ABIM Cardiology Questions and Answers|100% Verified
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Course
American Board of Internal Medicine
Institution
American Board Of Internal Medicine
ABIM Cardiology Questions and
Answers|100% Verified
exam of mitral stenosis - CORRECT ANSWER low pitched rumble
heard best at apex
No radiation
heard best in left lateral decubitis position
opening snap
palpable P2
mitral stenosis tx. preferred repair method? - CORRECT ANSWER balloon valvo...
ABIM Cardiology Questions and
Answers|100% Verified
exam of mitral stenosis - CORRECT ANSWER low pitched rumble
heard best at apex
No radiation
heard best in left lateral decubitis position
opening snap
palpable P2
mitral stenosis tx. preferred repair method? - CORRECT ANSWER balloon valvoplasty
works well if there is not very much MR and no LA appendage clot. (If either present, go
to MR replacement).
mitral stenosis tx. when to repair? - CORRECT ANSWER Repair if either of the
following are present:
a) patient symptomatic
b) abnormal hemodynamic response to exercise (PAP increases by 25mmHg)
aortic stenosis repair. Timing of intervention? - CORRECT ANSWER Repair by AV
replacement if either is present:
a) patient symptomatic
b) EF less than 50%
c) pt needs thoracic surgery for other reason (e. g. CABG)
aortic regurg. timing of repair? - CORRECT ANSWER Repair by AV replacement (+/-
aortic root replacement) if either is present:
a) patient syptomatic
b) EF less than 50%
c) end-systolic dimension is less than 55mm or end-diastolic dimension is less than
70mm
d) abnormal response to exercise (PAP increases by 25mmHg).
indications for spironolactone in CHF - CORRECT ANSWER NYHA class III-IV pts with
acceptable serum K+ levels
Indication for ICD in CHF - CORRECT ANSWER Must meet all below criteria:
a) NYHA class II-III symptoms while on optimal medication regimen
b) expected to survive longer then 1 yr
c) Either of the following:
- EF under 35%
OR
- history of ventricular arrthymia or cardiac arrest (2ndary prevention)
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