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17MAY16 CARDIO

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mestrella's version from 2016-05-17 12:17

Section 1

Question Answer
CHEST PX W/ COCAINE USE CAUSED BY: INC O2 MYOCARDIAL DEMAND, VASOCONSTRICTION, PROTHROMBOTIC STATE
COCAINE USERS AT RISK FORMI AND AORTIC DISSECTION
TRX COCAINE RELATED CHEST PXBENZOS
WHY AVOID BETA BLOCKERS IN COCAINE RELATED TACHYCARDIAPREVENT CORONARY VASOSPASM CAUSED BY UNOPPOSED ALPHA STIMXN
TX FOR COCAINE RELATED PERSISTENT HTN AFTER TX W/ BENZOPHENTOLAMINE, ALT: NITROGLYCERINE AND NITROPRUSSIDE
SECONDARY PREVENTION MIANTIPLATELET THX, CARDIOSELECTIVE BB, STATIN, ACE
TX RAPID SYMPTOMATIC RELIEF ADHF (ACUTE PULM EDEMA, HTN)IV DIURETICS, IV VASODILATORS
MCC ADHF/WHAT YOU ARE EVAL W/ ECHOLV SYSTOLIC AND/OR DIASTOLIC DYSFXN
OTHER CAUSES ADHFCORONARY ISCHEMIA, ACS, ACUTE VALVULAR ABN, SEVERE HTN, SEVERE RENAL DZ
MC CONG HEART DX A/W DOWN'SENDOCARDIAL CUSHION DEFECT
MALFORMATIONS A/W DOWNSDUODENAL ATRESIA, HIRSCHSPRUNG'S, ATLANTO-AXIAL INSTABILITY, HYPOTHYROIDISM
DOWN'S INCREASED RISK OF ACUTE LEUKEMIA
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Section 2

Question Answer
TOPICMITRAL STENOSIS
MCCRHEUMATIC HDZ
WHEN DO SX PRESENT? 10-20 YRS AFTER INITIAL RHEUMATIC FEVER
SXDYSPNEA, HEMOPTYSIS, A FIB, SYSTEMIC THROMBOEMBOLISM, HOARSENESS
AUSCULTATIONLOUD FIRST S1 AND MID-DIASTOLIC RUMBLE
MURMUR BEST HEARD ATCARDIAC APEX
DECADE OF PRESENTATION4TH-5TH
WHAT CAUSES HOARSENESSRECURRENT LARYNGEAL NERVE COMPRESSION 2ND TO LAE
NAME OF SYNDROME CAUSING HOARSENESSORTNER'S SYNDROME
WHAT ARE MITRAL FACIESPINKING-PURPLE PATCHES ON CHEEKS
DESCRIBE S1LOUD
P2 WILL BE LOUG IF ____PULM HTN
DESCRIBE OPENING SNAPHIGH-FREQUENCY EARLY DIASTOLIC SOUND
FINDINGS ON CXRLAE, FLATTENGIN OF L HEART BORDER
CXR FINDINGS: DILATED PULM VESSELS AND ____ OF PULMNOARY BLOOD FLOW TO UPPER LOBESCEPHALIZATION
EKG FINDINGS, DESCRIBE "P MITRALE"BROAD AND NOTCHED P WAVES
EKG SHOWS RVH: DESCRIBETALL R WAVES IN V1 AND V2
ECHO: VALVE THICKENING, CALCIFICATION, REDUCED MOBILITY +/- MR
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Section 3

Question Answer
TOPICSVT
TYPES OF SVTSINUS TACH, AVNRT, AV REENTRANT, A FIB AND FLUTTER
MANSDETERMINE TYPE W/ IV ADENOSINE OR VAGAL MANEUVERS. TRY TO FIND HIDDEN P WAVES
INDXN TO CARDIOVERTPERSISTENT, HEMODYNAMIC INSTABILITY (HoTN, AMS)
ESMOLOL USED WITH WHICH SVTRAPID A FLUTTER/FIB FOR RATE CONTROL
IBUTILIDE/CLASS IIIPHARM CARDIOVERSION AFIB/FLUTTER
LIDOCAINE/CLASS IBVENTRICULAR ARRHYTHMIAS, HEMODYNAMICALLY STABLE W/ QIDE QRS COMPLEX, NOT NARROW
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