Cardio

12. LVH ace inhibitors, Ca antagonists, angiotensin receptor blocker

13. Female, 62 y/o (5 yrs HPN) BP 230/120 mmHg Chronic unstable HPN
19. Functional Classification
21. For diagnosis of CHF - BNP (B-type natriuretic peptide)
25. MI cardiac marker enzyme w/c peaks w/in 24 hrs. and resolves after 48-72 hrs:
30. Prevents rehospitalization ACEI/ARB
Cardiology (Dr. Moises Bartolome)
2) Most common site cardiac metastasis
a. Pericardium
3.) DM in CVS
a. CAD leading cause of death in DM
b. MI tend to be larger
c. abdominal pain in response to MI
d. all
e.b & c
5.) A holosystolic murmur in left sternal border radiating to the right.
a. Tricuspid regurgitation
b. VSD
c. both
d. neither
7.) 68 y/o male patient was noted to have systolic murmur at the apex of the heart which radiates to
the carotids. Which of the following is unusual in severe aortic stenosis?
A. Dyspnea
B. Exertional syncope
C. Angina
D. Hypertension
8.) 28 year old female; bp of 140/40
a. pulsus parvus et tardus
b. head bobbing
9.) 35 year old, female, with dyspnea and orthopnea, RV heave, diastolic rumbling murmur at 5th ICS
MCL
A. Tricuspid Stenosis
B. Mitral Stenosis
C. Aortic regurgitation

D. Pulmonary Stenosis
10) Graham Steel murmur high pitch decrescendo diastolic blowing murmur noted @ Left upper
sternal border due to:
a. Aortic Regurgitation
b. Aortic Stenosis
c. Pulmonic Stenosis
d. Pulmonic Regurgitation

14) Definition of pulsus paradoxus a.inspiratory decline in systolic arterial pressure

a..a patch of dullness above the left scapular space
b.delayed carotid upstroke

15.) A 45 y/o female patient was brought to the ER due to dyspnea. She is known to be diagnosed with
breast malignancy. Cardiac Tamponade is suspected. Which is not a manifestation of Cardiac
Tamponade?
A. Increased arterial pressure
B. Neck vein engorgement
C. Faint heart sounds
D. Pulsus paradoxus
18.) PDA except?
A. Loud S1 & S2
B. Differential Cyanosis
C. Machinery Murmur
D. AOTA
19.) A 35 year old male - pleuritic chest pain radiating to the trapezius ridge on auscultation, grating
sound. What is the ECG finding?
A. Widespread ST elevation with concavity
b. (something about sa QRS)
c. (something about sa Q wave)
21.) A 53 year old male in the ER presented with neck vein distention, ascites, bipedal edema. No S3
no murmur with Kussmaul's sign. The patient most likely has:
a. cardiac tamponade
b. acute pericarditis
c. constrictive pericarditis
d. tricuspud regurgitation

23) Radiologic finding of mitral stenosis?

A.bottle shaped
B. "3 sign"
C. boot shaped, normal sized heart
D.dilated left atrium, normal sized ventricle
26.) What is the most common location of syphilitic aneurysm?
a. abdominal and arch of aorta
b. descending thoracic aorta
c. supra renal aorta
d. infra renal aorta
e. entire abdominal aorta

CARDIOLOGY RECALLS PRELIM

Dr. Bartolome
Most common site of acute aortic dissection
a. ascending aorta
b. aortic arch
c. infra abdominal aorta
d. descending aorta
e. supra abdominal aorta

5. Clinical criteria takayasu arteritis

a. age < 40
b. systolic BP? >40
c. Brachial artery...
d. Carotid pulse....
8. Dynamic maneuver to make MVP murmur click sound earlier?
A. Standing (early)
b. Squatting (late)
C.Isometric (late)
D. Valsalva's (late)
9. Valvular murmur that increases during inspiration?
A. Standing (early)
B. Squatting (late)
C. Isometric (late)
D. Valsalva's (late)

15. Routine anti microbial prophylaxis needed in.....except

A. AR
B. MVP
C. PDA
D. VSD

18. true of pda

a. murmur s1 to after s2 upper sternal boarder
b. machinery like murmur
c. differentila cyanosis maybe present
d. aota
e. b%c
18. True of PDA:
a. murmur from S1 up to before S2 @ upper sternal border
b. machinery like murmur at the upper sternal border