Review Cards

Question 1

• Epi of depression lifetime depression?
• Primary care: Present with depression symptoms? Somatic?
• Suicide with depression?
• HPA axis leads to? (3)
• Post partum depression?
• Cognitive treatment does what?
• Depression has increased risk of?

Answer 1

• Men = 7-12%; Women = 20-25%
• 10-40%; 70%
• 15%
• Higher endo inflamm, clotting, low BNDF
• 50% with previous post part or bipolar
• Focus on negative thinking
• Higher Htx, dyslipid, hep c

Question 2

• 3 views on ECHO and what they show?
• TEE good for?
• Spiral CT good for?
• Responsible for fatty streak? Plaque?
• Synthesis of plaque by? How? Signals? Degradation? How? Signals?
• Procoag? Anti coag?
• Vasodilators?
• Hand on chest?
• Internal thoracic for?

Answer 2

1. ) Long axis parasternal: LA, LV, Ao, RV
2. ) Short axis: LV, RV
3. ) Apical 4 chamber
   - COPD, prosthetic valves
   - PE, Ao dissection aneurysm
   - Endo cells; SM migration
   - SM cells; lay down collagen and elestin (+ PDGF, TGF-B; - IFN gamma); Foam cells, MMP’s, IL1,TNFa, MCP1
   - TF; Thrombomodulin, heparin
   - Levine
   - Left main

Question 3

• Ischemic preconditioning?
• Troponins?
• Blood supply: SA? AV? BofH? RBB? LBB?
• Fusiform? Saccular?
• Aneurysm due to? Tied to?
• Dissection tied to?
• DVT can lead to? (2) Sign?
• Endo lining of heart? Muscular?
• coarction common with?
• 5 Layers of embyotic heart?

Answer 3

• Previous ischemia = better outcomes
• Up earlier and down later
• RCA; RCA; LAD; LAD/RCA; LAD
• Both sides aneur., one side
• Cystic medial degrad., athero
• Htx
• PE and postphlebitic syndrome; paon with calf dorsiflexion
• Endo; splanchnic meso
• Turners
• Truncus arteriousus (Ao/PA); Bulbus cordis (Vent. outlet); PV; PA; Sinus venosus (RA)