Cardiology boards ABIM LATEST ACTUAL EXAM 400 QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+
10 views 0 purchase
Course
Cardiology
Institution
Cardiology
Cardiology boards ABIM LATEST
ACTUAL EXAM 400 QUESTIONS AND
CORRECT ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+
What is a positive stress test - CORRECT ANSWER Flat or Down sloping Stsegment depression >1 mm occurring 80 msec after j point
When to stop a stress test - CORRECT ANSWER ...
Cardiology boards ABIM LATEST 2023-2024
ACTUAL EXAM 400 QUESTIONS AND
CORRECT ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+
What is a positive stress test - CORRECT ANSWER Flat or Down sloping St-
segment depression >1 mm occurring 80 msec after j point
When to stop a stress test - CORRECT ANSWER St segment depression > 2 mm,
ventricular tachycardia, drop in SBP > 15, chest pain, dyspnea, lightheadedness
Stress test of choice with a LBBB or ventricular pacing? - CORRECT ANSWER
Myocardial perfusion imaging with adenosine,NOT exercising!
Know the algorithm for stress testing - CORRECT ANSWER See page 5-3,figure 5-
1
When to not use doutamine for stress - CORRECT ANSWER History of VT, severe
HTN, Low BP, poor echo images
When to not use adenosine for stress - CORRECT ANSWER Bronchospasm,
severe valvular dysfunction, severe carotid stenosis, 2nd degree heart block,
theophylline dependent
,Normals for PA catheter pressures - CORRECT ANSWER RA <7, RV 30/7, PCWP 3-
11
PA cath findings in tamponade or restrictive pericarditis - CORRECT ANSWER
Diastolic pressures elevated and equalized in all chambers, low BP
PA cath findings with RV AMI - CORRECT ANSWER Elevated RA and PA pressures,
decreased or nl PCWP, hypotension, and inferior MI. R side is decompensated,
cannot fill L side of the heart
PA cath findings in cardiogenic shock - CORRECT ANSWER Elevated PCWP, RA
pressure, and decreased SBP/cardiac output
PA cath findings in mitral stenosis with RV failure - CORRECT ANSWER Elevated
RA, PA (very elevated), PCWP, nl SBP
PA cath findings in pulmonary HTN - CORRECT ANSWER Elevated PA, RA
pressures, nl PCWP, SBP
Pulsus paradoxus - CORRECT ANSWER decrease in systolic BP of more than
10mmHg with normal inspiration; palpated as weakened pulse with inspiration
along with more heart contractions to pulse beats
What conditions give you pulsus paradoxus? - CORRECT ANSWER Constrictive or
restrictive pericarditis, asthma, tension pneumothorax
,What gives you pulsus bisferiens (two systolic peaks per cycle) - CORRECT
ANSWER Aortic regurgitation, HOCM
What causes pulsus alternans - CORRECT ANSWER Severe LV dysfunction
What causes pulsus tardus - CORRECT ANSWER Aortic stenosis
How do positional maneuvers affect blood flow and murmurs - CORRECT
ANSWER -standing/valsalva - decreased cardiac filling, decreases most murmurs
except MVP and HOCM
-squatting/ lying down - increase cardiac volume, increased murmurs except MVP,
HOCM
-sustained handgrip - increases systemic resistance, decreases murmur in HOCM,
AS
What causes a physiologic split S2 - CORRECT ANSWER Increased blood volume
in the RV prolongs systole and delays pulmonary valve closure
What causes a fixed split S2 - CORRECT ANSWER Pulmonary stenosis, PE, LV
pacer, RBBB, MR (early AV closure), ASD, RV failue
What causes a paradoxic split S2 - CORRECT ANSWER LBBB, RV pacing, HOCM
What causes an S3? - CORRECT ANSWER Rapid LV filling - acute ventricular
decompensation, severe AR or MR
KNOW - S3 with LV dysfunction is a poor prognostic factor - CORRECT ANSWER ...
, What causes a S4? - CORRECT ANSWER Decreased ventricular compliance during
atrial contraction - ischemic heart dz, AS, MR, HOCM, hypertrophic or diabetic
cardiomyopathy, HTN heart dz, concentric LVH
Can you have a S4 with atrial fibrillation? - CORRECT ANSWER No - no atrial
contraction
What are the parts of the venous waveform? - CORRECT ANSWER A wave - atrial
contraction
X descent - atria relax, RV fills rapidly
Bottom of x descent is TC valve closure
V wave - ventricle contacting against closed TC valve
Y descent - TC valve opens, passive emptying into ventricle
What gives elevated a and v waves - CORRECT ANSWER Pulmonary HTN, RV
infarction
Large r side v waves - CORRECT ANSWER Septal rupture
Large v waves - CORRECT ANSWER TR (right), MR (left)
Rapid x and y descent - CORRECT ANSWER Constrictive pericarditis, restrictive
cardiomyopathy, tamponade (x descent only, loss of y descent)
Large a waves - CORRECT ANSWER TS,severe RVH (on right), MS
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller GREATSTUDY. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $12.49. You're not tied to anything after your purchase.
