Mutlu Practice Cardiology Questions

  1. a 43 year old male presents to the ER after near syncopal episode and is currently dizzy. you see a rhythm that is: normal but with a BP of 40 (sinus brady). what do you give him?
    IV atropine (this is an anticholinergic that blocks the effects of acetylcholine released by vagus nerve).
  2. 45 year old woman came in the ED because she had sudden onset of shortness of breath and palpitations 3 hours ago. Temp is 98.6, pulse is irregular with a ventricular rate of 92 bpm. respirations are 18/min and BP is 110/70. chest xray is normal. ekg shows absent p waves and a variable RR intervals with an atrial rate of 250 and ventricle response of 120. what is the best next step in management?
    administration of diltiazem (CCB)
  3. 34 year old female is found to have "saw tooth" waves on ECG. Ventricular rate is 140 bpm. QRS complex is narrow. No associated chest pain or shortness of breath. BP is 140/90. what  is the best medication to give her?
    verapamil (because she has stable a flutter and this is a CCB)
  4. 43 year old previously healthy female presents to the ED with chest pain and palpitations. The symptoms continue despite oxygen and IV fluid therapy. BP is 80/60. diaphoretic, dizzy and unable to speak in full sentences. rapid palpable pulses. ECG shows narrow complex tachycardia at 180 bpm. No ST or T wave changes consistent with MI. no risk factors. how do you manage this patient?
    this patient has unstable tachycardia and needs synchronized cardioversion.
  5. what is the first line management for torsades de pointes?
    IV magnesium sulfate
  6. what are the side effects of amiodarone?
    pulmonary fibrosis and thyroid disorders
  7. what is the first line medical management of hypertrophic cardiomyopathy?
    propranalol (BB or CCB)
  8. most consistent echo with cariomyopathy?
    diastolic dysfunction and marked dilation of both atria
  9. hypertrophic cardiomyopathy decreases in intensity when..
    murmur decreases with intensity when squatting
  10. left ventricular ballooning on an echocardiogram means...
    takotsubo
  11. supraventricular arrhythmias
    • sinus brady <60bpm
    • sinus tachy >100
    • PACs: no treatment - if symptomatic BB or CCB 
    • A Fib: determine staging -- differs (shock, anticoagulation, rate controlling drugs, chemical conversion)
    • A Flutter: antirhythmic meds + av node block
    • SVT: adensoine/vagal maneuvers/carotid massage/BB or CCb/ablation
  12. ventricular arrhthymias
    • pvcs: no treatment
    • v tachy: synchronize CV, shock, amiodarone
    • v fib: shock
Author
ickasal
ID
339848
Card Set
Mutlu Practice Cardiology Questions
Description
Questions from her slide shows
Updated