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NPLEX 2 cardiology Questions and Answers well Explained Latest 2024/2025 Update 100% Correct.
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narrow pulse pressure vs wide pulse pressure - narrow - aortic stenosis wide - aortic regurg Heart blocks - 1st - long PR 2nd 1 - progressivly longer pr, then dropped 2nd 2 - randomly dropped, inconsistent ps 3rd - no relationship between p and QRS, but ps consistent Emergent referral - MI, a...

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  • September 9, 2024
  • 5
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • NPLEX 2 cardiology
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NPLEX 2 cardiology
narrow pulse pressure vs wide pulse pressure - narrow - aortic stenosis

wide - aortic regurg



Heart blocks - 1st - long PR

2nd 1 - progressivly longer pr, then dropped

2nd 2 - randomly dropped, inconsistent ps

3rd - no relationship between p and QRS, but ps consistent



Emergent referral - MI, acute regurg, severe HTN, a-fib with rapid ventricular rate, pulmonary
edema, new onset heart faliure



causes of dialted cardiomyopathy - thiamine def, alcohol, myocarditis, cocaine, herion, peripartum



S3 and S4 sound - dialted cardiomyopathy



non specific st changes and q waves - dialted cardiomyopathy



missense mutation for HTCM - chromosome 14



double apical pulse, s4, harsh systolic murmur, angina with exercise, palpitations and dizziness with
valsalva - HTCM



ECG for HTCM - prominemnt q, short p-r interval



tx for HTCM - b-blockers

, gradually worsening SOB, exercise intoleracne and fatigue with low QRS voltage - RCM



ifxn with endocarditis - acute - staph aureus

subacute - strep viridans



sxs of endocarditis - regurg murmurs, splinter hemorrahages, janeways lesions, muscoal petechia,
roths spots (retinal hemmorage with pale center) oslers nodes (painful nodes on pads of fingers)



lab findings in endocarditis - Anemia, neutrophilic leukocytosis actuely, hematuria, proteinuria



pathology of myocarditis - coxsackie b infxn causing lymphocytic infiltration and dilation and
hypertrophy of all four chambers



auscultated rub during only inspiration and expiration - pleural rub, vs pericardial which is all the
time



chest pain, pericardial rub, arrhytmias and inc CK-MD and troponins - Myocarditis



chest pain, pericardial rub, pain better leaning forward, normal CK-MB - pericarditis



dx of myocarditis - endomyocardial bopsy



ECG and dx of pericarditis - PR-segment depression, echo for dx



tx for pericarditis - NSAIDs 7-14 days, colchicine for recurrent, prednisone



JONES criteria for rheumatic heart dz (2 major or 1 maj, 2 minor) - Major:

Carditis, polyarthritis (with swelling), chorea, subcut nodules, erythema marginatum

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