ATSU 2023 Cumulative Review
MC causes of dilated cardiomyopathy - correct answer ✔✔Ischemic (#1)
Alcoholism
MC type of cardiomyopathy - correct answer ✔✔dilated
What class of medications commonly causes ototoxicity? - correct answer ✔✔Aminoglycosides (Ex:
Gentamycin)
Your patient presents to clinic w/ complaint of ear pain and a sensation of fullness after a day at the lake.
On physical exam, pain is elicited with manipulation of the auricle and tragus. Given the most likely
causative organism, what is the best management for this patient? - correct answer ✔✔Ofloxacin
type of necrosis seen in alkaline chemical conjunctivitis? - correct answer ✔✔liquefactive
conjunctivitis associated with preauricular lymphadenopathy - correct answer ✔✔viral conjunctivitis
Patient has intermittent episodes of dizziness, tinnitus, and hearing loss in the right ear for 6 months,
with the episodes typically lasting for 2 to 4 hours. What is the most likely Dx? - correct answer
✔✔Meniere's Disease
dendritic branching pattern with flourescein staining - correct answer ✔✔HSV
MCC of conductive hearing loss? - correct answer ✔✔cerumen impaction
Irregularly irregular rhythm - correct answer ✔✔A-fib
Which finding requires immediate treatment, LBBB or RBBB? - correct answer ✔✔LBBB
,New LBBB is a STEMI equivalent
MAT (Multifocal Atrial Tachycardia) is associated with - correct answer ✔✔COPD
Tall peaked p waves - correct answer ✔✔Right atrial enlargement
Which leads are used to diagnose an anterior wall MI? - correct answer ✔✔V1, V2, V3
A patient complains of severe pleuritic chest pain that is relieved with sitting and leaning forward. What
is the most likely diagnosis?
Treatment? - correct answer ✔✔Pericarditis, NSAIDs
Becks triad is associated with ___?what - correct answer ✔✔cardiac tamponade
What are major criteria for endocarditis? - correct answer ✔✔positive blood cultures, endocardial
involvement on echo, new regurg murmur
Diffuse ST elevation is indicative of what? - correct answer ✔✔Pericarditis
Water bottle heart on CXR indicates? - correct answer ✔✔pericardial effusion/cardiac tamponade
Electric alternans - correct answer ✔✔QRS amplitude shifts; seen in percardial effusion
6 year old boy is brought in to the emergency room for right ear pain x 2 days, on exam, temp is 100.4
and right ear has erythematous bulging TM, given suspected diagnosis, what are the most common
pathogens? - correct answer ✔✔Strep pneumo, Haemophilus influenzae, Moraxella catarrhalis
inverted or absent P waves are associated with? - correct answer ✔✔Junctional rhythm
, 62 year old male presents with SOB, on exam an S3 gallop and apical holosystolic murmur that radiates
to axilla are heard. Which of the following is this caused by?
a) Tricuspid regurg
b) Aortic stenosis
c)Mitral Regurg
d)Pulmonic stenosis - correct answer ✔✔c) Mitral Regurg
62 yo A.A male comes to the office for dysuria, UA confirms UTI. He is given a 3 day course of Abx. 7 days
later he returns with fatigue, dizziness, and exertional dyspnea. Labs show Hgb 8.5, Hct 26%, MCV 104.
Given the expected Dx, which of the following is a likely additional finding?
a) reticulocyte count of 2.5%
b) Howell Jolly bodies
c)elevated haptoglobin
d)presence of Heinz bodies - correct answer ✔✔d) presence of Heinz bodies
What is the first line treatment for Prinzmetal (variant) Angina?
What med do you want to avoid giving? - correct answer ✔✔CCBs
Avoid Beta blockers
What is the first line pharmacologic Tx for PAD? - correct answer ✔✔Cliostazol
MC primary cardiac tumor in adults - correct answer ✔✔Left atrial myxoma
In a patient with low risk for DVT, what can you order to rule it out? - correct answer ✔✔D-dimer
Peripheral arterial disease (PAD) is associated with ulcers where?
What about PVD? - correct answer ✔✔PAD = lateral malleolus ulcer
PVD = medial malleolus ulcer
Which of the following is associated with increased risk of COPD at a young age ?
MC causes of dilated cardiomyopathy - correct answer ✔✔Ischemic (#1)
Alcoholism
MC type of cardiomyopathy - correct answer ✔✔dilated
What class of medications commonly causes ototoxicity? - correct answer ✔✔Aminoglycosides (Ex:
Gentamycin)
Your patient presents to clinic w/ complaint of ear pain and a sensation of fullness after a day at the lake.
On physical exam, pain is elicited with manipulation of the auricle and tragus. Given the most likely
causative organism, what is the best management for this patient? - correct answer ✔✔Ofloxacin
type of necrosis seen in alkaline chemical conjunctivitis? - correct answer ✔✔liquefactive
conjunctivitis associated with preauricular lymphadenopathy - correct answer ✔✔viral conjunctivitis
Patient has intermittent episodes of dizziness, tinnitus, and hearing loss in the right ear for 6 months,
with the episodes typically lasting for 2 to 4 hours. What is the most likely Dx? - correct answer
✔✔Meniere's Disease
dendritic branching pattern with flourescein staining - correct answer ✔✔HSV
MCC of conductive hearing loss? - correct answer ✔✔cerumen impaction
Irregularly irregular rhythm - correct answer ✔✔A-fib
Which finding requires immediate treatment, LBBB or RBBB? - correct answer ✔✔LBBB
,New LBBB is a STEMI equivalent
MAT (Multifocal Atrial Tachycardia) is associated with - correct answer ✔✔COPD
Tall peaked p waves - correct answer ✔✔Right atrial enlargement
Which leads are used to diagnose an anterior wall MI? - correct answer ✔✔V1, V2, V3
A patient complains of severe pleuritic chest pain that is relieved with sitting and leaning forward. What
is the most likely diagnosis?
Treatment? - correct answer ✔✔Pericarditis, NSAIDs
Becks triad is associated with ___?what - correct answer ✔✔cardiac tamponade
What are major criteria for endocarditis? - correct answer ✔✔positive blood cultures, endocardial
involvement on echo, new regurg murmur
Diffuse ST elevation is indicative of what? - correct answer ✔✔Pericarditis
Water bottle heart on CXR indicates? - correct answer ✔✔pericardial effusion/cardiac tamponade
Electric alternans - correct answer ✔✔QRS amplitude shifts; seen in percardial effusion
6 year old boy is brought in to the emergency room for right ear pain x 2 days, on exam, temp is 100.4
and right ear has erythematous bulging TM, given suspected diagnosis, what are the most common
pathogens? - correct answer ✔✔Strep pneumo, Haemophilus influenzae, Moraxella catarrhalis
inverted or absent P waves are associated with? - correct answer ✔✔Junctional rhythm
, 62 year old male presents with SOB, on exam an S3 gallop and apical holosystolic murmur that radiates
to axilla are heard. Which of the following is this caused by?
a) Tricuspid regurg
b) Aortic stenosis
c)Mitral Regurg
d)Pulmonic stenosis - correct answer ✔✔c) Mitral Regurg
62 yo A.A male comes to the office for dysuria, UA confirms UTI. He is given a 3 day course of Abx. 7 days
later he returns with fatigue, dizziness, and exertional dyspnea. Labs show Hgb 8.5, Hct 26%, MCV 104.
Given the expected Dx, which of the following is a likely additional finding?
a) reticulocyte count of 2.5%
b) Howell Jolly bodies
c)elevated haptoglobin
d)presence of Heinz bodies - correct answer ✔✔d) presence of Heinz bodies
What is the first line treatment for Prinzmetal (variant) Angina?
What med do you want to avoid giving? - correct answer ✔✔CCBs
Avoid Beta blockers
What is the first line pharmacologic Tx for PAD? - correct answer ✔✔Cliostazol
MC primary cardiac tumor in adults - correct answer ✔✔Left atrial myxoma
In a patient with low risk for DVT, what can you order to rule it out? - correct answer ✔✔D-dimer
Peripheral arterial disease (PAD) is associated with ulcers where?
What about PVD? - correct answer ✔✔PAD = lateral malleolus ulcer
PVD = medial malleolus ulcer
Which of the following is associated with increased risk of COPD at a young age ?
