tx

Question 1

IgG4 AAA

Answer 1

steroids

Question 2

Type A aortic dissection

Answer 2

anti-HTN + sx

Question 3

Type B aortic dissection

Answer 3

anti-HTN (+maybe sx)

Question 4

drug hypersensitivity vasculitis

Answer 4

d/c offending agent

Question 5

giant cell (temporal) arteritis

Answer 5

steroids and anti-TNF (must! bc med emergency to prevent blindness)

Question 6

Polyarteritis Nodosa (PAN)

Answer 6

immunosuppression

Question 7

Kawasaki Disease (mucocutaneous LN synd)

Answer 7

none: goes away on own, buut aspirin, IV Ig to prevent MI

Question 8

Microscopic Polyangiitis (leukocytoclastic vasculitis/ hypersensitivity vasculitis)

Answer 8

immunosuppression

Question 9

Behcet Disease

Answer 9

immunosuppression (steroids) or TNF-antagonist

Question 10

Granulomatosis with Polyangiitis (Wegener Granulomatosis)

Answer 10

steroids, cyclophosphamide, TNF antagonists produce a relapsing, remitting disease

Question 11

pyogenic granuloma

Answer 11

Curettage and cautery are curative.

Question 12

pregnancy tumor

Answer 12

spont regress, undergo fibrosis, or req sx

Question 13

Bacillary Angiomatosis

Answer 13

macrolide antibiotics (erythromycin)

Question 14

classic KS

Answer 14

sx

-Disseminated disease (including lns): radiation for multiple lesions in a restricted area + chemo

Question 15

transplant assoc KS

Answer 15

withdrawl of immunosuppression

-maybe add chemo/rad

Question 16

aids assoc (endemic) KS

Answer 16

ARVT

Question 17

Epithelioid Hemangioendothelioma

Answer 17

excision is curative

Question 18

R sided HF

Answer 18

o	Diuretics to relieve fluid overload
o	ACEI’s to block RAAs
o	B-1 blockers to lower adrenergic tone
o	Mechanica assist devices
o	Resynchronizaion of electrical impulses to maximize cardiac efficiency

Question 19

ASD

Answer 19

sx

Question 20

coarctation of aorta w PDA

Answer 20

sx or catheter to occlude PDA

Question 21

coarctation of aorta w/wo PDA

Answer 21

grafting, ballooning, sx

Question 22

tetrology of fallot

Answer 22

Fixable with surgery

–But complicated for indivs w polm atresia and dilated bronchial arteries

Question 23

transposition of great a’s

Answer 23

Surgery is made to maintain VSD or Patent Foramen Ovale, while a reswitching of great vessels is made later in life.

Question 24

aortic stenosis

Answer 24

valve replacement

Question 25

mitral valve prolapse

Answer 25

mitral valve repair or replacement

Question 26

acute infective endocarditis

Answer 26

sx

Question 27

subacute IE

Answer 27

antb

Question 28

hypertrophic cardiomyopathy

Answer 28

B-blos or reduction of the myocardial mass (surgery of infusion of alcohol)

Question 29

constrictive pericarditis

Answer 29

sx to remove teh shell

Question 30

myxoma

Answer 30

sx