Exam 2 Review

My little ticker

100

forceful, bounding pulse that rapidly rises and then collapses is seen in what valvular disease? 

(Corrigan pulse)

What is Aortic Regurg?

200

What is the classical triad seen in aortic stenosis?

What is syncope, angina, dyspnea?

300

S4 gallop is associated with what type of heart failure?

What is diastolic heart failure?

400

My triad consists of: hypotension, muffled heart sounds, and JVD.

What is Beck's Triad?

500

Name 3 groups of people who should get endocardititis prophylaxis for a dental procedure

1. Patients with prosthetic heart valves or who have undergone heart valve repair with prosthetic material.
2. Patients with a history of previous infective endocarditis.
3. Patients with certain congenital heart defects, including:
   • Unrepaired cyanotic congenital heart disease, including those with palliative shunts and conduits.
   • Completely repaired congenital heart defects using prosthetic material or devices within the first six months after repair.
   • Repaired congenital heart disease with remaining defects near the site of prosthetic material. 
4. durable mechanical circulator support device
5. Cardiac transplant recipents with cardiac valve issues

Lub Dub

100

What is a blood test you should consider doing at least once in a patients lifetime to access risk of heart disease in relation to cholesterol?

Lipoprotein A

200

In treating tachycardia, this medication can cause hypotension, increased LFTs,, and thyroid issues

What is amiodarone?

300

A 40 year patient has stage 1 htn and a 10 year CV risk score of 2%.  Does this qualify her for a blood pressure medication?

No, Under updated guidelines from the American Heart Association, a patient with stage 1 hypertension (130–139/80–89 mmHg) and a 10-year cardiovascular risk below 7.5% should first undergo a 3- to 6-month trial of lifestyle modifications.

400

If a patient cannot take an ACEI because it causes dry cough, what is their next best option?

What is ARB?

500

True or False:  Fever is a major Duke's criteria for endocarditis.

False

My <3 beats for you

100

Chest pain + elevated troponin + no ST elevation. Diagnosis?

NSTEMI

200

Diabetic patient with CAD needs LDL reduction. Best medication class?

Statin

300

Stable angina patient cannot tolerate beta blockers due to severe asthma. Alternative?

CCB

400

Patient with stable angina wants prevention of future MI. Essential medication? 

What is asa?

500

Bradycardia, hypotension, warm dry skin after spinal cord injury. Type of shock?

Neurogenic

Mi Corazon

100

Apical balloning on echo - think of what disease

What is stress induced cardiomyopathy?

200

Obstructive shock from cardiac tamponade. Definitive treatment?

What is pericardiocentesis?

300

I am a class of medication used to treat hypertrophic cardiomyopathy.

What are BB? 

400

What is Dressler's syndrome?

It is a form of pericarditis, or inflammation of the sac surrounding the heart, that develops after heart damage, such as from a heart attack or surgery ( 2-10 weeks later, give or take)

500

I am a medication used in to treat atrial and ventricular arrhythmia that can cause drug-induced lupus like syndrome.

Procainamide

Surprise

100

Atropine treats what

What is symptomatic sinus bradycardia?

200

BP 188/110 without symptoms or end-organ damage. Diagnosis?

HTN Urgency

300

Hypertension + proteinuria in diabetes. Best medication class?

What is ACEI or ARB?

400

Most common side effect of loop diuretics?

What is hypokalemia?

500

ACE/ARB/ARNI

BB

MRA

SGLT2

Treat what?

What is CHF?