Questions and Answers on INTERNAL
MEDICINE EOR (Twist of Lemons)
Scored A
what EKG finding would you see with stbale angina - ANS -ST depression and inverted/flat T
waves
what med is first line in chronic angina and prolongs life in those with CAD - ANS -beta blocker
what is the best test for unstable angina - ANS -angiography
what is the #1 risk factor for prinzmetals angina - ANS -smoking
what med is contraindicated in prinzmetals angina - ANS -propranolol
where is the BBB if it is left sided - ANS -V4-V6
where is the BBB if it is right sided - ANS -V1-V3
where does the impulse travel through in WPW - ANS -bundle of kent
what does a PVC look like on EKG - ANS -wide QRS
what does a PAC look like on EKG - ANS -abnormal P wave earlier than expected
what is vtach - ANS -more than 3 PVCs in a row
,what is the most common type of cardiomyopathy - ANS -dilated
what is the mechanism behind dilated cardiomyopathy - ANS -weakened heart muscle ->
decreased ventricular contraction strength and dilated left ventricle
what type of heart failure is dilated cardiomyopathy - ANS -systolic
how to treat dilated cardiomyopathy - ANS -ACE, diuretic - but realistically transplant
what type of heart failure is hypertrophic cardiomyopathy - ANS -diastolic
what type of heart failure is restrictive cardiomyopathy - ANS -diastolic
what are causes of restrictive cardiomyopathy - ANS -amyloidosis, sarcoidosis, hemachromotosis,
fibrosis, cancer, scleroderma
what is the treatment for hypertrophic cardiomyopathy - ANS -BB/CCB, ablation, defibrillator
what is the treatment for systolic CHF - ANS -ACE + beta + loop
what is the treatment for diastolic CHF - ANS -ACE + beta + CCB
what heart failure has preserved ejection fraction - ANS -diastolic
what heart failure has reduced ejection fraction - ANS -systolic
what is the cornerstone prevention for CAD - ANS -platelet inhibitors
,what is the most common valve involved in endocarditis - ANS -mitral
what are the bacterial common causes of endocarditis - ANS -haemophilus, actinobacillus,
cardiobacterium, eikenella, klingella
what is the most common bacteria that causes endocarditis in IVDU - ANS -staph
what are the peripheral manifestations of endocarditis - ANS -janeway lesions, roth spots, osler
nodes, septic emboli
what diagnostics should you get for endocarditis - ANS -3 sets of blood cultures at least 1 hour
apart
what criteria is used for endocarditis - ANS -duke criteria
what are the major duke criteria for endocarditis - ANS -bacteremia, positive echo showing
vegetations, new valvular regurgitation
how to treat native valve endocarditis - ANS -penicillin + gentamicin
how to treat native valve endocarditis in IVDU - ANS -vancomycin
how to treat prosthetic valve endocarditis - ANS -vanco + gentamicin + rifampin
how to treat fungal endocarditis - ANS -amphotericin B
what specific sound is heard with mitral stenosis - ANS -opening snap
, what specific sound is heard with mitral valve prolapse - ANS -midsystolic click
what is a physical exam finding of hyperlipidemia - ANS -xanthomas
what age should you start screening for hyperlipidemia in males with risk factors - ANS -25
what age should you start screening for hyperlipidemia in females with risk factors - ANS -35
what age should you start screening for hyperlipidemia in males with no risk factors - ANS -35
what age should you start screening for hyperlipidemia in females with no risk factors - ANS -45
best drug to reduce LDL - ANS -statins
best drug to raise HDL - ANS -niacin
best drug to reduce triglycerides - ANS -fibrates
what is the second most common cause of end stage renal disease - ANS -HTN
what is the goal for blood presssure - ANS -less than 130/80
what is the goal for blood pressure in those with CKD - ANS -less than 140/90
what medications to not use for HTN in african americans - ANS -ACEs and ARBs
what HTN med is used in uncomplicated HTN - ANS -HCTZ
MEDICINE EOR (Twist of Lemons)
Scored A
what EKG finding would you see with stbale angina - ANS -ST depression and inverted/flat T
waves
what med is first line in chronic angina and prolongs life in those with CAD - ANS -beta blocker
what is the best test for unstable angina - ANS -angiography
what is the #1 risk factor for prinzmetals angina - ANS -smoking
what med is contraindicated in prinzmetals angina - ANS -propranolol
where is the BBB if it is left sided - ANS -V4-V6
where is the BBB if it is right sided - ANS -V1-V3
where does the impulse travel through in WPW - ANS -bundle of kent
what does a PVC look like on EKG - ANS -wide QRS
what does a PAC look like on EKG - ANS -abnormal P wave earlier than expected
what is vtach - ANS -more than 3 PVCs in a row
,what is the most common type of cardiomyopathy - ANS -dilated
what is the mechanism behind dilated cardiomyopathy - ANS -weakened heart muscle ->
decreased ventricular contraction strength and dilated left ventricle
what type of heart failure is dilated cardiomyopathy - ANS -systolic
how to treat dilated cardiomyopathy - ANS -ACE, diuretic - but realistically transplant
what type of heart failure is hypertrophic cardiomyopathy - ANS -diastolic
what type of heart failure is restrictive cardiomyopathy - ANS -diastolic
what are causes of restrictive cardiomyopathy - ANS -amyloidosis, sarcoidosis, hemachromotosis,
fibrosis, cancer, scleroderma
what is the treatment for hypertrophic cardiomyopathy - ANS -BB/CCB, ablation, defibrillator
what is the treatment for systolic CHF - ANS -ACE + beta + loop
what is the treatment for diastolic CHF - ANS -ACE + beta + CCB
what heart failure has preserved ejection fraction - ANS -diastolic
what heart failure has reduced ejection fraction - ANS -systolic
what is the cornerstone prevention for CAD - ANS -platelet inhibitors
,what is the most common valve involved in endocarditis - ANS -mitral
what are the bacterial common causes of endocarditis - ANS -haemophilus, actinobacillus,
cardiobacterium, eikenella, klingella
what is the most common bacteria that causes endocarditis in IVDU - ANS -staph
what are the peripheral manifestations of endocarditis - ANS -janeway lesions, roth spots, osler
nodes, septic emboli
what diagnostics should you get for endocarditis - ANS -3 sets of blood cultures at least 1 hour
apart
what criteria is used for endocarditis - ANS -duke criteria
what are the major duke criteria for endocarditis - ANS -bacteremia, positive echo showing
vegetations, new valvular regurgitation
how to treat native valve endocarditis - ANS -penicillin + gentamicin
how to treat native valve endocarditis in IVDU - ANS -vancomycin
how to treat prosthetic valve endocarditis - ANS -vanco + gentamicin + rifampin
how to treat fungal endocarditis - ANS -amphotericin B
what specific sound is heard with mitral stenosis - ANS -opening snap
, what specific sound is heard with mitral valve prolapse - ANS -midsystolic click
what is a physical exam finding of hyperlipidemia - ANS -xanthomas
what age should you start screening for hyperlipidemia in males with risk factors - ANS -25
what age should you start screening for hyperlipidemia in females with risk factors - ANS -35
what age should you start screening for hyperlipidemia in males with no risk factors - ANS -35
what age should you start screening for hyperlipidemia in females with no risk factors - ANS -45
best drug to reduce LDL - ANS -statins
best drug to raise HDL - ANS -niacin
best drug to reduce triglycerides - ANS -fibrates
what is the second most common cause of end stage renal disease - ANS -HTN
what is the goal for blood presssure - ANS -less than 130/80
what is the goal for blood pressure in those with CKD - ANS -less than 140/90
what medications to not use for HTN in african americans - ANS -ACEs and ARBs
what HTN med is used in uncomplicated HTN - ANS -HCTZ
