Step III - Cardio 1
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| How many classifications are in the NYHA | I-IV
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| The NYHA is used to classify what type of heart condition | CHF
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| Pt has no limitation of physical activity and asymptomatic w/ performing physical activity. What is pt’s NYHA class | Class I
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| Pt has slight limitation of physical activity, comfortable at rest but ordinary activity produces symptoms. What is pt’s NYHA class | Class II
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| 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
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| 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
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| Which murmur has a systolic, crescendo-decrescendo murmur that radiates to the carotids | AS
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| Which murmur has a holosystolic murmur at the left sternal border that increases with inspiration | TR
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| Which murmur has diastolic, decrescendo blowing murmur at the left sternal border | AR
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| Which murmur has mid-diastolic rumble with an opening snap heard at the apex of the heart | MS
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| JVD is a classic sign of what kind of heart failure | RIGHT sided heart failure
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| Anemia, rouleuax cells, proteinemia. Dx | MM
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| First line tx for isolated HTN | HCTZ / CCB
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| First line tx for HTN in DM pts | ACEI
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| MC valve harmed in rheumatic dz | Mitral valve (stenosis)
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| Loud S1, Mid diastolic rumble w/ opening SNAP at cardiac apex | MV stenosis
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| Holosystolic radiating to axillla | MR
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| Systolic blowing murmur radiating to carotids | Aortic stenosis
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| First line agent for hypercholesterolemia and helps reduce mortality post MI pts | STATINS
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| Strongest Rx for lowering LDL | STATINS
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| Strongest Rx for lowering TGs | fibrates
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| mainstay treatments for variant (Prinzmetal's) angina | Nitrates and calcium channel blockers
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| definitive tx for 2 Type II and 3 AV block | PCI
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| 2 Type I AV block fails atropine. Next intervention | PCI
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| Tx for symptomatic 2 type I AV block | Atropine
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| Tx for asymptomatic 2 type I AV block and 1 AV block | observe
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| tachypnea, tachycardia, pulsus paradoxus (drop in systolic blood pressure greater than 10 mmHg with inspiration), and jugular venous distention = | Cardiac tamponade
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| beck’s triad and association | HYPOtension, distant heart sounds, distended neck veins; cardiac tamponade
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| worsening dyspnea, tachypnea, enlarged heart shadow on XR, h/o recent blunt trauma to chest | Cardiac tamponade
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| 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
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| in addition to ACEI what should be added to reduce re-hospitalization for CHF and future cardiac events | Β(-)
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| what are other measures for post MI CHF pts on d/c | exercise and salt reduction
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Created by:
DrINFJ
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