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Cardio PP Clues

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
show Kidney & Liver  
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What organs have resistance in parallel?   show
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show Heart  
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show Muscle  
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What organ has the highest A-V O2 difference after a meal?   show
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What organ has the highest A-V O2 difference during an exam?   show
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show Kidney  
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show Ascending Aorta (cystic medial necrosis, syphilis)  
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show Descending Aorta (trauma, athersclerosis)  
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What layers does a True aortic aneurysm involve?   show
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show Intima, media  
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What is pulse pressure?   show
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What vessel has the thickest layer of smooth muscle?   show
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show Arterioles  
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show Capillaries  
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What vessel has the highest compliance?   show
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What vessels have the highest capacitance?   show
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show 220 - age  
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What is stable angina?   show
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What is unstable angina?   show
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What is Prinzmetal angina?   show
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What stain is used to see amyloidosis?   show
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show Fe deposition in organs --> hyperpigmentation, arthritis, diabetes mellitus  
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show Pressure equalizes in all 4 chambers - quiet precordium, no pulse or BP, Kussmaul's sign, pulsus paradoxus  
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Kussmaul's sign   show
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Pulses paradoxus   show
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show Effusion of mostly water  
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What is an Exodate?   show
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show ventricles contract, decreased blood flow to coronary arteries, Increased O2 extraction  
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What is diastole?   show
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What are the only arteries w/ deoxygenated blood?   show
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show Aortic Regurg  
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show Aortic Stenosis  
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What cardiomyopathy has pulsus alternans?   show
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What disease has pulsus bigeminus?   show
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show Atrial Fibrillation  
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show Aortic Stenosis, Aortic Regurg  
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What murmur radiates to the axilla?   show
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show Pulmonary Stenosis  
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What disease has a boot shaped x-ray?   show
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What disease has a banana-shaped x-ray?   show
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show Transposition of the Great Arteries  
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What disease has a snowman-shaped x-ray?   show
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show Aortic coarctation  
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What is Osler-Weber-Rendu?   show
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What is Von Hippel-Lindau   show
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show on Closure  
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show Mitral & Tricuspid (S1)  
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show Holosystolic (pancystolic): MR, TR, VSD ... Ejection: AS, PS, HCM  
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show Aortic & Pulmonary (S2)  
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show Blowing: AR, PR ... Rumbling: MS, TS  
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What murmurs are continuous?   show
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show Pleuritis  
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show Pericarditis  
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show Mitral Valve Prolapse (MVP)  
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What does an ejection click tell you?   show
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What does an opening snap tell you?   show
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What does S2 splitting tell you?   show
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show Increased O2, Increased Right Ventricular Volume, or delayed Pulmonic Valve opening  
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What does a Fixed Wide S2 split tell you?   show
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What is cor pulmonale?   show
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What is Eisenmenger's?   show
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What is transposition of the great arteries?   show
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What is tetralogy of Fallot?   show
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What is an Overriding Aorta?   show
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show Tet Spells (episodes of bluish skin on feeding or crying), prognostic  
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What type of shunt does a VSD cause?   show
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show Spiral membrane didn't develop (neural crest origin); One Aortic/Pulmonary trunk (mixed blood)  
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What is Epstein's Anomaly?   show
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show Hearing loss, tinnitus, thrombocytopenia  
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show (9) Transposition of the great arteries, Tetralogy of Fallot, Truncus Arteriosus, Tricuspid Atresia, Total Anomalous Pulmonary Venus Return, Hypoplastic Left Heart Syndrome, Epstein's Anomaly, Aortic Atresia, Pulmonic Atresia  
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Causes of Widened S2:   show
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show AVM=machinery murmur; Heart:PDA, Elbow:dialysis fisula, Brain:Von-Hippel-Lindau, Lungs:Osler-Weber-Rendu  
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show Pain with a Normal heart rate  
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show HR should increase by 10bpm for every 1 degree increase in temperature  
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Maximum Sinus Rate (aka max heart rate)   show
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Ions and the EKG   show
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Most Common NON-Cyanotic Congenital Heart Diseases   show
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show Mitral Regurg, Tricuspid Regurg, VSD  
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Myocardial Infarct - Enzymes   show
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MI Enzymes Timeline   show
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Along with nitrates, what hypertensive medication both vaso- and veno-dilates?   show
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For what medical conditions are nitrates used?   show
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show Differential Pulses, Differential Cyanosis, Rib notching on X-Ray  
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Reason for Rib Notching in Coarctation:   show
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show the PDA joins distal to coarctation  
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Most common congenital heart disease in Down's Syndrome   show
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Why does Common AV Canal result?   show
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Most Common Cyanotic Heart disease in Down's Syndrome   show
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Which vessels have the greatest effect on blood pressure?   show
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show Veins & Venules  
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show Capillaries  
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How does the body maintain stroke volume during hypovolemic shock?   show
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show 60% of blood volume  
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Vessels in which most diffusion occurs:   show
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show stratified squamous  
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Calcification of the aortic arch due to trauma and age is called?   show
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What gives the veins & venules the ability to have such great compliance?   show
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show Ventricular contraction and Aortic recoil  
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What 3 factors prevent blood from being delivered to the heart during systole?   show
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show Energy requirement is generated during systole  
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show Energy is extracted during diastole  
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How much oxygen is extracted from blood by the heart?   show
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With FAST heart rates, in which phase of the cycle does the heart spend most time?   show
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show diastole  
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show The aorta calcifies  
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How does aortic calcification affect compliance?   show
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show BP increases (mainly systolic). Pulse Pressure increases (systolic increases, diastolic remains unchanged)  
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show Ca2+ channel Blockers  
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Why do the liver & kidneys have resistance of vessels in series?   show
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Vasodilators of the organs:   show
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What is the function of the Carotid Body? Carotid Sinus?   show
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What is the pathway of signals from the carotid sinus?   show
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show Cranial Nerves IX and X are always firing; Firing goes up/down along with Stroke Volume; NE goes in the opposite direction; Increased Stroke Volume causes increased firing of IX and X; decreased Stroke Volume causes decreased firing of IX and X  
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show CN X is inhibitory to the heart. Increased firing causes decreased Heart Rate; Decreased Firing causes Increased Heart Rate  
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When you stand up, how much does heart rate and blood pressure change?   show
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show body did not respond = Autonomic Dysfunction  
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show body overcompensated = Volume Depletion  
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Four types of Autonomic Dysfunction:   show
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show Carotid Sinus is so calcified that it does not respond. Sick sinus means pausing for more than one second.  
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What is the pathology of Reily Day Syndrome?   show
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show Carotid Sinus increases firing; CN IX and X increase firing; HR decreases (Reflex Bradycardia)  
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Sequence of events takes place when you stand from a seated position (carotid sinus)   show
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Mechanism responsible for immediate regulation of BP:   show
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show NE (alpha1 receptors then beta1 receptors)  
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show kidney  
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show Angiotensin II  
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To what stimulus to JG cells in the kidney respond? And how?   show
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What is the rationale for using a carotid massage?   show
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How does NE regulate blood pressure?   show
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What is the function of the carotid reflex?   show
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show Hypovolemia (compensated shock)  
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What are the first physical signs of hypovolemia?   show
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show Hypoperfusion of the skin due to vasoconstriction in shock  
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show Vasoconstriction, stimulate Aldosterone release  
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What is the treatment for hypertension in heart failure?   show
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First Degree Heart Block   show
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show Normal PR interval & erratic loss of QRS  
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show AV disassociation  
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Second Degree (Mobitz 1) Heart Block   show
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show 1st degree -> No Tx; Mobitz I -> Pacer if symptomatic; Mobitz II -> Pacer; 3rd Degree -> Pacer  
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Complication of Temporal Arteritis:   show
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Another name for Temporal Arteritis:   show
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How do you diagnose Temporal Arteritis?   show
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Rule of 60s for Temporal Arteritis:   show
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Myositis   show
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Polymyositis   show
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Dermatomyositis   show
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Fibrositis   show
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show pain of muscle and muscle insertions; treated with Amitriptyline; multiple trigger points  
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show shoulder girdle hurts most; Increased in Temporal Arteritis  
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Throbbing temporal Headache   show
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show Rifampin, Isoniazid, Statins, Prednisone  
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show Hypothyroidism  
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show Cerebellar signs in 5-10yo; Spider veins on skin; IgA deficiency  
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show Berger's  
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show Buerger's  
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show Alport's  
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show Kawasaki's  
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show Hemolytic Uremic Syndrome (HUS)  
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Fever, Thrombocytopenia, and Neuro problems   show
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show Polyarteritis Nodosa  
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Vasculitis with Sinuses, Lungs and Kidney involvement   show
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Two weeks after vaccination   show
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show SLE  
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show Subacute Bacterial endocarditis  
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show Smooth muscle & Cardiac muscle because they have autonomics  
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Only vasculitis with normal platelet count   show
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show Kawasaki  
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show Haptoglobin  
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What is the cellular response seen with all vasculatides?   show
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Kawasaki   show
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Idiopathic Thrombocytopenia Purpura (ITP)   show
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show Midsized arteries (GI & Renal), assoc with Hep B, p-ANCA  
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Churg-Strauss   show
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Subacute Bacterial Endocarditis (SBE)   show
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MPGN I   show
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show Tram Tracks with low complement (dense deposit disease)  
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CREST Syndrome   show
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show Anti-scl70 and anti-SM muscle  
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show Scleroderma with organ involvement  
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Rheumatic Arthritis   show
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show Arthritis with iridesis  
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Felty's   show
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Behcet's   show
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show RA + dry eyes, dry mouth  
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Vasculitis with GI bleeding, intussuscetion, normal platelet count   show
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show DIC  
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show Hemolytic Uremic Syndrome (HUS)  
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show Polyarteritis Nodosa (PAN)  
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Vasculitis that causes pulmonary inflitrate with eosinophilia   show
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show Sjogren's  
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show Rheumatoid arthritis  
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show Rheumatoid arthritis  
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Closure of Mitral & Tricuspid Valves   show
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show S2  
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show Volume Overload, Dilation, Decompensation  
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S4 means:   show
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show Delayed closing of the pulmonic valve  
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Wide S2 Split means:   show
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Narrow S2 Split means:   show
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show Mitral Regurg, Tricuspid Regurg, VSD  
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show ASD  
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Continuous machine-like murmur   show
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show Mitral Valve Prolapse  
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What is the normal CVP?   show
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show 12  
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show Pressure  
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The diastolic component of blood pressure represents:   show
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show Systolic Murmurs  
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show Diastolic Murmurs  
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show Turbulence  
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show Inspiration  
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Do LEFT heart sounds get louder on Inspiration or Expiration?   show
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Most Common Cause of Aortic Stenosis   show
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show Aging, Collagen Disease  
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show Rheumatic Fever  
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show Rheumatic Fever, Carcinoid  
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show Mitral Valve Prolapse, Endocarditis, Collagen Disease  
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Most Common Cause of Tricuspid Regurgitation   show
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Most Common Cause of Pulmonary Stenosis AND Pulmonary Regurgitation   show
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show Head bobbing, Quinke's pulses, Wide pulse pressure, Waterhammer pulse  
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What is the normal Pulse Pressure?   show
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How can you accentuate Aortic Stenosis?   show
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show Valsalva & Stand Up  
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show Athlete who passes out, Harsh systolic murmur, Pulsus Biferiens, Disorganized myofibrils on biopsy  
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What casues IHSS?   show
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Diastolic blowing murmurs   show
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Diastolic Rumbling murmurs   show
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show Aortic Stenosis, Pulmonic Stenosis  
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What are the two main types of effusions?   show
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What is the main cause of a transudate?   show
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show Cirrhosis, NephrOtic syndrome  
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What is the main cause of an Exudate?   show
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show Bacterial Infection  
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show Non-Bacterial Infections  
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What causes Caseating Exudates?   show
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show Collagen Vascular Diseases (CVD), Uremia, TB  
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show Trauma, Cancer  
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Most Common Cause of restrictive cardiomyopathy   show
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Most Common Cause of constrictive cardiomyopathy   show
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show VSD, ASD, PDA, Coarctation  
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Most Common Cyanotic Heart Disease   show
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show Tetralogy of Fallot  
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Clues for tetralogy of Fallot   show
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Clues for Truncus Arteriosus   show
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Clues for Epstein's Anomaly   show
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Clues for Total Anomalous Venous Return   show
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show The degree of pulmonary stenosis  
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What two factors are used to determine whether fluid is transudate or exudate?   show
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Vasculitis definition   show
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Arteritis definition   show
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show Inflammation of a venous blood vessel  
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show associated with deafness and cataracts, begins in child but no renal failure until 15-25yrs  
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show attacks the aorta vasa vasorum; tree-bark appearance; wrinkled intimae, obliterative endarteritis (makes aorta fall apart)  
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show Japanese woman with weak pulses; granulomatous inflammation like Temporal arteritis  
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Temporal Arteritis   show
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show HLA B27 disease; bamboo spine, lose Height, can't bend over, Amer Indians, Eskimos  
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show Must be a Kawasaki patient  
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show Polyarteritis Nodosa (PAN)  
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c-ANCA, attacks sinuses lungs kidneys, #1 cause of RPGN-cresent in kidney   show
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show Goodpasture's  
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show Leukocytoclastic  
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Leukocytoclastic   show
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parasitic vasculits, HIGH eosinophil count, mimics asthma in kids, wheezing assoc w/ worm   show
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show mildest form of scleroderma; Calcinosis, Reynaud's, Esophogeal dysmotility, Sclerodactyly, Telangiectasia  
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Gerd & tight skin on fingers   show
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show Scleroderma  
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Anti-Topoisomerase, chronic inflammation of organs, organs are fibrotic   show
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SubEPIthelial humps 2 weeks after a sore throat   show
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Roth spots in retina, mycotic aneurysms, splinter hemorrhages in nail beds (Osler nodes are painful; Janeways are not)   show
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show IgM diseases, acute inflammation only, Non-bacterial  
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