Physio + BM

Question 1

C/F of Perivalvular abscess in IE

Answer 1

New conduction abnormality (ex: AV block)

Question 2

Tx: IE with heart failure

Answer 2

Mechanical Valve Placement

Question 3

C/F of Eisenmenger Reaction (shunt reversal)

Answer 3

• Palpable right parasternal heave
• Pronounced S2

Question 4

Duke Criteria for IE

Answer 4

1.Predisposing heart condition
2. Fever
3. Vascular phenomena (splinter hemorrhages, etc)
4.Immunologic phenomena (glomerulonephritis, Roth spots)
5. Positive blood culture

Question 5

Strep. sanguinis?

Answer 5

• same as Viridans streptococci
• MCC of IE in: damaged native heart valves or dental procedures

Question 6

Tx of IE w. Cardiobacterium hominis

Answer 6

• Part of HACEK organisms; gram neg bacteria
• 3rd gen cephalosporins (Ceftriaxone)

Question 7

IE with S. gallolyticus associated with:

Answer 7

Underlying colorectal cancer

Question 8

Pathogen of IE assoc. with healthcare IE

Answer 8

S. aureus

Question 9

Pericarditis has increased risk for:

Answer 9

Cardiac tamponade

Question 10

IVDU with fever, night sweats, weakness and TR murmur

Answer 10

Right side IE

Question 11

Complication of right side IE

Answer 11

Septic pulmonary embolism

Question 12

Inferior wall MI- what is blood supply?

Answer 12

RCA (right coronary artery)

Question 13

MCC of acute pericarditis

Answer 13

Viral infection

Question 14

What heart sound is present in Constrictive pericarditis (calcified cardiac silhoutte)?

Answer 14

pericardial knock- high pitched, early diastolic

Question 15

C/F of Acute Pericarditis

Answer 15

• retrosternal chest pain that radiates to back
• hx of recent viral infection
• high pitched friction rub

Question 16

Tx of methicillin-susceptible S. epidermidis

Answer 16

IV nafcillin + rifampin + gentamicin