless obstruction

Question 5

spider cells

Answer 5

rhabdomyoma

Question 6

multiple tumors vs. rhabdo

Answer 6

multiple rhabdo, fibroma single

Question 7

calcified tumor

Answer 7

fibroma (also can be cystic)

Question 8

location rhabdo vs. fibroma

Answer 8

rhabdo atrial or ventricles INTO the chamber, fibroma likely inside the wall of the ventricle or intraventricular

Question 9

pericardial tumor with pericardial effusion

Answer 9

teratoma

Question 10

tumor associated with AV reentry?

Answer 10

rhabdomyoma, abnormal AV connection through tumos

Question 11

Dx hemangioma with echo?

Answer 11

color doppler the tumor

Question 12

MC virus of myocarditis

Answer 12

coxsackie B > A

Question 13

myocarditis with incessant VT

Answer 13

likely parvovirus (parVoVirus)

Question 14

myocarditis with coronary involvement

Answer 14

parvovirus

Question 15

features of parvovirus

Answer 15

incessant VT, coronary involvement, arrhythmia

Question 16

abnormal desmosomal proteins leads to which disease

Answer 16

ARVC

Question 17

abnormalities in myosin binding protein C leads to what disaease

Answer 17

HCM

Question 18

HCM abnormality

Answer 18

myosin binding protein C

Question 19

ARVC abnormal protein

Answer 19

desnisinak protein

Question 20

diagonal branches come off the…

Answer 20

LAD (l a D for diagonal)

Question 21

obtuse branches come off the

Answer 21

Circ (Obtuse starts with O which is a Circle)

Question 22

acute marginal branches come off the

Answer 22

RCA

Question 23

coronary branches

Answer 23

LAD-> diagonal
circ -> obtuse marginal
RCA -> acute marginal

Question 24

what is the ramus intermedius?

Answer 24

normal variant arise from LAD-Circ bifurcation (becomes a trifurcation)

Question 25

first most important prognostic factor on VAds that can be assessed by echo? 2nd?

Answer 25

1. RV function

2. Ao regurgitation (moderate and severe are bad)

Question 26

Speed of sound in tissue =

Answer 26

1540 m/s

Question 27

which apo is bad?

Answer 27

Apo B=Bad, responsible for atherogenicity of chylomicrons through LDL, ApoA is for HDL

Question 28

threshold to treat LDL?

Answer 28

> 190 or high risk/famhx >160

Question 29

first line tx Hcholesterol?

Answer 29

statin, 2nd line ezetimibe or cholestyramine

Question 30

side effect of cholestyramine?

Answer 30

cholesterol lowering agent that increases lipids

Question 31

meds for lipids

Answer 31

The Fs: fibric acid, gemfibrozil, fish oil

Question 32

If someone is on a statin and has hyperlipidemia, what is the drug of choice?

Answer 32

DON”T use gemfibroizil, will cause rhabdomyolysis (gem = ruby red)