ABIM – Cardiology EXAM Questions AND Correct Answers
BNP in constrictive pericarditis - ✔✔Often <100 (helps differentiate
from primary restrictive CMP)
BP med that increases risk of DM - ✔✔Thiazide diuretics
Cardiac myoxma presentation - ✔✔Dyspnea, lightheadedness
Early diastolic sound
Amaurosis fugax/TIAs/ splenic infarcts
carotid sinus hypersensitivity - ✔✔Condition in which pressure over
the carotid sinus (tight collars, shaving, neck turning) leads to a
decreased heart rate, decreased BP, and cerebral ischemia with
syncope. May occur in older adults with hypertension or occlusion of
the carotid artery
Diagnose via carotid massage
Tx: pacemaker
Chemo that causes significant HTN - ✔✔Bevacizumab
DAPT for DES placed for angina - ✔✔6 month minimum for DAPT
, Ebstein's anomaly - ✔✔the tricuspid valve — the valve between the
upper right chamber (right atrium) and the lower right chamber (right
ventricle) of the heart — isn't formed properly. As a result, blood
leaks back through the valve and into the right atrium
HCM treatment - ✔✔Avoid high intensity activities
BB/nondihydropyridine CCB for HF symptoms
ICD for LV wall thickness >30mm (3 cm) or FH of SCD
Septal ablation or myectomy for valve gradient > 50mmHg and HF
symptoms refractory to medication
High risk procedures needing antibiotic ppx - ✔✔Cardiac surgery
Respiratory tract surgery with biopsy
Dental procedures
Patient with GI/GU or MSK infection
Holosystolic murmurs - ✔✔Chronic MR
TR
VSD
MAT - ✔✔>3 p waves
usually exacerbated by lung condition, ie COPD. Treat the lung
condition, likely will get better.
BNP in constrictive pericarditis - ✔✔Often <100 (helps differentiate
from primary restrictive CMP)
BP med that increases risk of DM - ✔✔Thiazide diuretics
Cardiac myoxma presentation - ✔✔Dyspnea, lightheadedness
Early diastolic sound
Amaurosis fugax/TIAs/ splenic infarcts
carotid sinus hypersensitivity - ✔✔Condition in which pressure over
the carotid sinus (tight collars, shaving, neck turning) leads to a
decreased heart rate, decreased BP, and cerebral ischemia with
syncope. May occur in older adults with hypertension or occlusion of
the carotid artery
Diagnose via carotid massage
Tx: pacemaker
Chemo that causes significant HTN - ✔✔Bevacizumab
DAPT for DES placed for angina - ✔✔6 month minimum for DAPT
, Ebstein's anomaly - ✔✔the tricuspid valve — the valve between the
upper right chamber (right atrium) and the lower right chamber (right
ventricle) of the heart — isn't formed properly. As a result, blood
leaks back through the valve and into the right atrium
HCM treatment - ✔✔Avoid high intensity activities
BB/nondihydropyridine CCB for HF symptoms
ICD for LV wall thickness >30mm (3 cm) or FH of SCD
Septal ablation or myectomy for valve gradient > 50mmHg and HF
symptoms refractory to medication
High risk procedures needing antibiotic ppx - ✔✔Cardiac surgery
Respiratory tract surgery with biopsy
Dental procedures
Patient with GI/GU or MSK infection
Holosystolic murmurs - ✔✔Chronic MR
TR
VSD
MAT - ✔✔>3 p waves
usually exacerbated by lung condition, ie COPD. Treat the lung
condition, likely will get better.
