PANCE Cardiology Flashcards
1
Q
what leads are anterior wall
A
V1- V4
2
Q
what leads are lateral
A
V5-V6 I, AVL
3
Q
what leads are inferior
A
II,III, AVF
4
Q
Sinus tach rate
A
> 100
5
Q
sinus tach tx
A
- none
6
Q
sinus brady rate
A
< 60
7
Q
sinus brady tx
A
atropine
8
Q
sick sinus syndrome tx
A
pacemaker
9
Q
tx 1st degree block
A
none
10
Q
tx 2nd degree block
A
atropine + PM
11
Q
Tx 3rd degree block
A
PM
12
Q
tx for stable atrial flutter (2)
A
BB
CCB
13
Q
tx for unstable atrial flutter (2)
A
cardiovert
-ablation
14
Q
irregularly irrregular
A
a fib
15
Q
what is the tx for a fib 3
A
BB
CCB
anti coag if CHADSVAS > 1
16
Q
does a fib have P waves
A
no
17
Q
unstable A fib what do you do
A
cardiovert
18
Q
what if they have a chads vas of 0 or 1
A
Aspirin
19
Q
what medications cause long QT (2)
A
macrolides
TCA
20
Q
what is the 2 tx for SVT (narrow)
A
- Vagal
- adenosine
21
Q
what is the 2 tx for SVT (wide )
A
- amniodrone
- cardiovertion
22
Q
what is the Tx for WPW
A
procanimide
23
Q
what is the tx for PVC
A
none
24
Q
what is the tx for stable V tach
A
amniodroine
25
what is the tx for pulseness V tach
dfib
26
what is the MC cause of torsades
hypomagnesia
27
what does ST depression mean
ischemia
28
what does ST elevation mean
MI
29
diffuse ST elevation
acute pericarditis
30
what is it called when coronary demand > supply
CAD
31
what are the top 3 causes of CAD
- DM
- smoking
- hyperlipidemia
32
what are the top 3 causes of CAD
- DM
- smoking
- hyperlipidemia
33
what leads are anterior wall
V1- V4
34
what leads are lateral
V5-V6 I, AVL
35
what leads are inferior
II,III, AVF
36
Sinus tach rate
> 100
37
sinus tach tx
- none
38
sinus brady rate
< 60
39
sinus brady tx
atropine
40
sick sinus syndrome tx
pacemaker
41
tx 1st degree block
none
42
tx 2nd degree block
atropine + PM
43
Tx 3rd degree block
PM
44
tx for stable atrial flutter (2)
BB
| CCB
45
tx for unstable atrial flutter (2)
cardiovert
| -ablation
46
irregularly irrregular
a fib
47
what is the tx for a fib 3
BB
CCB
anti coag if CHADSVAS > 2
48
does a fib have P waves
no
49
unstable A fib what do you do
cardiovert
50
what if they have a chads vas of 0 or 1
Aspirin
51
what medications cause long QT (2)
macrolides
| TCA
52
what is the 2 tx for SVT (narrow)
- Vagal
| - adenosine
53
what is the 2 tx for SVT (wide )
- amniodrone
| - cardiovertion
54
what is the Tx for WPW
procanimide
55
what is the tx for PVC
none
56
what is the tx for stable V tach
amniodroine
57
what is the tx for pulseness V tach
dfib
58
what is the MC cause of torsades
hypomagnesia
59
what does ST depression mean
ischemia
60
what does ST elevation mean
MI
61
diffuse ST elevation
acute pericarditis
62
what is it called when coronary demand > supply
CAD
63
what is the MC cause of CAD
atherosclerosis
64
what are the top 3 causes of CAD
- DM
- smoking
- hyperlipidemia
65
what are the three angina equilivants
epigastic
shoulder
dyspnea
66
what is the MC agent used in a pharm stress test
adenosine
67
what is the MC agent for a stress echo
debutimine
68
what is under the ACS umbrella
- unstable angina
- NSTEMI
- STEMI
69
what is the MC cause of MI
atherosclerosis
70
Troponin
- appears
- peaks
- lasts
- appears: 4-6 hrs
- peaks: 12-24 hrs
- lasts: 7-10 days
71
management of UA, NSTEMI (4)
1. BB
2. aspirin
3. heprin
4. Nitro
72
management of STEMI (5)
1. BB
2. aspirin
3. heprin
4. Nitro
5. ace
6. PCI
73
PCI done how fast after STEMI
90 min
74
post MI pericarditis
Dresslers syndrome
75
how do you treat cocaine induced MI
- benzos
| - avoid beta blockers
76
coronary artery vasospasm tx
CCB
77
what heart sound is systolic HF
S3
78
what type of HF is a dilated LV
systolic HF
79
what is the MC of transudative plural effuion
CHF
80
what is the MC symptom of L sided CHF
dyspnea
81
what pathology is associated with kerly B lines
CHF
82
what are the 2 MC causes of acute pericarditis
1. idiopathic
| 2. coxackie
83
do people with pericarditis have fever
yes (most often)
84
what is the tx for acute pericarditis
NSAID + cholchicine
85
what pathology kusmals sign associated with
constrictive pericarditis, restrictive pericarditis
| - inc JVD with inspiration
86
what is the MC viral cause of myocarditis
coxsackie
87
what are the 2 MC autoimmune causes of myocarditis
- SLE
| - rheumatic fever
88
what is the gold standard dx for myocarditis
biopsy
89
what two positions increase the sound of hypertrophy cardiomyopathy
squatting
| supine
90
what is the jones criteria associated with
rheumatic fever
91
what is the jones criteria
```
Joint
Oh my heart
Nodules
Erythema marfinatm
Sydenhams chorhea
```
92
rheumatic fever Tx
- asprin + Pen G
93
what is the goal BP for JNC 8
140/90
| - 150 / 90 if > 60 years old
94
look up diaretics on page 52
truth
95
HTN emergency what 2 meds
- nicardipine
| - labetalol
96
what medication is best for HDL
niacin
97
ABE cause
S aureus
98
ADE IVDU cause
MRSA
99
ABE valve
Mitral
100
Jane way lesions
Oslar nodes
what pathology
infective endocarditis
101
what is the tx for PV infective endocarditis
vanco
Gent
rifan
102
what is the tx for NV infective endocarditis
Nafcillin + Gent
