CMC exam with accurate solutions
Tricuspid regurgitation murmur - Correct Answers-Harsh systolic murmur loudest at the
lower left sternal border
Augmented during inspiration
Refuced in intensity and duration in a standing position and during a valsalva maneuver
Short early diastolic flow rumble may be present due to increased fliw across the
teicuspud valve
Risk factors: infective endocarditis
Common causes of SCD in people under 30 - Correct Answers-Pre existing cardiac
abnormalities such as hypertrophic cardiomyopathy
Electric abnormalities caused by ion channel mutations in long QT syndrome and
brugada syndrome
Ruptured ventricular Septum murmur - Correct Answers-VSD patients develop a
pansystolic murmur (ruptured septum will lead to the same crossing of blood
This is a high pitched loud blowing across the left sternal border
systolic murmur is holosystolic (sometimes called pansystolic) because the intensity is
high throughout systole as shown in the figure. This type of murmur is caused by mitral
or tricuspid valve regurgitation, or by a ventricular septal defect.
Ecg ruptured ventricular septum - Correct Answers-Q waves in V1V2 V3
Ecg cardiac tamponade - Correct Answers-Low voltage QRS with alternations in QRS
height with each beat; electrical alternans due to swinging movement of herat in
effusion-limb leads
Sinus tachycardia
Precordial st segment elevation
Pulmonic valve stenosis signs - Correct Answers-R heart failure signs
Peripheral edema
, JVD
Dyspnea w exertion
Lightheadedness
Reteplase - Correct Answers-fibrinolytic agent fir AMI when indicated
Lovenox - Correct Answers-Alternate for heparin in patients with unstable angina ,
nstemi,or DVT
Streptokinase - Correct Answers-Indicated for acute arterial thrombosis or embolism or
occluded arteriovenous cannulas
Ateplase - Correct Answers-Acute ischemic stroke or acute massive PE
Hypokalemia ecg - Correct Answers-flattened T waves, prominent U waves, ST
depression, prolonged PR interval
When might a patient with hemetemisis receiving warfarin not receive vitamin K? -
Correct Answers-With a mechanical valve
What is metabolic syndrome? - Correct Answers-increased risk of DM, Stroke, and
heart dz
Abdominal obesity, high triglycerides, low HDL, hypertension, insulin resistance,
prothrombotic or proinflammatory states
Tikosyn ekg changes - Correct Answers-Prolongation of the QT interval
Normal QT is 350-450
Increased risk of torsades de pointes (especially with QT > 500)
Paop reads - Correct Answers-Left ventricular end diastolic pressure
(Lv volume at the end of filling)
Normal 5-12
Normal PAOP (wedge) pressure - Correct Answers-5-12 mmHg
SvO2 - Correct Answers-60-80%
Reflection of the end result of the balance between oxygen delivery and oxygen
consumption
Biggest risk of TEE - Correct Answers-Bleeding
Tricuspid regurgitation murmur - Correct Answers-Harsh systolic murmur loudest at the
lower left sternal border
Augmented during inspiration
Refuced in intensity and duration in a standing position and during a valsalva maneuver
Short early diastolic flow rumble may be present due to increased fliw across the
teicuspud valve
Risk factors: infective endocarditis
Common causes of SCD in people under 30 - Correct Answers-Pre existing cardiac
abnormalities such as hypertrophic cardiomyopathy
Electric abnormalities caused by ion channel mutations in long QT syndrome and
brugada syndrome
Ruptured ventricular Septum murmur - Correct Answers-VSD patients develop a
pansystolic murmur (ruptured septum will lead to the same crossing of blood
This is a high pitched loud blowing across the left sternal border
systolic murmur is holosystolic (sometimes called pansystolic) because the intensity is
high throughout systole as shown in the figure. This type of murmur is caused by mitral
or tricuspid valve regurgitation, or by a ventricular septal defect.
Ecg ruptured ventricular septum - Correct Answers-Q waves in V1V2 V3
Ecg cardiac tamponade - Correct Answers-Low voltage QRS with alternations in QRS
height with each beat; electrical alternans due to swinging movement of herat in
effusion-limb leads
Sinus tachycardia
Precordial st segment elevation
Pulmonic valve stenosis signs - Correct Answers-R heart failure signs
Peripheral edema
, JVD
Dyspnea w exertion
Lightheadedness
Reteplase - Correct Answers-fibrinolytic agent fir AMI when indicated
Lovenox - Correct Answers-Alternate for heparin in patients with unstable angina ,
nstemi,or DVT
Streptokinase - Correct Answers-Indicated for acute arterial thrombosis or embolism or
occluded arteriovenous cannulas
Ateplase - Correct Answers-Acute ischemic stroke or acute massive PE
Hypokalemia ecg - Correct Answers-flattened T waves, prominent U waves, ST
depression, prolonged PR interval
When might a patient with hemetemisis receiving warfarin not receive vitamin K? -
Correct Answers-With a mechanical valve
What is metabolic syndrome? - Correct Answers-increased risk of DM, Stroke, and
heart dz
Abdominal obesity, high triglycerides, low HDL, hypertension, insulin resistance,
prothrombotic or proinflammatory states
Tikosyn ekg changes - Correct Answers-Prolongation of the QT interval
Normal QT is 350-450
Increased risk of torsades de pointes (especially with QT > 500)
Paop reads - Correct Answers-Left ventricular end diastolic pressure
(Lv volume at the end of filling)
Normal 5-12
Normal PAOP (wedge) pressure - Correct Answers-5-12 mmHg
SvO2 - Correct Answers-60-80%
Reflection of the end result of the balance between oxygen delivery and oxygen
consumption
Biggest risk of TEE - Correct Answers-Bleeding
