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Classic ECG finding in atrial flutter.
Sawtooth P waves
Definition of unstable angina.
"Angina is new, is worsening, or occurs at rest"
Antihypertensive for a diabetic patient with proteinuria.
ACEI
Beck's triad for cardiac tamponade.
"Hypotension, distant heart sounds, and JVD"
Drugs that slow AV node transmission.
"ß-blockers, digoxin, calcium channel blockers"
Hypercholesterolemia treatment that ? flushing and pruritus.
Niacin
Treatment for atrial fibrillation.
"Anticoagulation, rate control, cardioversion"
Treatment for ventricular fibrillation.
Immediate cardioversion
Autoimmune complication occurring 2–4 weeks post-MI.
"Dressler's syndrome: fever, pericarditis, ? ESR"
IV drug use with JVD and holosystolic murmur at the left sternal border. Treatment?
Treat existing heart failure and replace the tricuspid valve
Diagnostic test for hypertrophic cardiomyopathy.
Echocardiogram (showing thickened left ventricular wall and outflow obstruction)
A fall in systolic BP of > 10 mmHg with inspiration.
Pulsus paradoxus (seen in cardiac tamponade)
Classic ECG findings in pericarditis.
"Low-voltage, diffuse ST-segment elevation"
Definition of hypertension.
BP > 140/90 on three separate occasions two weeks apart
Eight surgically correctable causes of hypertension.
"Renal artery stenosis, coarctation of the aorta, pheochromocytoma, Conn's syndrome, Cushing's syndrome, unilateral renal parenchymal disease, hyperthyroidism, hyperparathyroidism"
Evaluation of a pulsatile abdominal mass and bruit.
Abdominal ultrasound and CT
Indications for surgical repair of abdominal aortic aneurysm.
"> 5.5 cm, rapidly enlarging, symptomatic, or ruptured"
Treatment for acute coronary syndrome.
"Morphine, O2, sublingual nitroglycerin, ASA, IV ß-blockers, heparin"
What is the metabolic syndrome?
"Abdominal obesity, high triglycerides, low HDL, hypertension, insulin resistance, prothrombotic or proinflammatory states"
Appropriate diagnostic test? ¦ A 50-year-old male with angina can exercise to 85% of maximum predicted heart rate.
Exercise stress treadmill with ECG
Appropriate diagnostic test? ¦ A 65-year-old woman with left bundle branch block and severe osteoarthritis has unstable angina.
"Pharmacologic stress test (e.g., dobutamine echo)"
Signs of active ischemia during stress testing.
"Angina, ST-segment changes on ECG, or ? BP"
ECG findings suggesting MI.
"ST-segment elevation (depression means ischemia), flattened T waves, and Q waves"
A young patient has angina at rest with ST-segment elevation. Cardiac enzymes are normal.
Prinzmetal's angina
Common symptoms associated with silent MIs.
"CHF, shock, and altered mental status"
The diagnostic test for pulmonary embolism.
V/Q scan
An agent that reverses the effects of heparin.
Protamine
The coagulation parameter affected by warfarin.
PT
A young patient with a family history of sudden death collapses and dies while exercising.
Hypertrophic cardiomyopathy
Endocarditis prophylaxis regimens.
Oral surgery—amoxicillin; GI or GU procedures—ampicillin and gentamicin before and amoxicillin after
The 6 P's of ischemia due to peripheral vascular disease.
"Pain, pallor, pulselessness, paralysis, paresthesia, poikilothermia"
Virchow's triad.
"Stasis, hypercoagulability, endothelial damage"
The most common cause of hypertension in young women.
OCPs
The most common cause of hypertension in young men.
Excessive EtOH
Stuck-on appearance.
Seborrheic keratosis
Red plaques with silvery-white scales and sharp margins.
Psoriasis
The most common type of skin cancer; the lesion is a pearly-colored papule with a translucent surface and telangiectasias.
Basal cell carcinoma
Honey-crusted lesions.
Impetigo
"A febrile patient with a history of diabetes presents with a red, swollen, painful lower extremity."
Cellulitis
+ Nikolsky's sign.
Pemphigus vulgaris
- Nikolsky's sign.
Bullous pemphigoid
"A 55-year-old obese patient presents with dirty, velvety patches on the back of the neck."
Acanthosis nigricans. Check fasting blood sugar to rule out diabetes
Dermatomal distribution.
Varicella zoster
Flat-topped papules.
Lichen planus
Iris-like target lesions.
Erythema multiforme
A lesion characteristically occurring in a linear pattern in areas where skin comes into contact with clothing or jewelry.
Contact dermatitis
"Presents with a herald patch, Christmas-tree pattern."
Pityriasis rosea
"A 16-year-old presents with an annular patch of alopecia with broken-off, stubby hairs."
Alopecia areata (autoimmune process)
"Pinkish, scaling, flat lesions on the chest and back. KOH prep has a ""spaghetti-and-meatballs"" appearance."
Pityriasis versicolor
Four characteristics of a nevus suggestive of melanoma.
"Asymmetry, border irregularity, color variation, large diameter"
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