Murmurs
Heart Sounds
HF Drugs
Cardiac Labs
Cardiac Mechanics
100

It is pansystolic and radiates to axilla

What is mitral regurgitation

100

This heart sound is located at the right 2nd intercostal space

What is aortic

100

This drug is effective when kidney function is impaired, reduces blood volume, can cause hypokalemia and increase the risk of digitalis toxicity when both are prescribed.

What is high-cieling loop diuretics such as furosemide, bumetanide

100

This lab is most sensitive to cardiac damage and peaks in 12 hours

What is troponin

100

This mechanic compares the amount of blood in the heart to the amount of blood pumped out

What is ejection fraction EF

200

A high blowing decrescendo diastolic murmur and potential S3

What is aortic regurgitation

200

This heart sound is located at the left 5th intercostal, medial to midclavicular line

What is Mitral

200

This drug increases force of heart contraction, decreases heart rate, reduces vasoconstriction, and increases urine production

What is Cardia glycoside Digoxin

200

This cardiac lab has low specificity to infarction and peaks in 2 hours.

What is myoglobin MB

200

This mechanic refers to the inherent ability of the myocardium to contract normally and is influenced by preload.

What is cardiac contractility

300

A decrescendo in early diastole

What is pulmonic regurgitation

300

This heart sound is located at S1 S2 left 3rd intercostal space

What is Erb's point

300

This drug reduces blood volume, can cause hypokalemia and increase risk of digitalis toxicity when both are prescribed, not effective when kidney function is impaired.

Thiazide diuretics HCTZ

300

This lab is sensitive when skeletal damage isn't present and peaks in 10 to 24 hours

What is CK-MB

300

This mechanic refers to the pressure that the ventricle muscles must generate to overcome the higher pressure in the aorta to get the blood out of the heart.

What is cardiac afterload

400

A crescendo-decrescendo or rectangular systolic murmur

What is tricuspid regurgitation

400

This heart sound is located at the left 2nd intercostal space

What is pulmonic

400

This drug slightly reduces blood volume by causing loss of sodium and water with conservation of potassium; used to counteract potassium loss from other diuretics.

What is potassium sparing diuretic triamterene

400

This cardiac lab is normal at <100pg/ml and indicates volume overload

What is B-Natriuretic peptide BNP

400

This mechanic is the passive stretching of muscle fibers in the ventricles.  This stretching results from blood volume in the ventricles at end-diastole. According to Starling's law, the more the heart muscles stretch during diastole, the ore forcefully they contract during systole.

What is cardiac preload

500

A harsh pansystolic murmur

What is ventricular septal defect

500

This heart sound is located at the lower left sternal border 4th intercostal 

What is Tricuspid

500

This drug increases levels of kinins and decreases aldosterone production resulting in vasodilation, some prevention of heart remodeling, and mild reduction in blood volume by increasing excretion of water and sodium with convservation of potassium.

What is angiotensin-converting enzyme ACE inhibitors Captopril

500

When this lab is elevated peaked t waves, wide QRS and ventricular dysrhythmias are seen.

What is hyperkalemia

500

The percentage of normal ejection fraction EF is?

What is 50-70% EF