*Residency Reverb

Question 1

Name 3 ways to assess for pulmonary HTN by echocardiography.

Answer 1

1) ventricular septal position
2) calculated estimate based on (if present)
3

Question 2

What EKG

Answer 2

F

Question 3

Describe how an atrial septostomy might be beneficial for a patient with pulmonary hypertension.

Answer 3

Pop off

Decreased mortality

Question 4

What are 2 top presenting symptoms for which you should consider pulmonary hypertension on the differential?

Answer 4

Exertional dyspnea, syncope

Question 5

Based on the 5/1 Grand Rounds on pulmonary hypertension, name one way the FDA is stupid.

Answer 5

Sildenafil barko trial

Question 6

What parasitic disease is associated with pulmonary hypertension?

Answer 6

Schistosomiasis

Question 7

A hypertensive patient has a seizure. What unique neurologic diagnosis (associated with hypertension) should be on your differential?

Answer 7

PRES

Question 8

A patient with pulmonary hypertension gets worse (more crackles, work of breathing, O2 Sat) when you start him on a pulmonary vasodilator (e.g. sildenafil, iNO). What cardiac structural abnormality must you consider?

Answer 8

Pulmonary vein stenosis