onlinemeded-cards, pulm

Question 1

does angina have biomarker changes?

Answer 1

no, only STEMI/NSTEMI

Question 2

MI treatment

Answer 2

MONA BASH

Question 3

what medicine should you give patients with HOCM or MVP?

Answer 3

beta blocker

Question 4

main causes of syncope

Answer 4

vasovagal
orthostatic
cardiac: valve, arrhythmia
neurogenic: posterior circulation

Question 5

pericarditis on EKG

Answer 5

diffuse ST elevations

depressed PR segment

Question 6

Dx and Tx of constrictive pericarditis

Answer 6

Dx: echo

Tx: pericardiectomy

Question 7

indications for statin

Answer 7

vascular dz

LDL>190

LDL 70-189 + age 40-75 + DM

LDL 70-189 + age 40-75 + calc risk score of mortality (age, HTN, smoke, obesity, fam)

Question 8

high intensity statin types

Answer 8

atorvastatin 40,80
rosuvastatin 20, 40

chose this one

Question 9

when to choose moderate intensity statin

Answer 9

> 75 yo
statin intolerance
liver, renal dz

Question 10

BP measurement of urgent hypertension

Answer 10

> 220/120

Question 11

Fast EKG: Narrow QRS vs wide QRS conditions

Answer 11

narrow: SVT, afib
wide: torsades, vtach

Question 12

treatment for SVT

Answer 12

adenosine, shock

Question 13

treatment for torsades

Answer 13

Mg, shock

Question 14

treatment for v tach

Answer 14

amiodarone, shock

Question 15

slow EKG: narrow QRS vs wide QRS types

Answer 15

narrow: sinus brady, AV node block 1-2 II
wide: 3rd degree AV node block, interventricular arrhythmia

Question 16

AV node block- when atropine and when pace?

Answer 16

atropine up to 2nd AV node block II

if unstable –> pace

Question 17

paraneoplastic syn for small cell lung ca

Answer 17

ACTH

SIADH

Question 18

paraneoplstic syn for squamous lung ca

Answer 18

PTH-related protein

Question 19

treatment for chronic COPD

Answer 19

C-corticosteroids- ICS, po
O-oxygen to goal of SpO2 88-92
P-preventiative-vaccines, smoking
Dilators- short-acting, long-acting

Question 20

COPD exacerbation dx

Answer 20

CXR, ABG, EKG

Question 21

COPD treatment

Answer 21

abx: doxy, azithro

bronchodilators- albuterol, ipatropium q30

O2 supp

steroids- po if home or floor, IV if ICU

Question 22

dx for ILD

Answer 22

high res CT- ground glass opacities

PFT- restrictive

best- biospy

Question 23

treatment for ILD

Answer 23

steroids, DMARDs, biologics

Question 24

barbell bodies, think

Answer 24

asbestos on biopsy

Question 25

causes of ILD

Answer 25

``` idiopathic Rheum (SLE, RA) Sarcoid Drugs (bleomycin, amiodarone, RT) Exposures (asbestos, hypersens. pneumonitis, pneumoconicosis) ```

Question 26

three pneumoconicoses and their associations

Answer 26

silicosis- rock quarry, sand blasting berylliosis - aeronautics, electronics coal- Caplan syndrome

Question 27

hypersensitive pneumonitis

Answer 27

birds, antigen-mediated 24-28 post exposure, gone when removed