IE
Heart Failure
Valve disorders
Congenital or random

Hypertension/syncope
100

This valve is often involved in IE of IVDU and is best heard at the 4th intercostal space, left sternal border.

What is the tricuspid valve?

100

Known as the 5 failures for HFrEF

What are coronary, valvular, electrical, pericardial, and myocardial? 
100

Characterized by autoimmune activation and tissue destruction after a strep infection

What is rheumatic fever? 

100

Young adult presenting with breathlessness, fatigue and cyanosis and a pronounced pan systolic murmur on exam

What is a VSD?

100

Known as the 3 causes of syncope

What are orthostatic, cardiogenic and neurally mediated reflex?

200

These antibiotics are often selected as first dose empiric therapy for suspected IE

What is Vanco and ceftriaxone?

200
Bobby Bob, a 64-year-old male with HF, has marked limitations of physical activity but is comfortable at rest. 

What is NYHA class III? 

200
Presents with angina, syncope and shortness of breath. Physical exam reveals narrowed pulse pressure and crescendo-decrescendo murmur at 2nd intercostal space. 

What is aortic stenosis?

200

Patient presenting with breathlessness, fatigue and an atrial arrhythmia. Heart tones reveal a wide fix splitting of the second heart tone. 

What is ASD?

200

These constitute the 1st line medications (3) for HTN

What are thiazide diuretics, ACE/ARB and CCB?

300

Blood cultures return positive for MSSA and these antibiotics are prescribed with a level 1A recommendation. 

What is nafcillin and gentamicin?

300

Generally known as the medication combination that makes up GDMT

What is ACE/ARB/ARNI, beta blocker, MRA and SGLT2i? 

300

Presents with exertional dyspnea, angina, frothy cough, widened pulse pressure, diastolic decrescendo murmur parasternally ICS 2-3-4. List of possible causes: bicuspid valve, rheumatic fever, Marfan, calcified valves, IE, phen-phen. 

What is aortic insufficiency? 
300

Known as therapy for N-STEMI (5). 

What is ASA, clopidogrel, heparin gtt until PCI, high intensity statin, maybe a bb and PCI 24-48 hours

300

Patient is presenting with BP of 182/123 with no evidence of end organ damage and mild headache

What is hypertensive urgency? 

400

Duration of antibiotics in IE in IVDU

What is 6 weeks? 

400

Top priority intervention for the patient that presents with a history of HF, significant recent weight gain, SOB, wet cough, peripheral edema, elevated BNP. NYHA class 3-4

What is diuresis? Then- what is GDMT. 

400

Pneumonic used to remember valve locations during physical assessment and locations of valves during auscultation. 

What is APTM- ape to man. Aortic-pulmonic-tricuspid-mitral. 2nd ICS-RSB, 2nd ICU-LSB, 4th ICS-LSB, 5th ICS-midclavicular line. 
400

Describes a typical patient and treatment for acute pericarditis

What is a young male with friction rub, pulsus paradoxes, and is treated with ASA, IBU, and colchicine? 

400

These are known as the blood pressure lowering goals in hypertensive emergency. 

What is MAP down by 10-20% in the first hour and 25% in the next 24 hours? 

500

Diagnostic criteria for IE

What is bacteremia, new or worsening murmur, evidence of septic embolic and TEE/TTE evidence of vegetation? 
500

Known as the 1st drug given for HFpEF and HFmrEF.

What is SGLT2i? 

500
Characterized by papillary muscle rupture, regional wall motion abnormality, LV dilation and systolic dysfunction.

What is mitral valve regurgitation caused by an MI. 

500

Typically can see 2 chambers in this view on POCUS and looks like a hungry fishy mouth

What is parasternal short axis? 

500

A calcium channel blocker that can be used in hypertensive emergency with an associated stroke

What is nicardipine?