Term
| 34yowf c h/o tobacco presents with severe substernal anginal S&S. Watching TV and pain was not related to exertion. ECG shows ST elevation. Dx? |
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Definition
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Term
| Prinzmetal's angina is caused is... |
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Definition
| Caused by vasospasms at rest |
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Term
| What is the Tx of choice for Kawasaki's? |
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Definition
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Term
| What test needs to be be completed at the time of Dx, as well as serially along the course of Kawasaki's? |
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Definition
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Term
| Which is not a diagnostic criteria for Kawasaki's? |
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Definition
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Term
| Which of the following can cause necrotising mediastinitis? |
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Definition
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Term
| Which of the following is NOT a risk factor for necrotising mediastinitis? |
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Definition
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Term
| What is the best Dx test for necrotising mediastinitis? |
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Definition
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Term
| What are the 4 determinants of CO? |
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Definition
| HR, Preload, Afterload, Contractility |
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Term
| What is the Dx test of choice for cardiac tamponade? |
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Definition
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Term
| What are the components of Beck's Triad? |
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Definition
| Hypotension, Muffled heart sounds, +JVD |
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Term
| Assuming that you have an aortic dissection that is dissecting both distally and proximally to the subclavian artery, which Debakey Class? |
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Definition
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Term
| Same patient as above, Stanford Class? |
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Definition
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Term
| How would you BEST go about Tx a symptomatic pt with an acute rupture of aortic aneurysm and aortic dissection? |
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Definition
| Emergent replacement of the ascending aorta and immediate BP control |
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Term
| Aortic dissection can be ruled out in a hypotensive pt with a normal CXR? |
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Definition
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Term
| Pt presents to ER c/o acute onset, stabbing chest pain. No h/o renal dysfxn. The imaging TOC for this pt is? |
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Definition
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Term
| Aortic dissection is suspected, and pharmacotherapy initiated. Which med would you give first? |
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Definition
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Term
| The diagnosis of PVA can be verified by all of the following procedures except what? |
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Definition
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Term
| Which of the following meds is contraindicated in the Tx of PVA? |
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Definition
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Term
| In the presence of anginal episodes, which of the following pts would most likely have a Dx of PVA? |
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Definition
| 28yo F c PMH of migraines and SH of cigarette smoking |
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Term
| Which of the following is not a cause of A Fib? |
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Definition
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Term
| Which of the following pts can undergo cardioversion without prior anticoagulation if in AFib? |
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Definition
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Term
| What is recommended INR range for Coumadin therapy? |
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Definition
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Term
| What is the initial elevation of Cardiac Troponin I? |
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Definition
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Term
| What is the most specific cardiac enzyme indicating myocardial ischemia? |
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Definition
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Term
| What HTN meds can lead to acute angioedema as a side effect? |
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Definition
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Term
| Common causes of constrictive pericarditis include all of the following except what? |
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Definition
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Term
| Initial Tx of constrictive pericarditis include what? |
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Definition
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Term
| Which of the following is a diagnostic finding consistent with constrictive pericarditis? |
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Definition
| Pericardial thickening >4mm seen on cardiac MRI |
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Term
| Which anti-hypertensives are contraindicated in Tx of prevention of PPCM? |
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Definition
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Term
| What is the peripartum time frame required for the Dx of PPCM? |
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Definition
| During the last month of pregnancy or within 5mths of delivery |
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Term
| What are the S&S of PPCM? |
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Definition
| Peripartum dyspnea, chest discomfort, dizziness, and decreased exercise tolerance |
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Term
| Which of the following is NOT a risk factor for endocarditis? |
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Definition
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Term
| 45yom presents LE edema and says he's had to sleep on extra pillow for the past few weeks. He mentions that he has been told he has a bicuspid aortic valve. On PE, you notice track marks on his arms, crackles in the bases of his lungs, and an early diastolic decrescendo murmur. What radiographic findings would support your Dx of aortic insufficiency due to endocarditis? |
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Definition
| Cardiomegaly and aortic root dilatation |
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Term
| When a pt receives a mechanical heart valve, what type of drug wil they need for the rist of their lives? |
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Definition
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Term
| A 72yo recently widowed female is hospitalized with an acute anterior MI. Echo reveals left ventricular apical ballooning, yet cardiac cath reveals clear coronary arteries. What is the most likely Dx? |
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Definition
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Term
| 45yo smoker is obese, does not exercise, and consumes a high fat and high sodium diet. He was recently diagnosed with angina by his healthcare provider. What lifestyle change will have the best long-term improvement to his risk profile? |
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Definition
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Term
| 52yo male with no significant PMH and no current complaints undergoes a screening EKG. The rhythm strip shows 5-6 beat runs of wide QRS complexes. Which of the following meds should be administered now? |
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Definition
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Term
| Which cardiac enzyme rises first in an AMI? |
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Definition
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Term
| Mrs. SJ is a 60yowf. She presents to your clinic for an annual PE. She smokes 3 packs/day but exercises 3X/wk. her mother died at age 57 of an AMI. Today her BP is 120/86. How many cardiac risk factors? |
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Definition
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Term
| A pt presents with CP and SOB. On EKG he has ST segment elevation in leads I, aVL, V3, V4, V5 and V6. What is the location of this AMI? |
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Definition
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Term
| What are painful, red, raised lesions found on the hands and feet called? |
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Definition
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Term
| IV drug use is a risk factor for endocarditis, especially involving the tricuspid valve |
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Definition
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Term
| What is a common EKG finding with Aortic Stenosis? |
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Definition
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Term
| What is the common triad of symptoms for Aortic Stenosis? |
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Definition
| Syncope (often exertional), angina, and heart failure |
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Term
| What is the Tx of choice for WPW syndrome? |
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Definition
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Term
| Which of these is NOT a classic EKG finding of someone with WPW syndrome? |
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Definition
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Term
| Which physiologic method of conduction through an accessory pathway will present with EKG abnomalities? |
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Definition
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Term
| 4 month old presents to your clinic with tachycardia, tachypnea and is small on the growth chart. ECG reveals R atrial enlargement, hypertrophy and axis deviation. Auscultation reveals fixed split S2 and pulmonary flow murmur. What congenital heart defect would you suspect the most in the pt? |
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Definition
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Term
| Where is the most common location of septal defect in TAPVR? |
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Definition
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Term
| What is the most worrisome type of anomalous venous return condition? |
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Definition
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Term
| If you suspect a pt to have a primary cardiac tumor, which is it most likely to be? |
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Definition
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Term
| 73yowf presents with SOB, unintentional wt loss and fatigue. Echo shows a tumor in the Left Atrium. The pt remembers that her mother had this problem, too. Which of the following might you also find to explain this familial trend? |
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Definition
| Pigmented skin lesions and Endocrine Neoplasia |
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Term
| 80yowf reports to our clinic c/o fatigue. She has an elevated sedimentation rate, and signs of peripheral embolization. Echo reveals a left atrial myxoma. Which of the following might you hear on physical exam? |
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Definition
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Term
| Which of the following is not a S&S of myocarditis? |
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Definition
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Term
| Definitie Dx of myocarditis requires what? |
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Definition
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Term
| You suspect myocarditis in a middle-aged man that presents with nonspecific chest and abdominal pain. Which of the following would be a plausible Echo finding to strengthen your Dx? |
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Definition
| Dilated right atrium, pulmonary HTN, EF 20%, Apical hypokinesis |
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