Term
| Classic ECG finding in atrial flutter |
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Definition
"Sawtooth" P waves
http://www.doctortipster.com/wp-content/uploads/2011/08/Atrial-flutter-ECG.gif |
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Term
| Definition of unstable angina |
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Definition
Angina that is:
-New
-Is worsening
-Occurs at rest |
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Term
| Antihypertensive for a diabetic patient with proteinuria |
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Definition
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Term
| Beck's traid for cardiac tamponade |
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Definition
-Hypotension
-Distant heart sounds
-JVD |
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Term
| Drugs that slow heart rate |
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Definition
-B-Blockers
-CCBs
-Digoxin
-Amiodarone |
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Term
| Hypercholesterolemia treatment that leads to flushing and pruritis |
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Definition
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Term
Murmur--Hypertrophic obstructive cardiomyopathy (HOCM)
-Systolic or diastolic?
-Location?
-What makes it louder? |
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Definition
-Systolic Ejection murmur
-Lateral sternal border
-Louder with DECREASED preload (Valsalva) |
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Term
Murmur--Aortic Stenosis
-Systolic or diastolic?
-Description of sound?
-Radiation?
-What makes it louder? |
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Definition
-Systolic crescendo/decrescendo Ejection murmur
-Radiates to the neck
-Louder with INCREASED preload (squatting) |
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Term
Murmur--Aortic insufficiency
-Systolic or diastolic?
-Description of sound?
-Best heard when doing what?
-What makes it louder? |
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Definition
-Austin Flint Murmur
-Diastolic, Decrescendo, low-pitched, blowing murmur
-Best heard sitting up.
-Louder with increased afterload (handgrip) |
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Term
Murmur--Mitral regurgitation
-Systolic of diastolic?
-Radiation?
What makes it louder? |
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Definition
-Holosystolic murmur
-Radiates to Axilla
-Increased with increased afterload (handgrip) |
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Term
Murmur--Mitral Stenosis
-Systolic or diastlic?
-Special characteristics? |
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Definition
-Diastolic murmur
-Preceeded by an opening snap |
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Term
| Treatment for A-Fib and A-Flutter? |
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Definition
-Unstable: Cardiovert
-Stable/Chronic: Rate control with CCBs/BBs |
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Term
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Definition
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Term
| What is Dressler's Syndrome? Presentation? |
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Definition
An autoimmune reaction 2-4 weeks post-MI:
-Fever
-Pericarditis
-Increased ESR |
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Term
| IVDA with JVD and a holosystolic murmur at the left sternal border. Treatment? |
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Definition
-Treat existing heart failure
-Replace tricuspid valve
[Tricuspid regurgitation] |
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Term
| Diagnostic test for hypertrophic cardiomyopathy |
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Definition
Echocardiogram
-Shows a thickened left ventricular wall and outflow obstruction. |
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Term
Pulsus paradoxus.
-What is it?
-What causes it? |
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Definition
-Decrease in SBP > 10 mmHg with inspiration.
-Cardiac tamponade |
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Term
| Classic ECG finding in pericarditis |
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Definition
| Low-voltage diffuse ST-segment elevation |
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Term
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Definition
| BP >140/90 on 3 separate occasions 2 weeks apart |
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Term
| Eight surgically correctable causes of HTN |
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Definition
1-Renal artery stenosis
2-Coarctation of the aorta
3-Pheochromocytoma
4-Conn's Syndrome
5-Cushing's Syndrome
6-Unilateral Renal Parenchymal Disease
7-Hyperthyroidism
8-Hyperparathyroidism |
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Term
| Evaluation of a pulsatile abdominal mass and bruit |
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Definition
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Term
| 3 indications for surgical repair of a AAA |
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Definition
1: >5cm
2: Rapidly enlarging
3: Symptomatic or ruptured |
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Term
| Treatment for Acute Coronary Syndrome |
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Definition
Heparin
Clopidogrel
IV B-Blockers
MONA |
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Term
Metabolic Syndrome
-Diagnostic criteria?
-Complications |
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Definition
Criteria (WEIGHT)
WE - Waist Expanded
IG - Impaired Glucose
H - HDL low
T- TG > 150
Complications:
HTN
Insulin Resistance
Prothrombotic or proinflammatory status |
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Term
Appropriate diagnostic test:
1- 50yo man with stable angina that can exercise to 85% of maximum predicted heart rate.
2- 65yo woman with LBBB and severe osteoarthritis has unstable angina. |
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Definition
1- Exercise stress treatmill with ECG
2- Pharmacologic stress test (e.g., Dobutamine Echo) |
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Term
| Target LDL in a patient with DM |
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Definition
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Term
| Signs of active ischemia during stress test |
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Definition
-Angina
-ST Segment changes on ECG (depression)
-Hypotension |
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Term
| ECG findings suggesting MI |
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Definition
-ST Elevation [depression = ischemia]
-Flattened T-waves
-Q-waves |
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Term
Coronary territories in MI
-Anterior Wall?
-Septum?
-Inferior Wall?
-Posterior Wall? |
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Definition
-Anterior wall: LAD/Diagonal
-Septum: LAD/Diagonal
-Inferior Wall: PDA
-Posterior Wall: Left Circumflex/Oblique, RCA/Marginal |
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Term
| A young patient with angina at rest and ST elevation with normal cardiac enzymes |
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Definition
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Term
| 3 Common symptoms associated with silent MIs |
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Definition
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Term
|
Definition
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Term
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Definition
| Reverses the effects of heparin |
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Term
| Prothrombin time is affected by which drug? |
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Definition
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Term
| A young patient with a FHx of sudden death collapses and dies while exercising |
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Definition
| Hypertrophic cardiomyopathy |
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Term
| Endocarditis prophylaxis regimens |
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Definition
Oral Surgery:
-Amoxicillin for certain situations
GI/GU Procedures
-Not recommended |
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Term
|
Definition
-Stasis
-Hypercoagulability
-Endothelial damage |
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Term
| The MCC of HTN in young women |
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Definition
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Term
| The MCC of HTN in young men |
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Definition
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|
Term
|
Definition
Coarctation of the aorta
http://images.radiopaedia.org/images/2173775/6e811d3218a49cb6178245b4a2b78a.png |
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Term
| Water-bottle-shaped heart |
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Definition
Pericardial effusion.
-Look for Pulsus paradoxus
http://image.slidesharecdn.com/cardiactamponade-140904122431-phpapp02/95/cardiac-tamponadepericardial-effusion-11-638.jpg?cb=1409833509 |
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