PANCE - Cardiology Questions And Answers Latest Study Solutions

________ __________ = cramping leg pain that is reliably reproducable by the same walking distance (distance is very constant and reproducible) and pain is completely relieved by rest. - AnswerIntermittent Claudication ________is defined as any cause of acute pericarditis that can lead to exudation of fluid into the pericardial space - can occur in associateon w/ ascites and pleural effusion in salt and water retention states such as CHF, cirrhosis, and nephrotic syndrome. - Answer-Pericardial effusion (NSTEMI/STEMI) is larger and more devestating to the patient's health? - Answer-STEMI 70 y/o pt presents with sx of dizziness, confusion, syncope, fatigue, and CHF. You order an EKG and it reveals sinus node dysfunction characterized by a persistant spontaneous sinus bradycardia. What is the most likely diagnosis? Management? - Answer-Sinus node dysfunction characterized by a persistent spontaneous sinus bradycardia Symptoms include dizziness, confusion, syncope, fatigue, and CHF. Tx: Pacemaker implantation may be required. A 5 mo pt presents the pediatric clinic, on exam you find the following results: Bounding radial pulses, Diminished femoral pulses, BP elevated in arms/decreased in legs. What is your *MOST LIKELY* diagnosis? - Answer-Coarc of the Aorta Sx: SEM loudest at ULSB, *Bounding radial pulses, Diminished femoral pulses, BP elevated in arms/decreased in leg*, Intermittent claudication, HA, epistaxis, paresthesias, CHF After acute event, what tx are used for USA? - Answer-Aspirin, BB, nitrates Although Amiodarone is used to control numerous rhythms (A.Fib,V. Fib, V. Tach), why do most professionals call it "Ami-terrible"? - Answer-MAJOR AE = TORADES DE POINTE (B/C OF PROLONGED QT)Called "Amiterrible" b/c it has multiple AE that can affect multiple organs: Cardiac (bradycardia, prolonged QT, torsades); Heptatic toxicity, Thyroid (hyper and hypo); Pulmonary toxicity; Dermatolgic; Neuro; and Opthalmic (corneal deposits and optic neuritis); GI upset Aortoilliac occlusive disease cuases _____ and _____ claudication (in addition to the calves) - Answerbuttox and hip Are atrial myxoma malignant or benign? - Answer-Benign - however they can embolize, leading to metastic disease or cause relative valvular dysfunction As a general rule, what form of management should be given to all patient who are dx w/ sustained VT? - Answer-ICD Exception - EF is normal, then you can consider amiodarone Based on the folllowing description, what murmur is being described: Turbulence in carotid/subclavian artery Systolic ejection murmur Sometimes heard at base of neck Disappears with hyperextension of shoulders Grade 2-3/6 in intensity Occasional thrill over carotid A. Still's Murmur B. Pulmonary ejection murmur C. Pulmonary flow murmur D. Venous hum E. Carotid Bruit - Answer-E. Carotid BruitBased on the following description, what is the most likely murmur? Turbulence in Superior vena cava Continuous murmur Grade 1-3/6 in intensity Loudest: left infra-clavicular area, especially with sitting/standing disappears while lying supine Intensity changes with rotation of head and disappears with compression of the jugular vein A. Still's Murmur B. Pulmonary ejection murmur C. Pulmonary flow murmur D. Venous hum E. Carotid Bruit - Answer-D. Venous Hum