Shared Flashcard Set

Details

Step 3 Smart book Cardiovascular
USMLE
45
Medical
Professional
11/11/2017

Additional Medical Flashcards

 


 

Cards

Term
what dx signs point toward tamponade?
Definition
low voltage QRS, electrical alternans
incr cardiac size with clear lungs
RA/RV collapse and plethora of IVC on ECho
Term
possible sequelae of compartment syndrome
Definition
Rhabdomyolysis from increasing pressures
Term
R coronary artery supply?
Definition
RV and inferioposterior wall of LV
Term
cause of secondary HTN <20
Definition
renal parenchymal dz, coarctation of aorta
Term
cause of secondary HTN age 21-39
Definition
hyperthyrodism, fibromuscular dysplasia, renal parenchymal dz
Term
sec cause of HTN 40-64
Definition
incr in aldosterone
thyroid
OSA
Term
sec cause of HTN >65
Definition
CAD, CKD
Term
pheochromocytoma comes from what adrenal gland
Definition
medulla
Term
what adrenal gland is aldosterone/cushings found
Definition
adrenal cortex
Term
t wave inversion means?
Definition
cardiac ischemia-->stress test
Term
symptomatic bradyarrhythmia tx
Definition
IV atropine
Term
pain at rest T wave inversion with NORMAL troponins
Definition
Unstable angina
Term
when to perform coronary angiography <24 hr
Definition
3-7 risk factors on TIMI score
Term
symptomatic AV block type II tx
Definition
pacemaker insertion with concern of progression to 3rd degree block.
Term
Tx of sx PAD
Definition
risk factor mgmt
exercise therapy
Cilostazol
revascularization
Term
alternate therapy for VTE in pt with MHT?
Definition
SSRI/SNRI
Term
when does a patient need cardiac w/u perioperatively?
Definition
HF, unstable angina
Term
cocaine ingestion OD tx? concern long term
Definition
give benzo

watch for Aortic dissection, CT angio and also STROKE
Term
indications for ICD in HCM
Definition
fam hx of SCD
syncope
non sustained VT
hypotensive response to exercise
extreme LVH
Term
non ejection click and murmur

valsalva/standing accentuates murmur
Definition
MVP
Term
decrescendo/crescendo

increases with venous return
Definition
Aortic stenosis
Term
Holosystolic murmur
Definition
Mitral/Tri regurg
Term
opening snap after S2

mid diastolic murmur best heard at cardiac apex
Definition
Mitral stenosis
Term
pt having post op complication from cath next step
Definition
U/S
Term
acute decompensated HF tx
Definition
1. Lasix
2. add NTG for incr preload
Term
when should you give prophy abx for IE?
Definition
Gingival manipulation or resp tract incision- Strep viridan

GU/GI procedure in INFECTION

Surgery on INFECTED skin/muscle
prostetic valve surgery
Term
indications for aortic valve replacement
Definition
Severe AS and >1 sx's: LVEF <50% cardiac surgery
Term
associations with bicuspid aortic valve
Definition
Turners syndrome

screen first degree relatives with Echos
Term
complications of bicuspid aortic
Definition
aortic root dilatation, disccestion, IE
Term
mgmt of TCA overdose
Definition
O2 intubation, IVF
charcoal for pts w/i 2 hrs of ingestion
sodium bicarb for QRS norm and arrhtymias
Term
cardiac complications in infant of Diabetic mother
Definition
Cardiomyopathy and CHF
Term
major diff btw HCM and AAOC
Definition
HCM had LV changes
Term
drugs that increase warfarin
Definition
metronidazole, FQ
azoles, amiodarone, tyelenol
Term
decreases Warfarin
Definition
Rifampin, phenytoin, SJW
OCPs
incr in K
Term
danger of WPW pts
Definition
going into A fib! Ablation will be needed
Term
Marfan heart complication
Definition
Aortic dissection
Term
Ehlers-Danlos heart compl
Definition
berry aneurysms
Term
A fib tx in pt with HF
Definition
amiodarone/dofetilide
Term
perioperative cardiac med to continue furing surgery
Definition
Clonidine, CCBs and Statins
Term
periop card med to continue only in HF
Definition
ACEi's
Term
When to d/c Raloxifene in prep for surgery
Definition
4 weeks as it incr risk for VTE
Term
decreases morbitity post MI
increases survival in pts with dec LVEF
Definition
B blockers
Term
this combo works well for AA in HF mgmt
Definition
nitrates and hydralazine
Term
when to consider biventricular pacing devices
Definition
LVEF <35%
HF sx's
LBBB
Term
R sided MI
Definition
II III and AVF

Give fluids to increase preload!
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