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Cardiology 5
*Cardio V,General Questions
21
Medical
Professional
07/26/2005

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Term
Aortic Disection is associated with which inherited abnormalities?
Definition
Marfans (AD); Erlers-Danlos (AD/AR/XR); and Turners (x/o, xx/xxx) {M-E-T}
Term
Describe the average blood supply to the AV node:
Definition
90% Right Coronary and 10% Left Circumflex
Term
List the lesions of Tetralogy of Fallot:
Definition
VSD-PS-Dex.Aorta-RVH
Term
List 5 causes of Right to Left Shunts:
Definition
Tet of Fallot...Tricuspid Atresia... Truncus Anteriosus...Transposition of Great Vessels...Total Anomalous Pulm. Venous Return.
Term
When looking at treatment scenarios for elevated "cholesterol" one normally looks at three divisions...
Definition
LDL...HDL...Triglycerides
Term
Only LDL is elevated...what to Rx?
Definition
NIACIN; Bile Acid sequestrants; or Statins. All the 1st line drugs.
Term
LDL and Triglycerides are elevated...what to Rx?
Definition
NIACIN (the only 1st line)...Gemfibrozil is the 2nd line as it does NOT lower LDL
Term
Triglycerides are up and HDL is down...what to Rx?
Definition
NIACIN; Gemfibrozil may increase LDL but it can be used.
Term
Describe the Ebstein Anomaly:
Definition
Congenital, Tricuspid valve has APICAL displacement of SEPTAL and POSTERIOR Tricuspid Valve leaflet. ATRIALIZATION of the R-Ventricle. Variable Malformation and displacemnt of Anterior Leaflet.
Term
Describe the Symtoms on presentation for Ebstein Anomaly:
Definition
CYANOSIS (R-L Atrial shunt)...Fatigue and Dyspnea with symptoms of Heart Failure. Palpitations and sudden cardiac death is possible. R-heart failure symptoms...paradoxical embolism, stroke, T.I.A. is possible.
Term
Describe the Physcial Findings for Ebstein Anomaly...
Definition
Cyanosis and Clubbing. The cyanosis is intermittent and transient. Episodic cyanosis with arrhythmias. Precordial Asymmetry...usually LEFT PARASTERNAL prominence. Possible RBBB or 1sst degree block. S1 is widely split...loud tricuspid component with delayed closure of elongated aterior tricuspid leaflet.
Term
What type of murmur might you hear with Ebstein Anomaly...
Definition
S1 widely split, S3 and S4 usually present, Holosystolic Murmur of Tricuspid Reguritation.
Term
What percentage of people with Ebstein Anomaly live to be older than 50 yo?
Definition
5% survive beyond 50 yrs old...(0.5% of Congenital Heart Disease is Ebstein Anomaly).
Term
NAME THE SHOCK?...High Cardiac Output; LOW vascular resistance; LOW wedge pressure?
Definition
Septic Shock
Term
NAME THE SHOCK?...LOW cardiac output; HIGH vascular resistance; LOW wedge pressure?
Definition
HYPOvolemic
Term
NAME THE SHOCK?...LOW cardiac output; HIGH vascular resistance; HIGH wedge pressure:
Definition
Cardiogenic Shock
Term
NAME THE SHOCK?...LOW cardiac output; HIGH vascular resistance; nml or low wedge pressure:
Definition
OBSTRUCTIVE Shock (PE or Tension Penumo)
Term
SCENERIO:..-PMH; Sudden CP; Looks ill; Strong family hx of sudden death; new onset A-fib...
Definition
Pulmonary Embolus; Protein C-deficiency (Male or Female)
Term
SCENERIO:...Recent INFERIOR wall MI 24 hours prior...Redevelopes Chest Pain and taken to Cath Lab with decreased cardiac output; PCWP = 10; RA = 15; PA = 20/11; BP = 75/50...What Happened?
Definition
Right Ventricular Infarct...with secondary failure...GIVE NS bolus...RV has decompensated and is unable to fill the left side.
Term
Stop a Stress Test when:
Definition
Systolic BP drops by 15mm; ST segment goes UP 2mm; V-tach; Chest pain, SOB or Light Headed; Remember ST depression (DOWN) of 1mm for 0.08 sec duration = (+) Stress Test
Term
What do you think when you have ANKLE swelling but NO JVD?
Definition
Pelvic Thrombophlebitis; Venous Varicosities; Cyclic edema; Hypoalbuminemia. (NOT Righ Heart Failure if NO JVD then NO failure)
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