Lou Cards

Front 1

Holosystic murmur; radiation to the axillae or to carotids.

Back 1

Mitral regurgitation

Front 2

Harsh systolic ejection murmur; radiation to carotids.

Back 2

Aortic stenosis

Front 3

Midsystolic or late-systolic click.

Back 3

Mitral valve prolapse

Front 4

Very common murmur, and doesnt imply cardiac disease.

Back 4

Flow murmur

Front 5

Early decrescendo murmur.

Back 5

Aortic regurgitation

Front 6

Mid-to late, low-pitched murmur.

Back 6

Mitral stenosis

Front 7

Which drugs are contraindicated in a patient with Wolf-Parkinson-White?

Back 7

Calcium channel blockers and Digoxin

Front 8

Right or left sided heart failure? fluid retention, JVD, hepatojugular reflex, peripheral edema, ascites

Back 8

Right Sided CHF symptoms

Front 9

Right or left sided heart failure? Bilateral basilar rales, pleural effusion, pulmonary edema

Back 9

Left sided CHF symptoms

Front 10

A patient presents on vitals of a pulse that alternates weak and strong what is the most probable dx?

Back 10

cardiac tamponade or impaired left ventricle function

Front 11

Which classes of drugs can cause a Mobitz 1?

Back 11

digoxin, beta blockers, calcium channel blockers

Front 12

PR > 200 msecs.

Back 12

First degree AV block

Front 13

A patient has a weak and delayed pulse what is the name of this pulse and the pathology causing it?

Back 13

pulsus parvus et tardus. Aortic stenosis

Front 14

A decrease in systolic BP with inspiration.

Back 14

Pulsus Paradoxus

Front 15

Three or more unique P- wave morphologies

Back 15

Multifocal atrial tachycardia (MAT)

Front 16

ABCD of atrial fibrillation

Back 16

Anti-coagulate, B-blocker, Cardiovert/calcium-channel blockers, Digoxin

Front 17

P wave buried in QRS or shortly after.

Back 17

Atrioventricular nodal reentry tachycardia (AVNRT)

Front 18

Etiologies of Atrial Fibrillation? (Mneumonic PIRATES)

Back 18

Pulmonary dz., Ischemia, Rheumatic heart dz., Anemia/ Atrial myxoma, Thyrotoxicosis, Ethanol, Sepsis.

Front 19

Dysrythmia with three or more consecutive PVCs wide QRS in regular rapid rhythm. AV dissociation

Back 19

Ventricular Tachycardia

Front 20

Txmt of Ventricular tachycardia

Back 20

Cardioversion and antiarrythmic

Front 21

Stage of CHF (AHA) of a pt. that has never had symptoms but have structural heart dz? What is the txt?

Back 21

B. ACEIs, B-blockers

Front 22

Acute CHF management. Mneumonic LMNOP

Back 22

Lasix, Morphine, Nitrates, Oxygen, Position (upright)

Front 23

Side effect of HMG-CoA inhibitor

Back 23

increased LFTs, myositis, warfarin potentiation

Front 24

Txt of primary hypertension with heart failure

Back 24

Thiazide diuretics,Bblockers, ACEIs, ARBs, aldosterone antagonists

Front 25

Txt of primary HTN post MI

Back 25

B-blockers, ACEIs, aldosterone antagonists

Front 26

Txt of primary HTN with diabetes

Back 26

Thiazide diuretics, B blockers, ACEIs, ARBs, CCBs

Front 27

A retrograde P wave is often seen after a normal QRS

Back 27

Atrioventricular reciprocating tachycardia (AVRT)

Front 28

Which arrhythmia is distinguished by a rapid ectopic pacemaker in the atrium not in the sinus node?

Back 28

Paroxysmal atrial tachycardia (PAT)

Front 29

If echo showed low EF and ECG shows LBBB which Ddx should be considered?

Back 29

Restrictive Cardiomyopathy

Front 30

Pt presents with HA, sweating, and tachycardia. Metanephrines and catecholamines are in urine.

Back 30

Pheochromocytoma

Front 31

Triad. Hypertension, metabolic alkalosis, unexplained hypokalemia

Back 31

Conns syndrome

Front 32

Hypertensive drug that causes orthostasis and hirsutism

Back 32

Minoxidil

Front 33

Diffused ST-segment elevation in multiple or all leads

Back 33

Pericarditis

Front 34

Known as "pulseless" arteritis. Effects Asian females less than 40 years old

Back 34

Takayasu's

Front 35

"Tree bark" appearance of the aorta

Back 35

Syphilitic heart dz

Front 36

Uncorrected VSD, ASD, or PDA causing compensatory vascular hypertrophy, which results in progressive pulmonary hypertension. shunt reverses.

Back 36

Eisenmenger's syndrome

Front 37

Name the four requirements for Tetralogy of Fallot

Back 37

1. Pulmonary stenosis
2. RVH
3. Overriding aorta
4.VSD

Front 38

Hyperplastic "onion skinning" in malignant HTN

Back 38

Arteriosclerosis

Front 39

Pansystolic low frequency murmur heard best at the left sternal border

Back 39

Tricuspid insufficiency

Front 40

Cornell criteria for Left ventricular hypertrophy

Back 40

Amplitude of R in aVL + S in V3 >/= 28mm in men or > 20mm in women

Front 41

RSR' complex ("rabbit ears") in V1; wide S in V5 and V6

Back 41

Right bundle branch block (RBBB)

Front 42

What is the initial therapy for symptomatic relief of HOCM?

Back 42

B-blockers