Cardiology boards ABIM-216 questions with 100% correct answers 2023

Cardiology boards ABIM-216 questions with 100% correct answers 2023 What is a positive stress test - CORRECT ANSWER Flat or Down sloping St-segment depression >1 mm occurring 80 msec after j point When to stop a stress test - CORRECT ANSWER St segment depression > 2 mm, ventricular tachycardia, drop in SBP > 15, chest pain, dyspnea, lightheadedness Stress test of choice with a LBBB or ventricular pacing? - CORRECT ANSWER Myocardial perfusion imaging with adenosine,NOT exercising! Know the algorithm for stress testing - CORRECT ANSWER See page 5-3,figure 5-1 When to not use doutamine for stress - CORRECT ANSWER History of VT, severe HTN, Low BP, poor echo images When to not use adenosine for stress - CORRECT ANSWER Bronchospasm, severe valvular dysfunction, severe carotid stenosis, 2nd degree heart block, theophylline dependent Normals for PA catheter pressures - CORRECT ANSWER RA <7, RV 30/7, PCWP 3-11 PA cath findings in tamponade or restrictive pericarditis - CORRECT ANSWER Diastolic pressures elevated and equalized in all chambers, low BP PA cath findings with RV AMI - CORRECT ANSWER Elevated RA and PA pressures, decreased or nl PCWP, hypotension, and inferior MI. R side is decompensated, cannot fill L side of the heart PA cath findings in cardiogenic shock - CORRECT ANSWER Elevated PCWP, RA pressure, and decreased SBP/cardiac output PA cath findings in mitral stenosis with RV failure - CORRECT ANSWER Elevated RA, PA (very elevated), PCWP, nl SBP PA cath findings in pulmonary HTN - CORRECT ANSWER Elevated PA, RA pressures, nl PCWP, SBP Pulsus paradoxus - CORRECT ANSWER decrease in systolic BP of more than 10mmHg with normal inspiration; palpated as weakened pulse with inspiration along with more heart contractions to pulse beats