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63 Cards in this Set

  • Front
  • Back

Acute stress disorder 3 days to 1 montn

PTSD ➡lasting symptoms more than 1 month

Adjustment disordee➡emotional symtoms due to an acute stressor lasting less than 6 month

More than 6 months ➡generalized anxiety disorder

Normal grief less than 6 month

If more than 6 month to 12 months ➡major depressions

Brugada syndrome

Asian males


Autosomal dominant


Pseudoright bundle branch block


ST elevation in V1 -V3

3rd degree AV block is seen in

Lyme disease

Nesiritide

Recombinent BNP

Tetralogy of falot is due to

Failure of neural crest cells migration


Asnd


Anterosuperior displacement of infundibular septum

U wave prominent in

Hypokalemia


Bradycardia

William syndorme

Supravalvular aortic stenosis

Pulsus parvus et tardus

Malignant hypertensipn

Persistent diastolic BP more than 130 mmHg with acute vascular damage

Calcific deposits in internal elastic lamina and media of medium sized arteries

Monckeberg arteriosclerosis ➡pipestem appearence

Atherosclerosis is more common in

Abdominal aorta > coronary artery > popliteal artery > carotid artery A.

Thoracic aortic aneurysms associated with

Cystic medial degeneration



➡tertiary syphilis


➡connective tissue diseases


➡bicuspid aortic vavles

Stable angina ECG findings?

ST depression

Prinzmetal angina finding on ECG

ST elevation

Prinzmetal angina finding on ECG

ST elevation

ST depression on ECG no raised cardiac biomarker ➡unstable angina

ST depression on ECG ➕⬆cardiac markers ➡ NSTEMI

Contractility ceases in cardiomyocytes in

60 sec

Reversible damage if ischemia is less than 30 min if more than 30 min than irreversible damage ensues

Myocardial stunning


After reperfusion reversible contractile dysfunction if ischemia is for less than 30 min

Roth spot

Round white spot in retina in endocarditis

Sensitive indicator of alcohol

Serum GGt


AST is more than ALT

Sensitive indicator of alcohol

Serum GGt


AST is more than ALT

Barbiturates withdrawal

Life threatning cardiovascular collapse

Benzodiazepine withdrawal

Seizures most prominnet


Others are same like sleep disturbance


Rebound anxiety

Digeorge syndrom heart anomoly

Truncus arteriosus


Tetralogy of falot

Hypertensive urgency➡severe (≥ 180/≥ 120 mm Hg without end orgN damage

Hypertensive emergency ➡se vere (≥ 180/≥ 120 mm Hg ➕end organ damage

Hypertensive urgency➡severe (≥ 180/≥ 120 mm Hg without end orgN damage

Hypertensive emergency ➡se vere (≥ 180/≥ 120 mm Hg ➕end organ damage

Osler nodes and roth spots are

Immunologic lesion in infective endocarditis all others are vascular lesions

Anitschow cell


Pathgnomic of rheumatic fever present in aschof bodies


Large macrophage with wave nucleus

Antibodies to M protein of GAS

Wide spread ST elevation


PR depression


Friction Rub

Pericarditis

Wide spread ST elevation


PR depression


Friction Rub

Pericarditis

Tree bark appearence of aorta

Syphilis

Calcium chNnel blocker

Calcium chNnel blocker

Hydralazine➡⬆cGMP smooth muscles relaxation


Acts on arterioles

Lupus like syndrome

Hypertensive emergency medicine


Nitropruside


Clevidipine


Fenaldopam


Labetalol


Necardapine

Hypertensive emergency medicine


Nitropruside


Clevidipine


Fenaldopam


Labetalol


Necardapine

Verapamil similar to beta blockefs

.

Sodium oxybate

Night time treatment for narcolepsy

Lysergic acid tocxicity

Depersonilizqtion


Perceptual distortion

Dranabinol pharmaceutical canabinoid

Antiemetic


Apetitie stimulant

MMDA ecstasy

Hyponatremia


Serotonin syndrom3

Long term detoxification of oipoids or long term maintance

Methadone

Prevention of relapse of opioids

Naltrexone ↔long term antagonist

Naloxone ➕buprinorphine

Antagonist ➕partial agoinst of opioids

Korsakoff syndrome

Anterior and dorsomedial thalmic nuclei damage

Delirium tremons ➡autonomic hyperactivity

2 _4 days after withdrawal of alcohol


Treatment is benzodiazepine

Alcohol hallucoinosis also occur 1 to 2 days after withdrawal

Treatment ➡benzodiazepine

Tourrete syndrome treatment

Antipsychotics


Fluphenzine pimozide


Tetrabenzain

To reduce rewarding and reinforcing effect in patient who is still fdrinking alcohol

Naltrexone mu opioid antagonist

Anti psychotic side effects

Hours to days➡acute dystonia


Days to weeks➡parkinsonism,akathisia


Months to years ➡tardive dyskinesia

Lithium mechanism of action

Inhibiting phosphoinositol cascade

Buspiron

5HT 1 A receptor


Generalized anxiety disorder

MAO inhibitors contraindicated with

Tyramine


St johns wort


SSRI


TCA


Meperidene


Dextromethorphane➡serotonine syndrome

Bupripione

⬆norepi and dopamine via unknown mechanism


↔😖seizures side effect

Bupripione

⬆norepi and dopamine via unknown mechanism


↔😖seizures side effect

Myrtazapine

Alpha 2 antagonist


5HT2 ant


H1antagonist


5ht3 antagonist

Digoxin toxicity increses in

Renal failure


Hypokalemia


Drugs that decrease its clearence ➡amiadrone,quinidine ,verapamil

DNA laderring Fregmentation in 180 bp is a sensitive indicator of

Apoptosis

Naloxone ➕buprinorphine

Antagonist ➕partial agoinst of opioids

To maintain abstinnece of alcohol

Disulfiram➡block aldehyde dehydrogenase


Acomprosate➡modulate glutamate neurotransmission at NMDA receptors


Trazadone act at

Block🛇🛇


Alpha 1


H1


5ht 2