other

Question 1

HOCM - ECG

Answer 1

1. LV hypertrophy: tall R in aVL + Deep S in V3 (Cornell criteria)
2. Repolarization changes in anterolateral leads (I, aVL, V4, V5, V6)

Question 2

pretest probability for coronary artery disease

Answer 2

1. low:asymptomatic, atypical in women under 50
2. intermediate:atypical in men all ages, atypical in women over 50, typical in women 30-50
3. high: tyoical in men over 40 or women over 60

Question 3

characteristics of infectious endocarditis in IV drug users

Answer 3

1. increase risk in HIV (+)
2. fewer periphearal manifestations
3. HF more common in aortic valve involvement (rare in tricuspid)

Question 4

constrictive pericarditis - diagnostic findings

Answer 4

1. nonspecific ECG
2. pericardial thickening +calcification
3. prominent x + y waves

Question 5

types ofarrhythmia at 1sthour after MI

Answer 5

1. Immediate or phase 1a ventricular arrhythmias in first 10 mins
2. delayed or phase 1b arrhythmias in 10-60 mins (reetrant arrhythmias)

Question 6

contraindications of PCI include

Answer 6

1. intracranial hemor
2. ischemic stroke within preceeding 3 months
3. signs + symptoms of aortic dissection

Question 7

AR - physical findings (not the murmur)

Answer 7

1. wide pulse pressure
2. water-hammer (wide, dounding) pulse
3. Quincke pulse (pulsations in the nail)
4. Hill sign (BP in leges as much as 50 above arms)
5. head bobbing (de Musset sign)