Internal Medicine High Yield (100% Error-free Answers)
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Course
Internal Medicine High Yield
Institution
Internal Medicine High Yield
best first test for pt with chest pain? correct answers EKG
if 2 mm ST elevation or new LBBB (wide, flat QRS) on EKG? correct answers STEMI
EKG findings of an MI correct answers ST elevation immediately
T wave inversion ( 6 hrs to years)
Q waves forever
Anterior wall of the heart is show...
Internal Medicine High Yield (100% Error-free Answers)
best first test for pt with chest pain? correct answers EKG
if 2 mm ST elevation or new LBBB (wide, flat QRS) on EKG? correct answers STEMI
EKG findings of an MI correct answers ST elevation immediately
T wave inversion ( 6 hrs to years)
Q waves forever
Anterior wall of the heart is shown by what leads of an EKG? correct answers V1-V4
what artery supplies V1-V4 typically? correct answers LAD
what artery typically supplies I, aVL, V4-V6? correct answers circumflex
what artery typically suplies II, III, and aVF? correct answers RCA
what artery typicaly supplies V4 on R-sided EKG/ correct answers RCA
next best test after EKG? correct answers cardiac enzymes
what cardiac enzyme rises first within 2 hrs, second within 24 hours, and third within 24-48
hours? correct answers myoglobin, CKMB, troponin
what is the treatment for a patient presenting with MI? correct answers morphine, oxygen,
nitrates, aspirin, b-blocker
when is a CABG indicated? correct answers left main disease, 3 vessel disease (2 vessel + DM)
what medications should be given at discharge? correct answers aspirin, b-blocker, ACE
inhibitor, statin, short acting ntrates, and clopidogrel if stent placed
what two chemicals can be used for exercise stress testing? correct answers dobutamine
(increases contractility of the heart) and adenosine (maximally dilates coronary arteries and will
cause the blood to preferentially go to unclogged arteries)
most common cause of death post MI? correct answers arrythmias/V-fib
a new systollic murmur occurs 5-7 days after MI? correct answers papillary muscle rupture
causing mitral regurg
pt develops acute severe hypotension following an MI? correct answers ventricular free wall
rupture
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blood gases show a step up in O2 concentration from RA to RV following an MI? correct
answers ventricular septal wall rupture
there is persistent ST elevation around 1 month later with a systolic murmur after an MI? correct
answers ventricular wall aneruysm
what are "cannon A-waves?" correct answers AV dissociaton, seen with 3rd degree HB
a post MI patient develops pleuritic chest pain with a low grade temp 5-10 weeks later? Tx?
correct answers Dresslers Syndrome
NSAIDS/aspirin
a young healthy patient presents with chest pain that is....worse with inspiration, better with
leaning forward with a frictional rub? worse with palpation? vague pain with hx of viral infection
and new murmur? occurs at rest, worse at night, few CAD risk factors and transient ST elevation
during episodes? how is the last one treated? correct answers pericarditis
costochondriasis
myocarditis
prinzmetals
CCB/nitrates
what murmur is a systolic ejection murmur, crescendo/decresendo, louder with squatting, softer
with valsalva? correct answers aortic stenosis
SEM luder with valsalva, softer with squatting or handgrip? correct answers Hypertrophic
cardiomypoathy
later systolic murmur with click that is louder with valsalva and hand grip, softer with squatting?
correct answers mitral valve prolapse
Holosystolic murmur that radiates to axilla correct answers mitral regurg
rumbling diastolic murmur with opening snap, left atria enlargement, and a fib? correct answers
mitral stenosis
blowing diastolic murmur with widened pulse pressure and eponym parade correct answers
Aortic Regurg
if you suspect PE, what is the best first step? correct answers O2 and heparin...unless
contraindicated! then you need an IVC filter immediately!
what is the best treatment for acute pulmonary edema? correct answers nitrates, lasix and
morphine
if a young pt presents with symptoms of CHF with prior hx of viral infection? correct answers
consider myocarditis with coxsackie B virusPowered by TCPDF (www.tcpdf.org)
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