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Exam (elaborations)

USMLE Step 2 CK High-Yield with complete solution

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USMLE Step 2 CK High-Yield with complete solution Classic EKG finding in atrial flutter - answer"Sawtooth" p waves Definition of unstable angina - answerAngina that is new, is worsening, or occurs at rest Antihypertensive for a diabetic patient with proteinuria - answerACEI Beck's triad for cardiac tamponade - answerHypotension, distant heart sounds, and JVD Drugs that slow heart rate - answerBeta-blockers, CCBs, digoxin, amiodarone Hypercholesterolemia treatment that leads to flushing and pruritus - answerNiacin Murmur - hypertrophic obstructive cardiomyopathy - answerA systolic ejection murmur heard along the lateral sternal border that increases with decreased preload (i.e. Valsalva maneuver) Murmur - aortic insufficiency - answerAustin Flint murmur, a diastolic, decrescendo, low-pitched, blowing murmur that is best heard sitting up; increases with increased afterload (i.e. handgrip) Murmur - aortic stenosis - answerA systolic crescendo/decrescendo murmur that radiates to the neck; increases with increased preload (i.e. squatting) Murmur - mitral regurgitation - answerA holosystolic murmur that radiates to the axillar; increases with increased afterload (handgrip) Murmur - mitral stenosis - answerA diastolic, mid to late, low-pitched murmur preceded by an opening snap Treatment for atrial fibrillation and atrial flutter - answerIf unstable, cardiovert. If stable or chronic, rate control with CCBs or beta-blockers

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