srg

Question 1

Peripheral ischemia after arterial catheterization

Answer 1

cholesterol embolism

Question 2

all patients w/ 3rd degree AV block should get

Answer 2

pacemarker

Question 3

LBBB

Answer 3

prolonged QRS, large, wide R wave in 1/V6; S wave in V1

Question 4

RBBB

Answer 4

wide S in 1/V6; RsR’ in V1

Question 5

Tx acute viral pericarditis; classic EKG finding

Answer 5

high dose NSAIDs –> low-dose colchicine or steroids; EKG is PR depression and diffuse ST segment elevations

Question 6

classic EKG finding for digitalis toxicity; Tx for this condition

Answer 6

atrial tachycardia w/ variable block; Tx is digitoxin-specific Ab fragments

Question 7

Findings and complications aortic dissection

Answer 7

widening mediastinum on CXR; variation >20mmHg right vs. left arm BPs; complications = acute ischemia, aortic regurg, cardiac tamponade

Question 8

Most important determinant of survival in cardiac arrest

Answer 8

time to defibrillation

Question 9

PCWP/CO/SVR in septic shock

Answer 9

low PCWP, low SVR, high CO

Question 10

PCWP/CO/SVR in hypovolemic shock

Answer 10

low PCWP, low CO, high SVR

Question 11

PCWP/CO/SVR in cardiogenic shock

Answer 11

high PCWP, low CO, high SVR

Question 12

anteroseptal MI

Answer 12

ST elevation V1-V4

Question 13

apical/lateral inarct is

Answer 13

ST elevation V4-V6

Question 14

Posterior wall infarction

Answer 14

a/w inferior wall infarction; ST depression V1-V2

Question 15

RV infarction

Answer 15

hypotension, elevated JVP, clear lung fields

Question 16

Alcoholic CM

Answer 16

dilated, Hx of EtOH, elevated ALT and AST; can reverse with ABSTINENCE

Question 17

Amyloidosis CM

Answer 17

restrictive, diastolic dysfunction, low EKG voltage

Question 18

multifocal atrial tachycardia is a/w

Answer 18

hypoxic COPD

Question 19

Tx of acute myocarditis

Answer 19

ACE-I; except for contraindications of acut renal failure, angioedema, or hyperkalemia