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Comlex cardio

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ruhland1's version from 2015-06-23 17:38

Section 1

Question Answer
induce NE releaseamphet
block NE reupcoke
fungi w/o capulehistoplasma
alpha1binds Gq
Gq cleavesPIP2
PIP 2 turns intoIP3 and DAG
DAG activatesPKC
IP3 and PKCrelease Ca
CA bindscalmodulin
calmodulin activatesMLCK
depresses AP phase 0
AP 4flat base K+ inward rectifier (slowly depolar to AP)
AP 0Na+ rapid in
AP1K, Cl out transient (dep to plateua)
AP2Ca in, K out
out e+repolarize
indepolarize
base mV-96 (so in + = depolarize)
AP3K-mediated out fast
AP time200mS
memorize

Section 2

Question Answer
hyperkalemiaACEi
has porin ABx effluxAeru's air pump!
refractory periodtime btw 1 AP to start of other
T 4 AAup refrac, shorten AP (prevents ca from getting back into SR)
heart dz kid mc bugkawasacki (asian strawberry, conjunc, coronary aneur)
lidocaineIb
shorten refractorr periodshortens AP lenth
mexiletineIb
quinidine1a
shorten refract periodshorten time for start of AP to back to base line
Class 1 vs 31= shorten AP/refract 3=lengthen AP/refractt
memorize

Section 3

Question Answer
digitalis and diureticsthia/loop cause dn dn hypokal
hypercalcemiathiazide
dispyramide1a
procainimide1a
subacute endocarditis IVDUS. Epidermidis
acute Endocard IVDUS. Aure
pulseless upper extremetakayaysu arteritis
ostium primumdowns
tri 21endocardial cushion
rib notchingrib collaterals during aortic coarctation
carotid sinusCNIX
MI neccoag
turnerup aortic coarc
indapamidethiazide
metolazonethiazide
memorize

Section 3b

Question Answer
MVPmarfan
JONES critrheumatic fever (2 Major or 2 minor and 1 major)
RFever bugpyrogenes (also scarlet)
Jjoint (arthralgia)
Odraw like heart (carditis)
NNodules
Eerythema marginatum
SSydenham
Sydenham=chorea
MI peak PMN3 days
MI granulation start5 day (hi rick rupture)
fibrous pericardSLE
libman sacks endocardvege on either side of MV/Aortic V
cause libmanSLE
S Pyobactracin senstive
malignant htnup hyperplastic aterioloscler
memorize

Section 4

Question Answer
"onion skin" myocyteshyperplastic arteioloscler
sudden distress at birthTranspos of great aa
tranpos great aa txPGE1 keep ductus arteriosus open
up on expiration (more blood pushed into RV so more flow during systoloe)tricuspid regurg (pansystolic)
CHFs3 (rapid filling, body is full of fluid)
s3normal kids (rapid filling)
clondinepreg anti htn
preg anti htnmethyldopa
methydopa moaA-2 ag like clonidine
down both EDV and ESVmeans down preload (nitroglycerin)
rupture chordae tendinaeM regurg
A dissect and MVPmarfan
phentolamineA-1 A-2 antag
AI pericardDressler (post MI)
antiphospholidlibman sacks (veg AV/MV)
osler nodeinf endocard (subcut=subacute=S. epidermis)
s4LVH (athlete or pathos)
memorize

Section 5

Question Answer
cardio eos fib infiltloeffler endocard
rhabdomyoma in vent walltuberoscler
daunomycinanthrcycline (up dil cmp) like doxorubicin
Rheum Arth causesrestrictive CMP (amyloid)
ostium primum/secundumASD neonatre
acute MI healthycoke
kerley linepulm septal space edema
S4 gallopdiastolic dysf
EF<55%sys dysf
subendocardial infacrtno q wave change (inner 3rd myocard)
2/3/avFRCA (blood to inf)
more pillowstx parox noct dysp
memorize

Section 6

Question Answer
PGE1 for ToGVesselsalprostadil
neonate LE + 1 Arm cyan onlyaortic coarc (proximal, adult= distal)
kawasakicoronary aneurysm
LADQ v1-v4
Q v1-v4LAD mi
anti htn + neprhopathy dibetesAcei (-pril) up vaso dil on efferent arteriole so dn GFR even tho ud RPF, less work means less dmg.
AV nodal blocklyme dz
Q I and AvlLeft circumflex
Lateral infQ 1 AVL
narrow pulse pDilated CMP and apical atrophy (Chagas)
normal defect adultpatent formen ovale (LA pressure keeps it closed)
when is PVO a problemup RA pressure over LA can open it (R->L shunt)
memorize

Section 7

Question Answer
ABEAMB1 blocker (asthma/chf)
what originates all problems in ToFpulm stenosis!
1st MI sign EKGpeaked T waves b/c infarct = damage so up ICF release of K+ so up T-wave,
2nd MI sign EKGST-E minutes
3rd MI sign ekgQ hrs
digi toxtorsades (increased foci auto)
L to R ASD chronicdn pulm vessels (= eisenmeinger)
distolic HF EDP vs EDVdn EDV(stiff) * up EDP
ck-mmskele m
ck-mbheart
ck-bbbrain
paragangliomapheodhromocytoma
memorize