Family Medicine EOR: Cardiology Midterm Exam Questions Solved Correctly.
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Module
Family Medicine EOR
Institution
Family Medicine EOR
1st line for bradycardia - Answer *ATROPINE* followed by epi or norepi
*TRANSCUTANEOUS PACING* if 3rd degree heart block of AV dissociation
if stable then only need to monitor and observe
dx of ischemic heart disease - Answer *ECG* is often initial test (ST depression), *STRESS TESTING...
Family Medicine EOR: Cardiology
Midterm Exam Questions Solved
Correctly.
1st line for bradycardia - Answer *ATROPINE* followed by epi or norepi
*TRANSCUTANEOUS PACING* if 3rd degree heart block of AV dissociation
if stable then only need to monitor and observe
dx of ischemic heart disease - Answer *ECG* is often initial test (ST depression), *STRESS TESTING*
usually after initial ECG (most useful noninvasive screening tool)
*resting ECG is normal in 50% of stable angina*
*angiography is gold standard*
1st line for tachycardia - Answer *VAGAL MANUEVER* --> *ADENOSINE* --> *B-BLOCKER or CCB*
*AMIODARONE* if wide QRS *(0.12 sec)
1st line for Wolff-Parkinson-White (delta waves, slurred QRS) - Answer if stable --> *PROCAINAMIDE*
tx for atrial fibrillation - Answer *RATE CONTROL* metoprolol, diltiazem, digoxin in hypotension or CHF
AND THEN RHYTHM CONTROL with cardioversion, ibutilide/flecainide/sotalol/amiodarone,
radiofrequency ablation
, if unstable --> *SYNCHRONIZED CARDIOVERSION*
tx for supraventricular tachycardia - Answer if stable narrow complex --> *ADENOSINE* (1st line-usually
works)
if stable wide complex --> *AMIODARONE*
if unstable --> *SYNCHRONIZED CARDIOVERSION*
definitively needs radiofrequency ablation
dx of heart failure - Answer *ECHOCARDIOGRAM* ejection fraction most important (dec with systolic
failure, nml/inc with diastolic failure)
CXR useful for CHF (Kerley B lines, butterfly pattern/batwing, cardiomegaly, pleural effusions)
B-type natriuretic peptide > 100
management of heart failure - Answer *ACE-I (-pril)* and *B-BLOCKERS (carvedilol, metoprolol,
bisoprolol)* to decrease afterload, *DIURETICS (furosemide, bumetanide, torsemide, spironolactone,
eplerenone, hctz, metolazone)* to decrease preload and symptom management,
*POSITIVE INOTROPE/SYMPATHOMIMETIC (digoxin, dobutamine, dopamine)* used short-term in severe
acute HF. Only digoxin used long-term
+/- Hydralazine with nitrate
may use ARB instead of ACE-I
management of acute pulmonary edema secondary to CHF
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