Cardiology Board Review

The physical exam

100

Systolic crescendo decresendo murmur,

Soft to absent S2 if severe

Aortic stenosis

200

Name a murmur that decreases with more preload

HOCM

MVP

300

Short systolic murmur in young patient that disappears with squating

MVP

400

Isovolumetric relaxation correlates with this heart sound

S2

500

Isovolumetric contraction correlates with this heart sound

s1

Name that cardiomyopathy

100

Associated with high degree AVB, patchy uptake, restrictive cardiomyopathy, elevated ACE-i levels, peripheral opacities

Cardiac Sarcoidosis

200

Associated with systolic anterior motion, outflow obstruction, asymmetric septal hypertrophy

HOCM

300

Biventricular thickening, speckled echogenicity, LVH > 1.2 cm, restrictive physiology, atrial septal thickening, may have pericardial effusion

Amyloid CDM

400

Broad term for a cardiomyopathy with enhanced ventricular stiffness, impaired diastole, decreased ventricular volumes

Restrictive cardiomyopathies

500

Rapidly progressive necrotizing myocarditis that requires ICD placement at time of diagnosis regardless of EF

Giant Cell myocarditis

Cardiomyopathy therapies

100

Name a class 1 recommendation for HFpEF 

Diuretics

SGLTi

- points for either

200

EP therapy indicated for EF < 35%, NSR, QTS > 150 ms, with NYHA II-III or ambulatory IV symptoms on GDMT

CRRT

300

Level of recommendation for MRA in HFrEF < 40%

Level 1

400

FFR cut off for positive value in symptomatic ischemic heart disease

< 0.8 FFR

< 0.9 iFR

500

Name one class IIa recommendation for ICD therapy with HOCM

points for either:

recurrent syncope

extreme hypertrophy > 3 cm

Family history of SCD

Reduced LVEF

LV aneurysm

Pericardial Disease

100

Name one of the 2/4 criteria for pericarditis

Pericardial chest pain

ECG changes

Pericardial rubs

Pericardial effusion on imaging

200

Lab that should be checked in all pericarditis patients for stratification

CRP

300

Treatment for initial pericarditis

NSAIDS + colchicine

400

Treatment if initial pericarditis treatment of NSAID + colchicine fails if nonbacterial

Consider steroids

500

Which autoimmune phenomenon occurs from Fibrinous pericarditis > 1 month of MI?

Dresslers syndrome

Random Cardiology facts

100

Name a high risk features of pericarditis req. hospitalization

Fever

> 2 cm on echo

Lack of response of ASA/NSAIDS after 1 week

200

RCM vs constrictive pericarditis. Which would have concordant respiratory changes?

RCM

- CP is disconcordant

300

Name a rhythm which could utilize AV accessory pathways? (points for naming any 1)

AVNRT orthodromic or antidromic

Preexcited atrial tachycardia (WPW)

400

Name a CI for Brilinta

History of intracranial hemorrhage

Severe liver impairment

500

How is Propafenone metabolized mostly?

Liver

- dont use if cirrhotic