ROSH Cardiology UPDATED ACTUAL Questions and CORRECT Answers
1. Most cases of dilated cardiomyopathy idiopathic
are
2. The most common tachydysrhythmia as- Atrial fibrillation.
sociated with sinus node dysfunction is
3. Most common cause of infective endo- Staphylococcus aureus
carditis in IV drug users is ... affecting Tricuspid valve (regurgitation)
what valve
4. What medical condition is associated Colorectal cancer
with Streptococcus bovis endocarditis?
5. Most common cause of infective endo- Staphylococcus aureus, strep viridans
carditis in native valve is ... affective what Mitral valve.
valve?
6. Prophylaxis is indicated for infective en- high risk patients with prosthetic valve
docarditis is for patients with type of
valve
7. What antibiotic is first line for endocardi- Amoxicillin 2 grams given 1 hour prior to pro-
tis prophylaxis to a dental procedure? cedure
8. The most appropriate initial treatment Valsalva maneuver
for SVT is
9. Effort-related thrombosis causes repetitive strenuous activity
two-thirds of primary upper extremity
venous thrombosis cases and is sec- subclavian vein.
ondary to ....
involving arm movements that cause mi-
crotrauma to the ...
,10. The EKG triad of Wolff-Parkinson White 1. Slurred upstroke of QRS complex
Syndrome 2. Shortened PR interval
3. Wide QRS complex.
11. Wolff-Parkinson White Syndrome is most accessory pathway (bundle of Kent) connect-
commonly cause by ing atria to ventricles, bypassing AV node
12. What medication is recommended for Propranolol
the treatment of atrial dysrhythmias as-
sociated with hyperthyroidism?
13. Definitive treatment of Wolff-Parkinson Radiofrequency ablation of accessory path-
White way.
14. The triad of cardiac tamponade is 1. Muffled heart sounds
2. Elevated JVP
3. Hypotension
15. ECG finding associated with cardiac tam- Electrical Alternans
ponade is
16. Cardiac tamponade is associated with pulsus paradoxus: decrease in systolic blood
this PE finding? pressure > 10 mm Hg on inspiration
17. This is the first line agent first-line agent BB: Carvedilol, metoprolol succinate, bisopro-
in rate control of atrial fibrillation with lol.
rapid ventricular response in the setting
of compensated systolic heart failure.
18. Patients with A-fib need to be evaluated Long term anticoagulation using the
for this using this score CHA2DS2-VASc score
,19. Hypertrophic cardiomyopathy is associ- Harsh mid-systolic crescendo-decrescendo
ated with what murmur ... and is accen- murmur (S4)
tuated by
Accentuate murmur with Valsalva and stand-
ing up
20. The treatment of hypertrophic cardiomy- BB (first line) and non-dihydropyridines CCB
opathy is
21. These medications are avoided in the Avoid positive inotropes and nitrates
treatment of hypertrophic cardiomyopa-
thy
22. True or false. True
t is imperative to establish the diagno-
sis of HCOM to confirm the presence of
absence of an outflow tract obstruction
with an ECG and echo first before start-
ing any pharmacologic treatment.
23. Etiology of pericarditis is most common- viral
ly
24. Treatment for acute pericarditis is NSAID and colchicine
25. CP in pericarditis is worse with inspiration and leaning back and
better with leaning forward.
26. Dilation and impaired contraction of one Dilated cardiomyopathy
or both ventricles, decreased EF, in-
, creased systolic and diastolic volumes
are echocardiogram findings associated
with
27. Transient cardiac dysfunction with ven- Stress induced cardiomyopathy AKA Takotsubo
tricular apical ballooning usually trig-
gered by intense emotional or physical
stress is associated with
28. A 55-year-old woman with a history of Unstable angina
hypertension but no prior cardiac dis-
ease who reports one episode of chest
pressure that began while pushing her
grocery cart and lasted 30 minutes is
classified as having what type of angina?
29. A 65-year-old man with a known histo- Stable angina
ry of coronary artery disease who gets
chest pain and shortness of breath every
time he climbs the steps to his bedroom
is classified as having what type of angi-
na?
30. Increased risk for atypical presentation Elderly, diabetic, women
of ACS
31. the most common atypical angina-equiv- Dyspnea
alent symptom?
32. Medications that cause hyperkalemia Mineralocorticoid receptor antagonist:
Spironolactone, Eplerenone
ACEi/ARBs
1. Most cases of dilated cardiomyopathy idiopathic
are
2. The most common tachydysrhythmia as- Atrial fibrillation.
sociated with sinus node dysfunction is
3. Most common cause of infective endo- Staphylococcus aureus
carditis in IV drug users is ... affecting Tricuspid valve (regurgitation)
what valve
4. What medical condition is associated Colorectal cancer
with Streptococcus bovis endocarditis?
5. Most common cause of infective endo- Staphylococcus aureus, strep viridans
carditis in native valve is ... affective what Mitral valve.
valve?
6. Prophylaxis is indicated for infective en- high risk patients with prosthetic valve
docarditis is for patients with type of
valve
7. What antibiotic is first line for endocardi- Amoxicillin 2 grams given 1 hour prior to pro-
tis prophylaxis to a dental procedure? cedure
8. The most appropriate initial treatment Valsalva maneuver
for SVT is
9. Effort-related thrombosis causes repetitive strenuous activity
two-thirds of primary upper extremity
venous thrombosis cases and is sec- subclavian vein.
ondary to ....
involving arm movements that cause mi-
crotrauma to the ...
,10. The EKG triad of Wolff-Parkinson White 1. Slurred upstroke of QRS complex
Syndrome 2. Shortened PR interval
3. Wide QRS complex.
11. Wolff-Parkinson White Syndrome is most accessory pathway (bundle of Kent) connect-
commonly cause by ing atria to ventricles, bypassing AV node
12. What medication is recommended for Propranolol
the treatment of atrial dysrhythmias as-
sociated with hyperthyroidism?
13. Definitive treatment of Wolff-Parkinson Radiofrequency ablation of accessory path-
White way.
14. The triad of cardiac tamponade is 1. Muffled heart sounds
2. Elevated JVP
3. Hypotension
15. ECG finding associated with cardiac tam- Electrical Alternans
ponade is
16. Cardiac tamponade is associated with pulsus paradoxus: decrease in systolic blood
this PE finding? pressure > 10 mm Hg on inspiration
17. This is the first line agent first-line agent BB: Carvedilol, metoprolol succinate, bisopro-
in rate control of atrial fibrillation with lol.
rapid ventricular response in the setting
of compensated systolic heart failure.
18. Patients with A-fib need to be evaluated Long term anticoagulation using the
for this using this score CHA2DS2-VASc score
,19. Hypertrophic cardiomyopathy is associ- Harsh mid-systolic crescendo-decrescendo
ated with what murmur ... and is accen- murmur (S4)
tuated by
Accentuate murmur with Valsalva and stand-
ing up
20. The treatment of hypertrophic cardiomy- BB (first line) and non-dihydropyridines CCB
opathy is
21. These medications are avoided in the Avoid positive inotropes and nitrates
treatment of hypertrophic cardiomyopa-
thy
22. True or false. True
t is imperative to establish the diagno-
sis of HCOM to confirm the presence of
absence of an outflow tract obstruction
with an ECG and echo first before start-
ing any pharmacologic treatment.
23. Etiology of pericarditis is most common- viral
ly
24. Treatment for acute pericarditis is NSAID and colchicine
25. CP in pericarditis is worse with inspiration and leaning back and
better with leaning forward.
26. Dilation and impaired contraction of one Dilated cardiomyopathy
or both ventricles, decreased EF, in-
, creased systolic and diastolic volumes
are echocardiogram findings associated
with
27. Transient cardiac dysfunction with ven- Stress induced cardiomyopathy AKA Takotsubo
tricular apical ballooning usually trig-
gered by intense emotional or physical
stress is associated with
28. A 55-year-old woman with a history of Unstable angina
hypertension but no prior cardiac dis-
ease who reports one episode of chest
pressure that began while pushing her
grocery cart and lasted 30 minutes is
classified as having what type of angina?
29. A 65-year-old man with a known histo- Stable angina
ry of coronary artery disease who gets
chest pain and shortness of breath every
time he climbs the steps to his bedroom
is classified as having what type of angi-
na?
30. Increased risk for atypical presentation Elderly, diabetic, women
of ACS
31. the most common atypical angina-equiv- Dyspnea
alent symptom?
32. Medications that cause hyperkalemia Mineralocorticoid receptor antagonist:
Spironolactone, Eplerenone
ACEi/ARBs
