My Heart Won't Go On
While evaluating an EKG of a patient with palpitations, you note delta waves. What condition does this patient most likely have?
Wolff-Parkinson White Syndrome
DeBakey Classification type that originates in the ascending aorta and propagates at least to the aortic arch
Type I
A 4-year-old boy presents to her pediatrician’s office for a well-child visit. He and his parents report no concerns except for occasional headaches. During the evaluation of his vital signs, his LE SBP is found to be more than 20 mmHg less than his UE SBP. His femoral pulses are 1+ bilaterally and radial pulses are 2+ bilaterally. You can hear a systolic murmur upon auscultation with radiation to the back. What is the most likely diagnosis?
Coarctation of the Aorta
What is the INR goal for patients with a mechanical valve or hypercoagulable state?
2.5 - 3.5
This medication blocks absorption of both dietary and bile-secreted cholesterol in the small intestine
Ezetimibe
- "food and family"
On an EKG, a progressively increasing PR interval until a P wave is not conducted is associated with what condition?
2nd degree AV block
- Mobitz I/Wenckebach
U/S and CT Surveillance for patients with stable Abdominal Aortic Aneurysms should be done at what time interval?
Every 6-12 months
What is the MC cardiovascular defect in childhood?
Ventricular Septal Defect
What agent can be used for as the reversal/antidote of fibrinolytics?
Amniocaproic acid
What is considered the 5th vital sign?
PAIN
What is the typical pattern seen on EKG with Atrial flutter?
"Saw-tooth" Pattern
This imaging tool is better in identifying dissections of the arch and the descending aorta.
Transesophageal Echocardiogram (TEE)
Paradoxical emboli are associated with which congenital heart defect?
Atrial Septal Defect
This class of antiarrhythmic drugs decrease conduction through the AV node, by blocking catecholamines, reducing rate of discharge of the sinus and ectopic pacemakers, and increase the effective refractory period of the AV node
Class II: Beta-Blockers
What disease is the M protein associated with?
Multiple Myeloma
Which tick-borne disease is most likely to be associate with an AV block?
Lyme disease
A phosphodiesterase inhibitor with vasodilator and antiplatelet properties that decreases claudication by 40-60% and improves QOL.
Cilostazol
The most effective medical therapy for PAD
What are the congenital defects seen in the Tetralogy of Fallot?
- Defect (Ventricular Septal Defect)
- Right Ventricular Hypertrophy
- Overriding Aorta
- Pulmonic Valve Stenosis
Warfarin has interactions with which major foods?
Vitamin K - leafy greens
High protein diets
Juices - Grapefruit, Cranberry, Mango
Alcohol
Bitemporal hemianopsia is caused by a lesion of what part of the optic pathway?
Optic Chiasm
First-line treatment of Torsades de Pointes in a hemodynamically stable patient
Magnesium Sulfate 2g IV
Suspect this disease in young smokers with distal extremity ischemia/ischemic ulcers or gangrene of the digits
Buerger's Disease
(Thromboangiitis Obliterans)
A 7-day-old infant is brought to the pediatrician’s office for poor feeding. She was born to a first-time mother without any complications. The mom reports that her infant seems to tire easily when feeding to the point that she is worried about her food intake. On physical exam, the infant has lost more weight than expected. Cardiac exam reveals a continuous machine-like murmur at the left sternal border with a widened pulse pressure. What would be the first-line medication tx for this defect?
Indomethacin for closure of PDA
What pregnancy category is warfarin in?
Category X
Who is the father of the PA profession?
Eugene Stead, MD