Cardiology boards ABIM
Study online at https://quizlet.com/_3nra7
1. What is a positive Flat or Down sloping St-segment depression >1 mm occurring 80 msec after j
stress test point
2. When to stop a St segment depression > 2 mm, ventricular tachycardia, drop in SBP > 15, chest
stress test pain, dyspnea, lightheadedness
3. Stress test of Myocardial perfusion imaging with adenosine,NOT exercising!
choice with a
LBBB or ventricu-
lar pacing?
4. Know the algo- See page 5-3,figure 5-1
rithm for stress
testing
5. When to not History of VT, severe HTN, Low BP, poor echo images
use doutamine
for stress
6. When to not Bronchospasm, severe valvular dysfunction, severe carotid stenosis, 2nd degree
use adenosine heart block, theophylline dependent
for stress
7. Normals for PA RA <7, RV 30/7, PCWP 3-11
catheter pres-
sures
8. PA cath findings Diastolic pressures elevated and equalized in all chambers, low BP
in tamponade or
restrictive peri-
carditis
9.
, Cardiology boards ABIM
Study online at https://quizlet.com/_3nra7
PA cath findings Elevated RA and PA pressures, decreased or nl PCWP, hypotension, and inferior
with RV AMI MI. R side is decompensated, cannot fill L side of the heart
10. PA cath find- Elevated PCWP, RA pressure, and decreased SBP/cardiac output
ings in cardio-
genic shock
11. PA cath findings Elevated RA, PA (very elevated), PCWP, nl SBP
in mitral stenosis
with RV failure
12. PA cath find- Elevated PA, RA pressures, nl PCWP, SBP
ings in pul-
monary HTN
13. Pulsus para- decrease in systolic BP of more than 10mmHg with normal inspiration; palpated
doxus as weakened pulse with inspiration along with more heart contractions to pulse
beats
14. What conditions Constrictive or restrictive pericarditis, asthma, tension pneumothorax
give you pulsus
paradoxus?
15. What gives you Aortic regurgitation, HOCM
pulsus bisfe-
riens (two sys-
tolic peaks per
cycle)
16. What causes pul- Severe LV dysfunction
sus alternans
17. What causes pul- Aortic stenosis
sus tardus
, Cardiology boards ABIM
Study online at https://quizlet.com/_3nra7
18. How do position- -standing/valsalva - decreased cardiac filling, decreases most murmurs except
al maneuvers af- MVP and HOCM
fect blood flow -squatting/ lying down - increase cardiac volume, increased murmurs except MVP,
and murmurs HOCM
-sustained handgrip - increases systemic resistance, decreases murmur in HOCM,
AS
19. What causes a Increased blood volume in the RV prolongs systole and delays pulmonary valve
physiologic split closure
S2
20. What causes a Pulmonary stenosis, PE, LV pacer, RBBB, MR (early AV closure), ASD, RV failue
fixed split S2
21. What causes a LBBB, RV pacing, HOCM
paradoxic split S2
22. What causes an Rapid LV filling - acute ventricular decompensation, severe AR or MR
S3?
23. KNOW - S3 with ...
LV dysfunction is
a poor prognos-
tic factor
24. What causes a Decreased ventricular compliance during atrial contraction - ischemic heart dz, AS,
S4? MR, HOCM, hypertrophic or diabetic cardiomyopathy, HTN heart dz, concentric
LVH
25. Can you have a No - no atrial contraction
S4 with atrial fib-
rillation?
Study online at https://quizlet.com/_3nra7
1. What is a positive Flat or Down sloping St-segment depression >1 mm occurring 80 msec after j
stress test point
2. When to stop a St segment depression > 2 mm, ventricular tachycardia, drop in SBP > 15, chest
stress test pain, dyspnea, lightheadedness
3. Stress test of Myocardial perfusion imaging with adenosine,NOT exercising!
choice with a
LBBB or ventricu-
lar pacing?
4. Know the algo- See page 5-3,figure 5-1
rithm for stress
testing
5. When to not History of VT, severe HTN, Low BP, poor echo images
use doutamine
for stress
6. When to not Bronchospasm, severe valvular dysfunction, severe carotid stenosis, 2nd degree
use adenosine heart block, theophylline dependent
for stress
7. Normals for PA RA <7, RV 30/7, PCWP 3-11
catheter pres-
sures
8. PA cath findings Diastolic pressures elevated and equalized in all chambers, low BP
in tamponade or
restrictive peri-
carditis
9.
, Cardiology boards ABIM
Study online at https://quizlet.com/_3nra7
PA cath findings Elevated RA and PA pressures, decreased or nl PCWP, hypotension, and inferior
with RV AMI MI. R side is decompensated, cannot fill L side of the heart
10. PA cath find- Elevated PCWP, RA pressure, and decreased SBP/cardiac output
ings in cardio-
genic shock
11. PA cath findings Elevated RA, PA (very elevated), PCWP, nl SBP
in mitral stenosis
with RV failure
12. PA cath find- Elevated PA, RA pressures, nl PCWP, SBP
ings in pul-
monary HTN
13. Pulsus para- decrease in systolic BP of more than 10mmHg with normal inspiration; palpated
doxus as weakened pulse with inspiration along with more heart contractions to pulse
beats
14. What conditions Constrictive or restrictive pericarditis, asthma, tension pneumothorax
give you pulsus
paradoxus?
15. What gives you Aortic regurgitation, HOCM
pulsus bisfe-
riens (two sys-
tolic peaks per
cycle)
16. What causes pul- Severe LV dysfunction
sus alternans
17. What causes pul- Aortic stenosis
sus tardus
, Cardiology boards ABIM
Study online at https://quizlet.com/_3nra7
18. How do position- -standing/valsalva - decreased cardiac filling, decreases most murmurs except
al maneuvers af- MVP and HOCM
fect blood flow -squatting/ lying down - increase cardiac volume, increased murmurs except MVP,
and murmurs HOCM
-sustained handgrip - increases systemic resistance, decreases murmur in HOCM,
AS
19. What causes a Increased blood volume in the RV prolongs systole and delays pulmonary valve
physiologic split closure
S2
20. What causes a Pulmonary stenosis, PE, LV pacer, RBBB, MR (early AV closure), ASD, RV failue
fixed split S2
21. What causes a LBBB, RV pacing, HOCM
paradoxic split S2
22. What causes an Rapid LV filling - acute ventricular decompensation, severe AR or MR
S3?
23. KNOW - S3 with ...
LV dysfunction is
a poor prognos-
tic factor
24. What causes a Decreased ventricular compliance during atrial contraction - ischemic heart dz, AS,
S4? MR, HOCM, hypertrophic or diabetic cardiomyopathy, HTN heart dz, concentric
LVH
25. Can you have a No - no atrial contraction
S4 with atrial fib-
rillation?
