Revision Flashcards

(33 cards)

1
Q

What is the major criteria for Infective endocarditis diagnosis?

A

Positive blood culture

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2
Q

What is the best imaging to detect the valve vegetations of IE?

A

transesophagheal echocardiography

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3
Q

What are the symptoms of acute pericarditis?

A

Chest pain

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4
Q

What is the sign of acute pericarditis upon inspection?

A

Pericardial friction rub, a scratching sound

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5
Q

What is cardiac tamponade?

A

When fluid accumulates in the pericardial space, compressing the heart

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6
Q

What is the symptom of Cardiac Tamponade?

A

Acute dysnpnea

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7
Q

The signs of cardiac tamponade are?

A

Beck’s Triad, that being hypotension, muffled heart sounds, and elevated jugular venous pressure

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8
Q

What is constrictive pericarditis?

A

The formation of a tough shell around the heart, thus preventing heart expansion

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9
Q

What are the clinical presentations of constrictive pericarditis?

A

Engorged neck veins, right sided heart failure predominantly, and ascites

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10
Q

What is the most common cause of mitral valve stenosis?

A

Rheumatic fever

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11
Q

What do we find when we auscult Mitral valve regurgitation?

A

A muffled first heart sound, and harsh pan systolic murmur over the apex that propagates to the axilla

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12
Q

What are the physical signs of Pulmonary hypertension?

A

Diastolic shock, ejection systolic murmur

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13
Q

What do we see when we do a chest x-ray for pulmonary hypertension?

A

Aneurysmal dilatation of the pulmonary artery

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14
Q

When treating hypertension when do we not prescribe ACE Is and ARBS?

A

during pregnancy

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15
Q

What therapies do we not namely use in pregnancies?

A

Bosentan and Ambrisentan

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16
Q

At what point do we declare a hypertensive emergency?

A

When BP exceeds 180/110

17
Q

There are 2 types of arryhthmias, the Supraventicular’s ECG presents as?

A

Narrow QRS complex

18
Q

Ventricular arrhythmias ECG presents as?

A

Wide QRS complex

19
Q

What does tachycardia and bradycardia mean?

A

Tachy means fast, brady means slow

20
Q

Adult pulmonary valve stenosis sounds like?

A

Ejection systolic murmur over the pulmonary area

21
Q

What is Aortic coarctation?

A

When the aorta gets narrowed at one bit, as if it was pressed on

22
Q

What is Tetralogy of Fallot?

A

A combined birth defect of many features, a ventricular septal defect, overriding aorta, what not

23
Q

What does Tetralogy of fallot present as?

A

Cyanotic clubbing, squatting increases it

24
Q

Tetralogy of fallot puts patients at a high risk of?

A

Infective endocarditis

25
What is the key investigation to diagnose HF?
Echocardiography
26
How does HF present?
Acute dyspnea, hemoptysis of pink colour
27
How do we treat HF?
IV diuresis and vasodilators
28
How do we treat atherosclerosis?
Nitrates and beta blockers
29
How do nitrates treat atherosclerosis?
They vasodilate
30
How do beta blockers treat atherosclerosis?
They reduce heart rate
31
If nitrates and beta blockers fail, how do we treat atherosclerosis?
Revascularization
32
How do we treat STEMI?
Via mechanical reperfusion
33
What if it’s too late for mechanical re-perfusion to treat STEMI, what do we do?
We conduct fibrinolytic therapy