Term
| Treatment for Unstable Angina |
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Definition
| Antithrombotics: Heparin, or LMWH and/or Plavix |
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Term
| Which coronary artery is most likely stenosed in a pt. with ASx 1st degree AV block? |
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Definition
| Right Coronary supplies the SA node in 90% of people. If pt had Sx, LAD is more likely. |
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Term
| Diffuse ST elevation, pain that worsens sitting forward and is not relieved by NTG most likely describes: |
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Definition
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Term
| Prinzmetal is best diagnosed and treated by. |
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Definition
| Angiography demonstrating spasms and CCB's and/or nitrates. |
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Term
| Patient returns a few weeks post MI with c/o low grade fever and pleuritic CP. Lungs are clear, there is no SOB or ECG changes. Best Tx is? |
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Definition
| Anti-inflammatories for Dressler's syndrome aka post MI autoimmune pleuritis/pneumonitis/pericarditis |
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Term
| Name the major Framingham criteria for CHF. |
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Definition
| PND, JVD, rales, cardiomegaly, Pulmonary Edema, S3, Increased CVP, and hepatojugular reflex. Note these are all CENTRAL (Lungs, heart, neck veins) |
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Term
| Name the minor Framingham criteria for CHF. |
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Definition
| Edema, night cough, DOE, Pleural Effusion, hepatomegaly, tachycardia >120 |
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Term
| In patients with LV dysfunction HF (ie low EF) name the medicines that are recommended. |
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Definition
| ACE or ARB (hydralazine if intolerant) and BB |
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Term
| When would you use digoxin in HF? |
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Definition
| Pts with clear cut systolic dysfunction or Aflutter or Afib w/ RVR |
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Term
| What drug cannot be used in post/peri-partum systolic dysfunction cardiomyopathy. |
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Definition
| ACEI are CI in pregnancy. |
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Term
| What is the Aortic stenosis triad and descrbe the typical murmur of AoS |
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Definition
| DOE, Angina, Syncope. Crescendo/decrescendo murmur, sternal border, radiates to carotids |
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Term
| Pt presenting with DOE, palpitations, occasional hemoptysis might have what kind of murmur and problem. |
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Definition
| Opening snap with diastolic rumble. Mitral Stenosis. Check for Rh Fv Hx |
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Term
| The murmur of VSD can best be described as |
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Definition
| holosystolic @ midleft sternal border |
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Term
| A continuous murmur at upper left sternal border describes. |
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Definition
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Term
| About what % of adults have detectable PVCs on 24hour monitoring |
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Definition
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Term
| Occasional unifocal PVC's and PAC's need no TX. When would you treat PVC's/PAC's and how? |
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Definition
| Use a BB when they interfere with ADL |
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Term
| What are the CHADS criteria |
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Definition
| CHF - HTN - Age - DM - Stroke/TIA hx::0=ASA - 1=ASA/Warf - 2+=Warf INR 2-3 or 3.5 if prosthetic valve |
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Term
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Definition
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Term
| Name some drugs that can CAUSE second degree (type I) heart block. |
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Definition
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Term
| What is the most common EKG change seen with abberations of sodium (hypo and hyper) |
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Definition
| None. At Sodium levels compatible with life, no EKG changes usually occur. |
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