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20 Cards in this Set
- Front
- Back
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Evaluation of a pulsatile abdominal mass and bruit.
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Abdominal ultrasound and CT
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Indications for surgical repair of abdominal aortic aneurysm
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> 5.5 cm, rapidly enlarging, symptomatic, or ruptured
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Treatment for acurte coronary syndrome
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Morphine, O2 sublingual nitroglycerin, ASA, IV Beta-blockers, heparin
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What is metabolic syndrome?
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Abdominal obesity, high triglycerides, low HDL, hypertension, insulin resistance, prothrombotic or proinflammatory states
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Appropriate dignostic test?
- A 50-year-old man with angina can exercise to 85% of maximum predicted heart rate - A 65-year-old woman with left bundle block and severe osteoarthritis has unstable angina |
Exercise stress treadmill with ECG
Pharmacologic stress test (e.g. dobutamine echo) |
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Target LDL in a patient with diabetes
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< 70
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Signs of active ischemia during stress testing
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Angina, ST- segment changes on ECG, or ↓ BP
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ECG findigs suggesting MI
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ST-segment elevating (depression menas ischemia), flattened T waves, and Q waves
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Coronary territories in MI
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Anterior wall (LAD/diagonal), inferior (PDA), posterior (left cicumflex/oblique, RCA/marginal), septum (LAD/diagonal)
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A young patient has angina at rest with ST-segment elevation. Cardiac enzymes are normal.
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Prinzmetal's angina
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Common symptoms associated with silent MIs
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CHF, shock, and altered mental status.
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The diagnostic test for pulmonary embolism
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V/Q scan
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An agent that reverses the effects of heparin
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Protamine.
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The coagulation parameter affected by warfarin
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PT
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A young patient witha a family history of sudden death collapses and dies while exercising
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Hypertrophic cardiomyopathy
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Endocardits prophylaxis regimens
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Oral surgery-amoxicillin; GI and GU procedures- ampicillin and gentamicin before and amoxicillin after
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The 6 P's of ischemia due to peripheral vascular disease
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Pain, Pallor, Pulselessness, Paralysis, Paresthesia, Poikilothermia
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Virchow's triad
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Stasis, hypercoagulability, endothelial damage
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The most common cause of hypertension in young women
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OCP's
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The most common cause of hypertension in young men
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Excessive EtOH
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