USMLE STEP 2 CK RAPID REVIEW CARDIOVASCULAR
EXAM UPDATED QUESTIONS AND ACCURATE ANSWERS
Classic ECG finding in atrial flutter - CORRECT ANSWER✅✅✅"sawtooth" p waves
Definition of unstable angina - CORRECT ANSWER✅✅✅Angina is new, is worsening, or
occurs at rest.
Antihypertensive for a diabetic patient with proteinuria - CORRECT ANSWER✅✅✅ACEI
Beck's triad for cardiac toamponade - CORRECT ANSWER✅✅✅Hypertension, distant
heart sounds and JVD
Drugs that slow AV node transmission - CORRECT ANSWER✅✅✅Beta blockers, digoxin,
calcium channel blockers
Hypercholesterolemia treatment that leads to flushing and pruiritis - CORRECT
ANSWER✅✅✅Niacin
Murmur-hypertrophic obstruction cardiomyopathy (HOCM) - CORRECT
ANSWER✅✅✅Systolic ejection murmur hear along that lateral sternal border that increase
with Valsava maneuver and standing
Murmur - aortic insufficiency - CORRECT ANSWER✅✅✅Diastolic, decrescendo, high
pitched, blowing murmur that is best heard sitting up; increases with decreasing preload
(handgrip maneuver)
Murmur - aortic stenosis - CORRECT ANSWER✅✅✅Systolic crescendo/decrescendo
murmur that radiates to the neck; increase with increase preload (Valsava maneuver)
Murmur - mitral regurgitation - CORRECT ANSWER✅✅✅Holosystolic murmur that
radiates to the axillae or carotids
, Murmur - mitral stenosis - CORRECT ANSWER✅✅✅Diastolic, mid to late, low pitched
murmur
Treat for atrial fibrillation and atrial flutter - CORRECT ANSWER✅✅✅If unstable,
cardiovert. if stable or chronic, rate control with calcium channel blockers or beta-blockers
Treatment for ventricular fibrillation - CORRECT ANSWER✅✅✅Immediate cardioversion
Autoimmune complication occurring 2-4 weeks post MI - CORRECT
ANSWER✅✅✅Dressler's syndrome: fever, pericarditis, increase ESR
IV drug use with JVD and holosystlic murmur at the left sternal border. Treatment? - CORRECT
ANSWER✅✅✅Treat existing heart failure and replace the tricuspid valve
Diagnostic test for hypertrophic cardiomyopathy - CORRECT ANSWER✅✅✅ECG (show
thickening left ventricular wall and outflow obstruction)
A fall in systolic BP of > 10 mmHg with inspiration - CORRECT ANSWER✅✅✅Pulsus
paradoxus (seen in cardiac tamponade)
Classic ECG findings in pericarditis - CORRECT ANSWER✅✅✅Low voltage, diffuse ST-
segment elevation
Definition of hypertension - CORRECT ANSWER✅✅✅BP > 140/90 on three separate
occasions two weeks apart
Eight surgically correctable causes of hypertension - CORRECT ANSWER✅✅✅Renal
artery stenosis, coarctation of the aorta, pheochromocytoma, Conn's syndrome, Cushing's
syndrome, unilateral renal parenchymal disease, hyperthyroidism, hyperparathyroidism
EXAM UPDATED QUESTIONS AND ACCURATE ANSWERS
Classic ECG finding in atrial flutter - CORRECT ANSWER✅✅✅"sawtooth" p waves
Definition of unstable angina - CORRECT ANSWER✅✅✅Angina is new, is worsening, or
occurs at rest.
Antihypertensive for a diabetic patient with proteinuria - CORRECT ANSWER✅✅✅ACEI
Beck's triad for cardiac toamponade - CORRECT ANSWER✅✅✅Hypertension, distant
heart sounds and JVD
Drugs that slow AV node transmission - CORRECT ANSWER✅✅✅Beta blockers, digoxin,
calcium channel blockers
Hypercholesterolemia treatment that leads to flushing and pruiritis - CORRECT
ANSWER✅✅✅Niacin
Murmur-hypertrophic obstruction cardiomyopathy (HOCM) - CORRECT
ANSWER✅✅✅Systolic ejection murmur hear along that lateral sternal border that increase
with Valsava maneuver and standing
Murmur - aortic insufficiency - CORRECT ANSWER✅✅✅Diastolic, decrescendo, high
pitched, blowing murmur that is best heard sitting up; increases with decreasing preload
(handgrip maneuver)
Murmur - aortic stenosis - CORRECT ANSWER✅✅✅Systolic crescendo/decrescendo
murmur that radiates to the neck; increase with increase preload (Valsava maneuver)
Murmur - mitral regurgitation - CORRECT ANSWER✅✅✅Holosystolic murmur that
radiates to the axillae or carotids
, Murmur - mitral stenosis - CORRECT ANSWER✅✅✅Diastolic, mid to late, low pitched
murmur
Treat for atrial fibrillation and atrial flutter - CORRECT ANSWER✅✅✅If unstable,
cardiovert. if stable or chronic, rate control with calcium channel blockers or beta-blockers
Treatment for ventricular fibrillation - CORRECT ANSWER✅✅✅Immediate cardioversion
Autoimmune complication occurring 2-4 weeks post MI - CORRECT
ANSWER✅✅✅Dressler's syndrome: fever, pericarditis, increase ESR
IV drug use with JVD and holosystlic murmur at the left sternal border. Treatment? - CORRECT
ANSWER✅✅✅Treat existing heart failure and replace the tricuspid valve
Diagnostic test for hypertrophic cardiomyopathy - CORRECT ANSWER✅✅✅ECG (show
thickening left ventricular wall and outflow obstruction)
A fall in systolic BP of > 10 mmHg with inspiration - CORRECT ANSWER✅✅✅Pulsus
paradoxus (seen in cardiac tamponade)
Classic ECG findings in pericarditis - CORRECT ANSWER✅✅✅Low voltage, diffuse ST-
segment elevation
Definition of hypertension - CORRECT ANSWER✅✅✅BP > 140/90 on three separate
occasions two weeks apart
Eight surgically correctable causes of hypertension - CORRECT ANSWER✅✅✅Renal
artery stenosis, coarctation of the aorta, pheochromocytoma, Conn's syndrome, Cushing's
syndrome, unilateral renal parenchymal disease, hyperthyroidism, hyperparathyroidism
