Side effect of amlodipine, Cardizem, Lyrica - correct answer ✔✔peripheral edema
xanthoma - correct answer ✔✔fatty streaking visible just under the skin under eyes, indicates HLD
corneal arcus - correct answer ✔✔grayish ring around the eyes, indicates HLD
Normal CVP - correct answer ✔✔5-10
JVD above 5 cm can indicate - correct answer ✔✔right ventricular failure (RVF)
cardiac tamponade
constrictive pericarditis
SVC obstruction
inreased intrathoracic pressure (PEEP, cough)
Normal pulse pressure - correct answer ✔✔40
widened pulse pressure at rest can indicate - correct answer ✔✔increased cardiovascular risk
What is the most common cause of narrow (low) pulse pressure? - correct answer ✔✔a drop in left
ventricular stroke volume
How does trauma cause narrow pulse pressure? - correct answer ✔✔Blood loss
If pulse pressure is extremely low (25 mmHg or less), what is the cause? - correct answer ✔✔low stroke
volume such as HF or shock
,Narrow pulse pressure causes not RT shock or HF - correct answer ✔✔aortic valve stenosis, cardiac
tamponade
Name two meds that lower pulse pressure - correct answer ✔✔ACE inhibitors, folic acid
What meds can raise pulse pressure - correct answer ✔✔NSAIDS, steroids, birth control, SSRIs
What is the Cushings triad - correct answer ✔✔Bradycardia, elevated pulse pressure, irregular breathing
Causes of widened pulse pressure - correct answer ✔✔Atherosclerosis
AV fistula
Chronic aortic regurgitation
Thyrotoxicosis
Fever
Anemia
A widened pulse pressure is an important risk factor for - correct answer ✔✔heart disease
10 mmHg increase in pulse pressure increased risk of cardiovascular complications and mortality by -
correct answer ✔✔20%
Widened pulse pressure is a risk factor for what heart rhythm? - correct answer ✔✔afib
How much folic acid is recommended to decrease pulse pressure? - correct answer ✔✔5 mg daily
How does folic acid reduce pulse pressure? - correct answer ✔✔targets large artery stiffness and may
prevent isolated systolic HTN
ABI 0.9-1.0 - correct answer ✔✔No obstruction
, ABI 0.4-0.6 - correct answer ✔✔Severe obstruction
ABI <0.4 - correct answer ✔✔Ischemic
ABI > or = 1.3 - correct answer ✔✔calcified vessels
ABI - correct answer ✔✔Ankle Brachial Index
All Physicians Take Money - correct answer ✔✔Aortic, Pulmonic, Tricuspid, Mitral valves
When do you hear the mitral and tricuspid valve closing? - correct answer ✔✔S1
When do you hear S2? - correct answer ✔✔aortic and pulmonic valves closing
S4 - correct answer ✔✔heard in many adults, only heard in sinus rhythms
Split S2 - correct answer ✔✔delay in pulmonic valve closure
When is split S2 heard? - correct answer ✔✔ASD or AVD, RBBB, Pulm HTN, Pulm stenosis
S3 is normal in - correct answer ✔✔children, young adults and in the third trimester
Is S3 abnormal in older people1/ - correct answer ✔✔Yes
Atrial Gallop is AKA - correct answer ✔✔S4
When do you hear S4 Atrial Gallop? - correct answer ✔✔During atrial contraction, just before S1, late
phase of ventricular filling
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