CV

Question 1

ACS murmur

Answer 1

S3

Question 2

EKG in pericarditis

Answer 2

Diffuse ST elevation, PR depression

Question 3

Pericarditis Tx

Answer 3

NSAIDs

Question 4

Aortic Dissection Tx proximal to subclavian

Answer 4

Surgery

Question 5

Aortic Dissection Tx distal to subclavian

Answer 5

Beta blockers/nitroprusside

Question 6

Indication for aspirin primary prevention

Answer 6

10-20% 10 yr CV risk

Question 7

Screening for patients with 10-20% 10 yr CV risk

Answer 7

CT coronary calcium score

Question 8

First-line anti-anginal medication

Answer 8

Beta-blocker

Question 9

Statin indications CV disease

Answer 9

High intensity (age under 75), moderate intensity (age>75)

Question 10

Medications for stable angina (4)

Answer 10

Anti-anginal, anti-platelet, statin, ACEI

Question 11

Troponin __ is more specific

Answer 11

I

Question 12

Medications in ACS (5)

Answer 12

Aspirin, Morphine, Beta-blocker, heparin, nitroglycerin

Question 13

C/I to Beta-blocker in ACS (4)

Answer 13

HR<50, BP<90, 2nd degree AV block, decompensated CHF

Question 14

Medications added to NSTEMI/UA

Answer 14

IIB/IIIA inhibitor (tirofiban, abciximab, eptifibatide)

Question 15

Indications for aldosterone antagonist post-ACS

Answer 15

EF under 40%

Question 16

Left anterior fascicular block EKG

Answer 16

QRS positive in I, negative in aVF

Question 17

Left posterior fascicular block

Answer 17

QRS negative in I, positive in aVF

Question 18

Atrial tachycardia EKG

Answer 18

Abnormal P wave morphology

Question 19

AVNRT EKG

Answer 19

P buried or after QRS

Question 20

AVNRT First-Line Tx

Answer 20

Adenosine

Question 21

Narrow complex AVRT Tx

Answer 21

Adenosine

Question 22

Wide complex AVRT Tx

Answer 22

Procainamide

Question 23

Multifocal atrial tachycardia EKG

Answer 23

at least 3 P wave morphologies

Question 24

A-fib rate control Tx

Answer 24

Cardioversion (unstable); beta-blocker or CCB (stable)

Question 25

A-fib rhythm control Tx

Answer 25

Cardioversion

Question 26

A-fib maintenance rhythm control Tx

Answer 26

Amiodarone, flecainide, ibutilide, propafenone, sotalol

Question 27

A-fib anticoagulation valvular disorder

Answer 27

Warfarin

Question 28

A-fib anticoagulation indications

Answer 28

CHA2DS2VASc 2+

Question 29

CHA2DS2VASc

Answer 29

CHF, HTN, Age>75, DM, Stroke, Vascular Dz, Age 65+, Sex(F)

Question 30

Atrial Flutter Tx

Answer 30

same as a-fib

Question 31

Amiodarone side effects (4)

Answer 31

pulmonary fibrosis, hyper/hypo thyroid, hepatitis

Question 32

Non-sustained VT Tx

Answer 32

Beta-blocker/CCB

Question 33

Medications in CHF (5)

Answer 33

ACEI, BB (not in acute decompensation), Loop diuretic, digoxin (decreases hospitalizations), Aldosterone antagonist (EF under 35%)

Question 34

Which murmur is associated with S4?

Answer 34

Aortic stenosis/Mitral regurgitation

Question 35

Which murmur increased with leaning forward in upright position?

Answer 35

Aortic regurgitation

Question 36

Which murmur associated with bounding pulses and head bobbing?

Answer 36

Aortic regurgitation

Question 37

Which murmur associated with carcinoid syndrome?

Answer 37

Mitral stenosis

Question 38

Which murmur is most common congenital valvular abnormality?

Answer 38

Mitral valve prolapse

Question 39

Which valves require anticoagulation?

Answer 39

Mechanical

Question 40

ABI diagnostic for PAD

Answer 40

0.9

Question 41

ABI for severe PAD

Answer 41

0.4

Question 42

Management of aortic dissection

Answer 42

Surgery (ascending); beta-blockers/BP control (descending)

Question 43

Indications for AAA screening

Answer 43

Males 65-75 with smoking history (one-time screen)

Question 44

Indications for surgery in AAA (3)

Answer 44

>5.5cm, >0.6cm increase in 6 months, rupture