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Step III

Step III - Cardio 1

Question	Answer
How many classifications are in the NYHA	I-IV
The NYHA is used to classify what type of heart condition	CHF
Pt has no limitation of physical activity and asymptomatic w/ performing physical activity. What is pt’s NYHA class	Class I
Pt has slight limitation of physical activity, comfortable at rest but ordinary activity produces symptoms. What is pt’s NYHA class	Class II
Pt has marked limitation to physical activity, comfortable at rest but less than ordinary activity causes symptoms. What is pt’s NYHA class	Class III
Pt unable to do any physical activity w/o discomfort, symptoms at rest and any activity worsens symptoms. What is pt’s NYHA class	Class IV
Which murmur has a systolic, crescendo-decrescendo murmur that radiates to the carotids	AS
Which murmur has a holosystolic murmur at the left sternal border that increases with inspiration	TR
Which murmur has diastolic, decrescendo blowing murmur at the left sternal border	AR
Which murmur has mid-diastolic rumble with an opening snap heard at the apex of the heart	MS
JVD is a classic sign of what kind of heart failure	RIGHT sided heart failure
Anemia, rouleuax cells, proteinemia. Dx	MM
First line tx for isolated HTN	HCTZ / CCB
First line tx for HTN in DM pts	ACEI
MC valve harmed in rheumatic dz	Mitral valve (stenosis)

Loud S1, Mid diastolic rumble w/ opening SNAP at cardiac apex	MV stenosis
Holosystolic radiating to axillla	MR
Systolic blowing murmur radiating to carotids	Aortic stenosis
First line agent for hypercholesterolemia and helps reduce mortality post MI pts	STATINS
Strongest Rx for lowering LDL	STATINS
Strongest Rx for lowering TGs	fibrates
mainstay treatments for variant (Prinzmetal's) angina	Nitrates and calcium channel blockers
definitive tx for 2 Type II and 3 AV block	PCI
2 Type I AV block fails atropine. Next intervention	PCI
Tx for symptomatic 2 type I AV block	Atropine
Tx for asymptomatic 2 type I AV block and 1 AV block	observe
tachypnea, tachycardia, pulsus paradoxus (drop in systolic blood pressure greater than 10 mmHg with inspiration), and jugular venous distention =	Cardiac tamponade
beck’s triad and association	HYPOtension, distant heart sounds, distended neck veins; cardiac tamponade
worsening dyspnea, tachypnea, enlarged heart shadow on XR, h/o recent blunt trauma to chest	Cardiac tamponade
what medication reduces long term mortality post MI in pts w/ (L) ventricular dysfxn	ACEI (ARB is can’t take ACEI) – reduces preload and afterload and (-) rennin angio system
in addition to ACEI what should be added to reduce re-hospitalization for CHF and future cardiac events	Β(-)
what are other measures for post MI CHF pts on d/c	exercise and salt reduction

Created by: DrINFJ on 2010-10-05

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Step III

Step III - Cardio 1