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52 Cards in this Set
- Front
- Back
delta wave on EKG is characteristc of what?
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Wolff-Parkinson-White syndrome
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in this syndrome, there is an accessory conduction pathway from atria to ventricle (bundle of Kent), bypassing the AV node
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Wolff-Parkinson-White syndrome
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this syndrome may result in reentry current leading to supraventricular tachycardia
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Wolff-Parkinson-White syndrome
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what is the hallmark of a transmural MI?
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pathologic Q wave
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increased capillary pressure is seen in what?
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heart failure
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decreased plasma colloid osmotic pressure is seen in what?
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nephrotic syndrome, lver failure
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increased capillary permeability is seen in what?
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toxins, infections, burns
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increased interstitial fluid colloid osmotic pressure is seen in what?
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lymphatic blockage
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three causes of early cyanosis
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tetralogy of fallot
transposition of great vessels truncus arteriosus |
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three causes of late cyanosis
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VSD
ASD PDA |
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what is the most common congenital cardiac abnormality?
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VSD
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what causes Tetralogy of Fallot?
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anterosuperior displacement of the infundibular septum
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aortic stenosis proximal to insertion of ductus arteriosus?
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preductal - infantile type
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aortic stenosis distal to ductus arteriosus?
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postductal - adult type
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notching of ribs, hypertension in upper extremities, weak pulses in lower extremities?
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coarctation of aorta
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22q11 syndromes are asscociated with what cardiac defects?
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truncus arteriosus, tetralogy of Fallot
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what cardiac defects is Down syndrome associated with?
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ASD, VSD
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what cardiac defects is congenital rubella associated with?
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septal defects, PDA
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what cardiac defects are associated with offspring of diabetic mothers?
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transposition of great vessels
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Marfan's is associated with what congenital cardiac defect?
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aortic insufficiency
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lipid deposit in cornea
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corneal arcus
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what characterizes Monckeberg arteriosclerosis?
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calcification of arteries, especially radial or unlar; usually benign (involves media - ring-like calcifications; 'pipestem')
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arteriosclerosis in essential hypertension?
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hyaline thickening of small arteries
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arteriosclerosis in malignant hypertension?
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hyperplastic 'onion skinning'
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fibrous plaques and atheromas form in what part of arteries in atherosclerosis?
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intima
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risk factors for atherosclerosis?
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smoking, hypertension, DM, hperlipidemia, family Hx
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progression of atherosclerosis?
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fatty streaks - proliferative plaque - complex atheromas
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complications of atherosclerosis?
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aneurysms, ischemia, infarcts, peripheral vascular resistance, thrombus, emboli
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location of atherosclerosis?
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abdominal aorta > coronary artery > popliteal artery > carotid artery
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angina occurs with coronary artery disease narrowing greater than whta?
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75%
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retrosternal chest pain with exertion - what type of angina?
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stable
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angina that occurs at rest secondary to coronary artery spasm?
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Prinzmetal's variant
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thrombosis but no necrosis/worsening chest pain - what type of angina?
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unstable/crescendo
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where do red infarcts occur?
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in loose tissues with collaterals, such as lungs, intestine, or following reperfusion
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where do pale infarcts occur?
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solid tissues with single blood supply - brain, heart, kidney, spleen
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child with harsh systolic murmur, no diastolic murmur, and increased oxygen saturation in the RV?
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VSD
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cut CN IX and X bilaterally - what is hemodynamic result?
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tachycardia with hypertension
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EKG with random electrical activity without recognizable QRS complexes
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ventricular fibrillation
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what can atenolol cause in high doses?
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bradycardia and varying degrees of AV block
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what causes increased pulse pressure?
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stiffening of arteries/ decreased arterial compliance
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what maintains a PDA?
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PGE analog - alprostadil
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what artery is usually compressed in thoracic outlet syndrome?
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subclavian
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what is the most common cause of sudden cardiac death in adults?
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ischemic heart disease
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sudden death in heart transplant patient?
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graft vascular disease
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cardiac defect associated with Fragile X?
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MV prolapse and aortic root dilation
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cardiac finding in SIDS?
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right ventricular hypertrophy
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endocarditis in patient with colon CA?
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strep bovis
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how does cocaine cause hypertension?
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blocks NE reuptake
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what substance responsible for calcified valves?
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calcium phosphate
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high risk for digitoxin therapy with what metabolic problem?
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hypokalemia
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decreased arterial pressure, increased systemic venous pressure, and small, quiet heart
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cardiac tamponade
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rupture of ventricular wall leading to hemopericardium and cardiac tamponade, rupture of IV septum, rupture of papillary muscle can occur when post-MI?
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5-10 days
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