INTERNAL MEDICINE COMAT REVIEW EXAM
WITH CORRECT ACTUAL QUESTIONS AND
CORRECTLY WELL DEFINED ANSWERS LATEST
ALREADY GRADED A+
Save
Terms in this set (293)
ECG leads representing anterior V1-4 (LAD)
wall
ECG leads representing the inferior II, III, and aVF (right coronary artery)
portion of the heart
ECG leads representing the lateral I, AVL, V5, & V6
myocardial wall
When should you consider order immediate diagnostic coronary
immediate diagnostic coronary angiography for a STEMI or new-onset Left BBB
angiography?
,Another name for angioplasty... Primary
In an acute inferior wall myocardial Right coronary artery
infarction, occlusion of which
coronary artery is usually
implicated?
Difference in sounds between Wheezing or rhonchi= more suggestive of COPD
COPD and pulmonary Crackles= more suggestive of pulmonary edema
edema/interstitial lung disease. or interstitial lung disease.
Most common cause of an S3 heart CHF
sound
What are S3 heart sounds S3 results from increased atrial pressure leading
to increased flow rates, as seen in congestive
heart failure, which is the most common cause of
an S3 heart sound.
causes of a mid-systolic non- High output states (anemia, fever, thyrotoxicosis,
radiating murmur pregnancy).
Aortic stenosis (ejecting systolic murmur that
radiates to carotids).
Aortic sclerosis (valve thickening w/o outflow
obstruction).
Pulmonic stenosis
Hypertrophic cardiomyopathy (consider in
younger patients).
Where is aortic regurgitation It's an early DIASTOLIC murmur heard in the 2nd
auscultated? LEFT-upper sternal border.
, Indications for ordering an 1. Patient is symptomatic w/murmur.
echocardiogram 2. Pt has continuous murmur.
3. Pt has diastolic murmur
4. Pt has murmur w/intensity >3/6.
Radiographic signs seen Hampton hump (shallow wedge-shaped opacity
occasionally in PE in the periphery of the lung w/its base against the
pleural surface).
Westermark sign=sign that represents a focus of
oligemia (leading to collapse of vessel) seen
distal to a PE. It's due to a combo of dilation of
the pulmonary arteries proximal to the embolus &
collapse of the distal vasculature creating the
appearance of a sharp cut off on CXR.
Why can TSH be helpful in Severe hypothyroidism can cause CHF.
diagnosing heart failure
Hyperthyroidism can cause high output HF.
Medications that have been shown -ACE inhibitors
to decrease mortality in systolic -ARBs (angiotensin receptor blockers)
heart failure -Beta blockers
-Aldosterone blockers
-Hydralazine & nitrates
Goal of treating hypertensive BP reduction of 25% in the first few hours to day
urgency in order to avoid reducing the BP too quickly.
WITH CORRECT ACTUAL QUESTIONS AND
CORRECTLY WELL DEFINED ANSWERS LATEST
ALREADY GRADED A+
Save
Terms in this set (293)
ECG leads representing anterior V1-4 (LAD)
wall
ECG leads representing the inferior II, III, and aVF (right coronary artery)
portion of the heart
ECG leads representing the lateral I, AVL, V5, & V6
myocardial wall
When should you consider order immediate diagnostic coronary
immediate diagnostic coronary angiography for a STEMI or new-onset Left BBB
angiography?
,Another name for angioplasty... Primary
In an acute inferior wall myocardial Right coronary artery
infarction, occlusion of which
coronary artery is usually
implicated?
Difference in sounds between Wheezing or rhonchi= more suggestive of COPD
COPD and pulmonary Crackles= more suggestive of pulmonary edema
edema/interstitial lung disease. or interstitial lung disease.
Most common cause of an S3 heart CHF
sound
What are S3 heart sounds S3 results from increased atrial pressure leading
to increased flow rates, as seen in congestive
heart failure, which is the most common cause of
an S3 heart sound.
causes of a mid-systolic non- High output states (anemia, fever, thyrotoxicosis,
radiating murmur pregnancy).
Aortic stenosis (ejecting systolic murmur that
radiates to carotids).
Aortic sclerosis (valve thickening w/o outflow
obstruction).
Pulmonic stenosis
Hypertrophic cardiomyopathy (consider in
younger patients).
Where is aortic regurgitation It's an early DIASTOLIC murmur heard in the 2nd
auscultated? LEFT-upper sternal border.
, Indications for ordering an 1. Patient is symptomatic w/murmur.
echocardiogram 2. Pt has continuous murmur.
3. Pt has diastolic murmur
4. Pt has murmur w/intensity >3/6.
Radiographic signs seen Hampton hump (shallow wedge-shaped opacity
occasionally in PE in the periphery of the lung w/its base against the
pleural surface).
Westermark sign=sign that represents a focus of
oligemia (leading to collapse of vessel) seen
distal to a PE. It's due to a combo of dilation of
the pulmonary arteries proximal to the embolus &
collapse of the distal vasculature creating the
appearance of a sharp cut off on CXR.
Why can TSH be helpful in Severe hypothyroidism can cause CHF.
diagnosing heart failure
Hyperthyroidism can cause high output HF.
Medications that have been shown -ACE inhibitors
to decrease mortality in systolic -ARBs (angiotensin receptor blockers)
heart failure -Beta blockers
-Aldosterone blockers
-Hydralazine & nitrates
Goal of treating hypertensive BP reduction of 25% in the first few hours to day
urgency in order to avoid reducing the BP too quickly.
