PANRE-LA QM EXAM WITH
ACCURATE SOLUTIONS
myocarditis diagnosis - ANS-Post acute viral illness & cardiac dysfunction & elevated
troponin
Hypertension with hypokalemia - ANS-Primary aldosteronism
Tx for PAD (non emergency) - ANS-Bypass surgery
Peak T wave on ekg - ANS-Hyperkalemia
MR due to papillary muscle rupture - ANS-Grade IV/VI systolic murmur radiation to left
axilla
Pt with hx of congenital heart dz now w/ murmur AR - ANS-Antibiotics prophylaxis
H/o AAA. What study should be done for ongoing monitoring ? - ANS-US of the
abdomen
What factors in Pt with chronic venous insufficiency predisposed predisposition to
develop of skin ulcers? - ANS-Leakage of fibrinogen and growth factors into the
interstitial space
CXR: boot-shaped heart - ANS-Tetralogy of fallot
Ekg - SR with varying QRS heights & axis changes every other beat and wandering
baseline - ANS-Pericardial effusion
Pt with cocaine in the system. What drug is contraindicated? - ANS-Propranolol (beta
blockers)
Pt with CP. no BP On one arm. What is the DX? - ANS-Aortic dissection
JVP a prominent a wave - ANS-Atrial contraction against a closed tricuspid valve
Marfan syndrome murmur ? - ANS-AR - grade 2/6 high frequency diastolic murmur at
the 3rd L intercostal space
What effect on the left ventricle from AS? - ANS-Concentric hypertrophic with preserved
function
, Goal of INR pt w/ mechanical valve prosthetics? - ANS-2.5-3.5
Serve AS - ANS-Palpable thrill over the right 2nd intercostal space
Perfusion of the coronary arteries occurs primarily during which of the following?
A. Systole
B. Diastole
C. Afterload
D. Preload - ANS-Diastole
Mechanism of Action for ASA? - ANS-Inhibits platelets by blocking cyclooxygenase 1
activity
Chest pain. What aggravating or relieving factor about the pain can support diagnosis -
ANS-Unrelieved by nitro
Pulmonary capillary wedge pressure indirectly measures - ANS-Left atrial filling
pressure
Tx for DM pt with two vessel disease ? - ANS-CABG
This occurs to someone who strenuously exercises? - ANS-Axillary subclavian venous
thrombosis
Sports exam. What murmur indicates risk of sudden death - ANS-Increased with
valsalva maneuver
Venous ulcers are *MOST COMMONLY* located where? - ANS-Medial malleolus
Acrocyonosis - ANS-Blue discoloration of the digits in newborn which worsened with
exposure to cold and improves with warming
Kussmaul sign?
seen in what conditions - ANS-Constrictive pericarditis
Leads 5 and 6 - ANS-Left lateral ventricular valve
Cyanide toxicity - ANS-sodium nitroprusside
S3 gallop - ANS-Rapid ventricular filling during early diastolic
Most common cause secondary HTN - ANS-OSA
Annual BP check should be begin at what age? - ANS-3 yo
ACCURATE SOLUTIONS
myocarditis diagnosis - ANS-Post acute viral illness & cardiac dysfunction & elevated
troponin
Hypertension with hypokalemia - ANS-Primary aldosteronism
Tx for PAD (non emergency) - ANS-Bypass surgery
Peak T wave on ekg - ANS-Hyperkalemia
MR due to papillary muscle rupture - ANS-Grade IV/VI systolic murmur radiation to left
axilla
Pt with hx of congenital heart dz now w/ murmur AR - ANS-Antibiotics prophylaxis
H/o AAA. What study should be done for ongoing monitoring ? - ANS-US of the
abdomen
What factors in Pt with chronic venous insufficiency predisposed predisposition to
develop of skin ulcers? - ANS-Leakage of fibrinogen and growth factors into the
interstitial space
CXR: boot-shaped heart - ANS-Tetralogy of fallot
Ekg - SR with varying QRS heights & axis changes every other beat and wandering
baseline - ANS-Pericardial effusion
Pt with cocaine in the system. What drug is contraindicated? - ANS-Propranolol (beta
blockers)
Pt with CP. no BP On one arm. What is the DX? - ANS-Aortic dissection
JVP a prominent a wave - ANS-Atrial contraction against a closed tricuspid valve
Marfan syndrome murmur ? - ANS-AR - grade 2/6 high frequency diastolic murmur at
the 3rd L intercostal space
What effect on the left ventricle from AS? - ANS-Concentric hypertrophic with preserved
function
, Goal of INR pt w/ mechanical valve prosthetics? - ANS-2.5-3.5
Serve AS - ANS-Palpable thrill over the right 2nd intercostal space
Perfusion of the coronary arteries occurs primarily during which of the following?
A. Systole
B. Diastole
C. Afterload
D. Preload - ANS-Diastole
Mechanism of Action for ASA? - ANS-Inhibits platelets by blocking cyclooxygenase 1
activity
Chest pain. What aggravating or relieving factor about the pain can support diagnosis -
ANS-Unrelieved by nitro
Pulmonary capillary wedge pressure indirectly measures - ANS-Left atrial filling
pressure
Tx for DM pt with two vessel disease ? - ANS-CABG
This occurs to someone who strenuously exercises? - ANS-Axillary subclavian venous
thrombosis
Sports exam. What murmur indicates risk of sudden death - ANS-Increased with
valsalva maneuver
Venous ulcers are *MOST COMMONLY* located where? - ANS-Medial malleolus
Acrocyonosis - ANS-Blue discoloration of the digits in newborn which worsened with
exposure to cold and improves with warming
Kussmaul sign?
seen in what conditions - ANS-Constrictive pericarditis
Leads 5 and 6 - ANS-Left lateral ventricular valve
Cyanide toxicity - ANS-sodium nitroprusside
S3 gallop - ANS-Rapid ventricular filling during early diastolic
Most common cause secondary HTN - ANS-OSA
Annual BP check should be begin at what age? - ANS-3 yo
