USMLE Step 2 CK High-Yield
Study online at https://quizlet.com/_5285dq
1. Classic EKG finding in atrial flutter "Sawtooth" p waves
2. Definition of unstable angina Angina that is new, is wors-
ening, or occurs at rest
3. Antihypertensive for a diabetic patient with protein- ACEI
uria
4. Beck's triad for cardiac tamponade Hypotension, distant heart
sounds, and JVD
5. Drugs that slow heart rate Beta-blockers, CCBs, digox-
in, amiodarone
6. Hypercholesterolemia treatment that leads to flush- Niacin
ing and pruritus
7. Murmur - hypertrophic obstructive cardiomyopathy A systolic ejection murmur
heard along the lateral ster-
nal border that increases
with decreased preload (i.e.
Valsalva maneuver)
8. Murmur - aortic insufficiency Austin Flint murmur,
a diastolic, decrescendo,
low-pitched, blowing mur-
mur that is best heard sitting
up; increases with increased
afterload (i.e. handgrip)
9. Murmur - aortic stenosis A systolic crescendo/de-
crescendo murmur that ra-
diates to the neck; increases
, USMLE Step 2 CK High-Yield
Study online at https://quizlet.com/_5285dq
with increased preload (i.e.
squatting)
10. Murmur - mitral regurgitation A holosystolic murmur that
radiates to the axillar; in-
creases with increased after-
load (handgrip)
11. Murmur - mitral stenosis A diastolic, mid to late,
low-pitched murmur pre-
ceded by an opening snap
12. Treatment for atrial fibrillation and atrial flutter If unstable, cardiovert. If sta-
ble or chronic, rate control
with CCBs or beta-blockers
13. Treatment for ventricular fibrillation Immediate cardioversion
14. Dressler's syndrome An autoimmune reaction
with fever, pericarditis and
increased ESR occurring 2-4
weeks post-MI
15. IV drug use with JVD and holosystolic murmur at left Treat existing heart failure
sternal border. Treatment? and replace tricuspid valve
16. Diagnostic test for hypertrophic cardiomyopathy Echocardiogram (showing a
thickened left ventricular
wall and outflow obstruc-
tion)
17. Pulsus paradoxus A decrease in systolic BP of
> 10 mmHg with inspiration;
seen in cardiac tamponade
, USMLE Step 2 CK High-Yield
Study online at https://quizlet.com/_5285dq
18. Classic ECG finding in pericarditis Low-voltage, diffuse ST-seg-
ment elevation
19. Definition of hypertension BP > 140/90 on 3 separate
occasions 2 weeks apart
20. Eight surgically correctable causes of HTN Renal artery stenosis, coarc
of aorta, pheo, Conn's,
Cushing's syndrome, unilat-
eral renal parenchymal dz,
hyperthyroid, hyperparathy-
roid
21. Evaluation of pulsatile abdominal mass and bruit Abdominal U/S and CT
22. Indications for surgical repair of abdominal aortic >5.5cm, rapidly enlarging,
aneurysm symptomatic, ruptured
23. Treatment for acute coronary syndrome ASA, heparin, clopidogrel,
morphine, oxygen, sublin-
gual nitro, IV beta-blockers
24. Metabolic syndrome Abdominal obesity, high
triglycerides, low HDL, hy-
pertension, insulin resis-
tance, prothrombotic or
proinflammatory states
25. Appropriate diagnostic test: 50yo male with stable Exercise stress treadmill with
angina can exercise to 85% of maximum predicted ECG
heart rate
26.
, USMLE Step 2 CK High-Yield
Study online at https://quizlet.com/_5285dq
Appropriate diagnostic test: 65yo female with LBBB Pharmacologic stress test
and severe OA has unstable angina (e.g. dobutamine echo)
27. Target LDL in a patient with diabetes <70mg/dL
28. Signs of active ischemia during stress testing Angina, ST-segment
changes on ECG or de-
creased BP
29. ECG findings suggestive of MI ST-segment elevation (de-
pression means ischemia),
flattened T waves, Q waves
30. Coronary territories in MI Anterior wall (LAD/di-
agonal), inferior (PDA),
posterior (left circum-
flex/oblique, RCA/margin-
al), septum (LAD/diagonal)
31. A young patient with angina at rest and ST-segment Prinzmetal's angina
elevation with normal cardiac enzymes
32. Common symptoms associated with silent MIs CHF, shock, AMS
33. Diagnostic test for PE Spiral CT with contrast
34. Protamine Reverses effects of heparin
35. Prothrombin time Coagulation paramter af-
fected by warfarin
36. A young patient with FHx of sudden death collapses Hypertrophic cardiomyopa-
and dies while exercising thy
Study online at https://quizlet.com/_5285dq
1. Classic EKG finding in atrial flutter "Sawtooth" p waves
2. Definition of unstable angina Angina that is new, is wors-
ening, or occurs at rest
3. Antihypertensive for a diabetic patient with protein- ACEI
uria
4. Beck's triad for cardiac tamponade Hypotension, distant heart
sounds, and JVD
5. Drugs that slow heart rate Beta-blockers, CCBs, digox-
in, amiodarone
6. Hypercholesterolemia treatment that leads to flush- Niacin
ing and pruritus
7. Murmur - hypertrophic obstructive cardiomyopathy A systolic ejection murmur
heard along the lateral ster-
nal border that increases
with decreased preload (i.e.
Valsalva maneuver)
8. Murmur - aortic insufficiency Austin Flint murmur,
a diastolic, decrescendo,
low-pitched, blowing mur-
mur that is best heard sitting
up; increases with increased
afterload (i.e. handgrip)
9. Murmur - aortic stenosis A systolic crescendo/de-
crescendo murmur that ra-
diates to the neck; increases
, USMLE Step 2 CK High-Yield
Study online at https://quizlet.com/_5285dq
with increased preload (i.e.
squatting)
10. Murmur - mitral regurgitation A holosystolic murmur that
radiates to the axillar; in-
creases with increased after-
load (handgrip)
11. Murmur - mitral stenosis A diastolic, mid to late,
low-pitched murmur pre-
ceded by an opening snap
12. Treatment for atrial fibrillation and atrial flutter If unstable, cardiovert. If sta-
ble or chronic, rate control
with CCBs or beta-blockers
13. Treatment for ventricular fibrillation Immediate cardioversion
14. Dressler's syndrome An autoimmune reaction
with fever, pericarditis and
increased ESR occurring 2-4
weeks post-MI
15. IV drug use with JVD and holosystolic murmur at left Treat existing heart failure
sternal border. Treatment? and replace tricuspid valve
16. Diagnostic test for hypertrophic cardiomyopathy Echocardiogram (showing a
thickened left ventricular
wall and outflow obstruc-
tion)
17. Pulsus paradoxus A decrease in systolic BP of
> 10 mmHg with inspiration;
seen in cardiac tamponade
, USMLE Step 2 CK High-Yield
Study online at https://quizlet.com/_5285dq
18. Classic ECG finding in pericarditis Low-voltage, diffuse ST-seg-
ment elevation
19. Definition of hypertension BP > 140/90 on 3 separate
occasions 2 weeks apart
20. Eight surgically correctable causes of HTN Renal artery stenosis, coarc
of aorta, pheo, Conn's,
Cushing's syndrome, unilat-
eral renal parenchymal dz,
hyperthyroid, hyperparathy-
roid
21. Evaluation of pulsatile abdominal mass and bruit Abdominal U/S and CT
22. Indications for surgical repair of abdominal aortic >5.5cm, rapidly enlarging,
aneurysm symptomatic, ruptured
23. Treatment for acute coronary syndrome ASA, heparin, clopidogrel,
morphine, oxygen, sublin-
gual nitro, IV beta-blockers
24. Metabolic syndrome Abdominal obesity, high
triglycerides, low HDL, hy-
pertension, insulin resis-
tance, prothrombotic or
proinflammatory states
25. Appropriate diagnostic test: 50yo male with stable Exercise stress treadmill with
angina can exercise to 85% of maximum predicted ECG
heart rate
26.
, USMLE Step 2 CK High-Yield
Study online at https://quizlet.com/_5285dq
Appropriate diagnostic test: 65yo female with LBBB Pharmacologic stress test
and severe OA has unstable angina (e.g. dobutamine echo)
27. Target LDL in a patient with diabetes <70mg/dL
28. Signs of active ischemia during stress testing Angina, ST-segment
changes on ECG or de-
creased BP
29. ECG findings suggestive of MI ST-segment elevation (de-
pression means ischemia),
flattened T waves, Q waves
30. Coronary territories in MI Anterior wall (LAD/di-
agonal), inferior (PDA),
posterior (left circum-
flex/oblique, RCA/margin-
al), septum (LAD/diagonal)
31. A young patient with angina at rest and ST-segment Prinzmetal's angina
elevation with normal cardiac enzymes
32. Common symptoms associated with silent MIs CHF, shock, AMS
33. Diagnostic test for PE Spiral CT with contrast
34. Protamine Reverses effects of heparin
35. Prothrombin time Coagulation paramter af-
fected by warfarin
36. A young patient with FHx of sudden death collapses Hypertrophic cardiomyopa-
and dies while exercising thy
