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35 Cards in this Set
- Front
- Back
classic EKG finding in atrial flutter
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"sawtooth" P waves
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definition of unstable angina
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angina is new, worsening, or occurs at rest
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anti-HTN for diabetic pt with proteinuria
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ACEI
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Beck's triad for cardiac tamponade
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hypotension, distant heart sounds, and JVD
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drugs that slow AV node transmission
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B-blocker
Calcium channel blocker Digoxin |
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hyperchol. tx that leads to flushing and pruritis
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niacin
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tx for A-fib
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anticoag., rate control, cardioversion
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tx for V-fib
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immediate cardioversion
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autoimmune complication occurring 2-4 wks post-MI
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Dressler's syndrome: fever, pericarditis, hi ESR
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IV drug use with JVD and holosystolic murmur at L sternal border. tx?
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tx existing heart failure and replace the tricuspid valve
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dx test for hypertrophic cardiomyopathy
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EKG shows thickened L ventricular wall and outflow obstruction
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fall in syst. BP of > 10 mmHg with inspiration
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pulsus paradoxus (seen in cardiac tamponade)
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classic EKG findings in pericarditis
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low-voltage, diffuse ST-segment elevation
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define HTN
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BP > 140/90 on 3 separate occasions 2 wks apart
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8 surgically correctable causes of HTN
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1. renal artery stenosis
2. coarctation of aorta 3. pheochromocytoma 4. Conn's syndrome 5. Cushing's syndrome 6. unilateral renal parenchymal disease 7. hyperthyroidism 8. hyperparathyroidism |
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evaluation of pulsatile abdominal mass and bruit?
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abdominal u/s and CT
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indications for surg repair of abdominal aortic aneurysm (AAA)
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> 5.5 cm
rapidly enlarging symptomatic ruptured |
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tx for acute coronary syndrome
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morphine
oxygen sublingual nitroglycerin ASA IV B-blockers heparin |
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what is the metabolic syndrome?
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abdominal obesity
hi triglycerides low HDL HTN insulin resistance prothrombotic or proinflamm. states |
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50yo male with angina can exercise to 85% of max predicted HR - diagnostic test?
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exercise stress treadmill with ECG
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65yo woman with LBBB and severe osteoarthritis has unstable angina - diagnostic test?
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pharmacologic stress test (eg. dobutamine echo)
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target LDL in pt with DM?
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<70
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signs of active ischemia during stress test?
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angina, ST-segment changes on EKG or decreased BP
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EKG findings suggesting MI?
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ST-segment elevation (depression means ischemia), flattened T wave, and Q wave
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young pt has angina at rest with ST-segment elevation. cardiac enzymes are normal. dx?
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Prinzmetal's angina
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common sx assoc. with silent MI's
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CHF, shock, altered MS
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dx test for PE
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V/Q scan
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agent to reverse effects of heparin
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protamine
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coag parameter affected by warfarin
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PT
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young pt with FH of sudden death collapses and dies during exercise - dx?
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hypertrophic cardiomyopathy
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endocarditis prophylaxis regimens
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1. oral surgery: amoxicillin
2. GI/GU procedures: ampicillin and gent before, amoxicillin after |
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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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most common cause of HTN in young women
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OCP's
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most common cause of HTN in young men
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excessive ETOH
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