Randa Medicine

Question 1

Mid-systolic murmur on right second intercostal space radiating to carotid is

Answer 1

aortic stenosis

Question 2

Hypertrophic Cardiomyopathy is also a ___ murmur.

Answer 2

systolic ejection

Question 3

Continuous murmur/machinery murmur/Gibson murmur which decreases with sitting is

Answer 3

PDA

Question 4

Ascendo-decrescendo systolic murmur radiating to carotid

Answer 4

Aortic stenosis

Question 5

Blowing early diastolic murmur (Decrescendo murmur) best heard at left sternal border + Traube’s sign

Answer 5

Aortic regurgitation

Question 6

mid diastolic murmur, just after opening snap

Answer 6

Mitral stenosis

Question 7

Severe mitral stenosis has valve area

Answer 7

<1

Question 8

mild mitral stenosis has valve area

Answer 8

> 1.5

Question 9

Pansystolic murmur

Answer 9

Mitral/tricuspid regurgitation

Question 10

____ is a mid-diastolic murmur best heart at apex

Answer 10

Austin flint murmur

Question 11

Mid diastolic murmur which is worsened by Valsalva or standing.

Answer 11

Mitral valve prolapse:

Question 12

SVT if patient is stable start with :

Answer 12

with vagal maneuvers then IV adenosine then CCB (verapamil/Diltazem) or Beta blockers.

Question 13

On ECG, a high peaked T wave is,

Answer 13

hyperkalemia

Question 14

A flat wave T wave in a vomiting patient is

Answer 14

hypokalemia.

Question 15

Adenosine cannot be given with _____.

Answer 15

theophylline

Question 16

In Early diastole

Answer 16

Aortic and pulmonary regurgitation.

Question 17

In Mid/late-diastole

Answer 17

Mitral and tricuspid stenosis.

Question 18

LDL goal in normal diabetic is

Answer 18

<100

Question 19

LDL in diabetic with CAD is

Answer 19

<70

Question 20

HTN how much is reduced by weight reduction:

Answer 20

5-20mmhg/10kg

Question 21

Flask shaped heart indicated

Answer 21

pleural effusion

Question 22

In severe (symptomatic) aortic stenosis avoid

Answer 22

nitrates, ACE and do surgery.

Question 23

Hard signs of vascular injury are

Answer 23

bruit, absent pulses, expandable hematoma, ischemia, or active hemorrhage other signs are soft.

Question 24

Initial therapy of CHF with low EF is

Answer 24

loop diuretic with an ACE or ARB

Question 25

Kussmaul’s sign (increase in JVP with inspiration) is seen in

Answer 25

constrictive pericarditis

Question 26

ECG digoxin toxicity is shown on ECG by

Answer 26

ST segment depression “reverse tick sign”

Question 27

Elective procedures are done __ months after MI

Answer 27

6

Question 28

Obstructive Cardiomyopathy with syncope and SOB managed by

Answer 28

Beta blockers

Question 29

Acute pericarditis is treated by

Answer 29

indomethacin

Question 30

Smoking decreases life expectancy by

Answer 30

10 years.

Question 31

situs invertus, chronic sinusitis, and bronchiectasis and can affect fertility.

Answer 31

Kartagener’s syndrome

Question 32

Pharmacological treatments for smoking cessation include

Answer 32

Varenicline, Bupropion, Nicotine replacement therapy.

Question 33

Pleuritic friction rub is associated with pneumonia so do ___

Answer 33

CXR

Question 34

Upper lobe cavitation with air fluid level indicates lung abscess which is treated with

Answer 34

clindamycin

Question 35

After 10 years of quitting smoking risk of dying from lung cancer drops by

Answer 35

half

Question 36

In PE most common ECG finding is

Answer 36

ST-Twave changes

Question 37

Low DLCO in COPD indicates

Answer 37

emphysema

Question 38

In PE most accurate diagnostic modality is ___ and V/Q is utilized as diagnostic modality in _____&____

Answer 38

CT Angio (spiral CT), renal disease patients and pregnant

Question 39

diffuse bilateral infiltration

Answer 39

Mycoplasma pneumonia

Question 40

lobar consolidation.

Answer 40

CAP

Question 41

Treatment of pneumonia is in less than 60

Answer 41

is macrolides (azithromycin/clindamycin) or doxycycline are 1st line

Question 42

Treatment of pneumonia if older than 60

Answer 42

fluroquinolone or second or 3rd generation cephalosporin.

Question 43

In CP patients respiratory failure type is

Answer 43

hypercapnic

Question 44

modality of choice to visualize endocarditis

Answer 44

TE echo

Question 45

Severe pleuritic chest pain and PH<7

Answer 45

empyema