Cardiovascular Disease Includes 50 Flashcards for Board Exam prep

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INTERNAL MEDICINE BOARD REVIEW FLASHCARDS

K N O W M E D G E

INTERNAL MEDICINE BOARD REVIEW FLASHCARDS

Cardiovascular Disease Email: support@knowmedge.com Website: www.knowmedge.com Facebook: www.facebook.com/knowmedge Twitter: www.twitter.com/knowmedge YouTube: www.youtube.com/knowmedge Google+: www.google.com/+knowmedge Pinterest: www.pinterest.com/knowmedge Copyright © 2015 Knowmedge ALL RIGHTS RESERVED. No part of this work may be reproduced or used in any form or by any means–graphic, electronic, or mechanical, including photocopying, recording, taping, web distribution–without the prior written permission of Knowmedge

Dear Reader, Thank you for downloading a copy of this eBook. If you are searching for study materials for your medical board exam, you are on the verge of a significant milestone in your professional journey. Knowmedge is a medical education learning platform that was launched in April 2013. It features over 900 Internal Medicine questions, 4,000+ flashcards, 1,500+ medical mnemonics… all designed to help you learn and reinforce the key concepts covered on the exam. In addition, each of the Knowmedge Internal Medicine questions features a highly interactive audio visual explanation, in which our content experts walk you through the principles underlying each question to methodically arrive at the correct answer. This book contains 50 quick review Cardiovascular Disease flashcards written by the team of Knowmedge doctors. We hope you find the questions in this book to be a valuable asset as you prepare for your upcoming exam. If you are interested in learning more about Knowmedge, please visit us at www.knowmedge.com. If you have any questions about the contents of this eBook, send me a note at ravi@knowmedge.com Best of luck in your preparations! Sincerely,

Ravi Ravi Bhatia, MD Co-founder, Chief Editor Knowmedge

What is the most common tumor

involving cardiac valves?

Question 1

Papillary fibroelastoma

Answer 1

What is the most common presentation

in patients with papillary fibroelastoma?

Question 2

Embolic phenomenon resulting in TIA,

stroke or MI

Answer 2

What is the most common cardiac tumor

in infants?

Question 3

Rhabdomyomas

Answer 3

Which is the most common primary

cardiac tumor?

Question 4

Myxomas

Answer 4

What is the treatment of choice in

patients with cardiac myxomas?

Question 5

Surgical excision

Answer 5

What is the most common cause of

sudden death in young athletes?

Question 6

Hypertrophic cardiomyopathy

Answer 6

What is the classic echo finding in

hypertrophic cardiomyopathy?

Question 7

Systolic anterior motion of mitral valve

Answer 7

Which drug class is contraindicated in

the management of multifocal atrial

tachycardia (MAT)?

Question 8

Beta blockers

Answer 8

What is the drug of choice for beta

blocker overdose?

Question 9

IV Glucagon

Answer 9

What is the target INR when warfarin is

used as the oral anticoagulant in patients

with atrial fibrillation?

Question 10

2.0 to 3.0

Answer 10

As per USPTF, which age group will

benefit the most with daily aspirin 81 mg

for primary prevention of myocardial

infarction?

Question 11

Men aged 45 - 79 yrs

Answer 11

Which CYP enzyme polymorphism is

most important in activation of

clopidogrel?

Question 12

CYP2C19

Answer 12

What is the target receptor of

thienopyridine drugs?

Question 13

ADP receptors of P2Y12 subtype

Answer 13

What is the most significant risk factor of

the thienopyridine drug Ticlopidine?

Question 14

Life-threatening agranulocytosis

Answer 14

What is the role of thrombolytic therapy

in spontaneous coronary artery

dissection (SCAD)?

Question 15

Thrombolytic therapy is contraindicated

in SCAD

Answer 15

HIT develops due to autoantibodies

against which antigen?

Question 16

Platelet factor 4 present on platelet

surface

Answer 16

What is generally the most accurate way

to make a diagnosis of retroperitoneal

bleeding?

Question 17

Emergent noncontrast CT scan of the

abdomen

Answer 17

Infarction of which wall most commonly

produces papillary muscle dysfunction?

Question 18

Inferior wall MI

Answer 18

Which drug is contraindicated in patient

of erectile dysfunction on

phosphodiesterase inhibitors?

Question 19

Nitrates

Answer 19

Which drug is used to prevent

scleroderma renal crisis?

Question 20

ACE Inhibitors

Answer 20

Which antifibrotic agent is used in

treatment of systemic sclerosis?

Question 21

D-penicillamine

Answer 21

Which drug when used in treatment of

pericarditis can lead to relapse or

recurrent pericarditis?

Question 22

Steroids

Answer 22

For bare-mental stents, the minimum

duration of dual antiplatelet therapy

(aspirin and clopidogrel) is _____

month(s) post-stent implantation.

Question 23

1 month

Answer 23

If elective noncardiac surgery is

recommended for a patient with recent

bare metal stenting, it should be delayed

until ____ weeks after the stent was

placed.

Question 24

4 weeks

Answer 24

According to ACCP guidelines on

antithrombotic therapy recommend

resuming aspirin approximately ___

hours after surgery when there is

adequate hemostasis.

Question 25

24 hours (or the next morning)

Answer 25

Which drug is used to coat DES?

Question 26

Sirolimus

Answer 26

What is the minimum duration of double

antiplatelet therapy in case of drug

eluting stents?

Question 27

At least 12 months

Answer 27

How long should clopidogrel be

continued when a patient with chronic

stable angina undergoes a PCI with

placement of a bare metal stent?

Question 28

At least 1 month

Answer 28

How long after PCI should aspirin be

continued?

Question 29

Indefinitely

Answer 29

How is risk stratification done in patients

with unstable angina?

Question 30

Stress testing & TIMI score

Answer 30

What is the target INR for mechanical

MV prosthesis?

Question 31

2.5 to 3.5 maintained indefinitely

Answer 31

What is the treatment of choice for

patients with MVP who develop

transient ischemic attacks?

Question 32

Aspirin

Answer 32

What is the treatment of choice in a

symptomatic patient with severe MS &

MR?

Question 33

Mitral valve replacement

Answer 33

What is the treatment of choice in a

pregnant woman with symptomatic

mitral stenosis?

Question 34

Percutaneous Mitral Balloon

Valvuloplasty (PMBV)

Answer 34

Hemoptysis is associated with which

valvular heart disease?

Question 35

Mitral stenosis

Answer 35

What is the maximal predicted heart rate

during a cardiac stress test?

Question 36

220 - age in years

Answer 36

What are the 4 pharmacological

stressors which can be used in stress

test?

Question 37

Dobutamine, adenosine, dipyridamole,

regadenoson

Answer 37

Which is the initial diagnostic test to

confirm MR?

Question 38

Echocardiography

Answer 38

What is the most common mutation

seen in patients with HOCM?

Question 39

Beta-myosin heavy chain mutations

Answer 39

How do you prevent sudden death in

high risk patients of HOCM?

Question 40

ICD implantation

Answer 40

What is the most common congenital

heart valve defect?

Question 41

Bicuspid aortic valve disease

Answer 41

What is the characterisic pulse felt in

patients with aortic stenosis?

Question 42

Pulsus parvus et tardus

Answer 42

What is the most common congenital

cyanotic heart disease?

Question 43

Tetrology of Fallot

Answer 43

What are the four components of

tetrology of Fallot?

Question 44

- VSD

- overriding aorta

- pulmonary stenosis

- right ventricular hypertrophy

Answer 44

Continuous machinery like murmur is

seen with which congenital heart

disease?

Question 45

Patent ductus arteriosus

Answer 45

Which maternal infection predisposes

her fetus to develop PDA?

Question 46

Maternal rubella

Answer 46

Which drug causes closure of small

PDAs?

Question 47

NSAIDs like indomethacin

Answer 47

Which murmurs decrease with squatting

and passive leg raise?

Question 48

Hypertrophic cardiomyopathy and mitral

valve prolapse

Answer 48

Which cardiac condition presents with

fixed split of second heart sound?

Question 49

Atrial septal defect

Answer 49

What is the most common type of atrial

septal defect (ASD)?

Question 50

Ostium secundum defect

Answer 50

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