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19 Cards in this Set

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What is the presentation of infective endocarditis?
JR NO FAME

Janeway lesions
Roth's spots
Nail-bed (splinter hemorrhage)
Osler's nodes
Fever
Anemia
Murmer
Emboli
What is the most common infecting organism in association with infective endocarditis and prosthetic heart valves?
Staph
a sign where, on palpation of the pulse, a double peak per cardiac cycle can be appreciated, ?
bisferiens carotid pulse

seen in?
aortic insuff, aortic stenosis and hypertrophic cardiomyopathy
groups of two heartbeats close together followed by a longer pause. The second pulse is weaker than the first,
Pulsus Bigeminus

seen in what conditions?
seen in hypertrophic cardiomyopathy and digitalis toxicity?
which type of pulse has It has a systole peak and a diastole peak (in contrast to pulsus bisferiens, which has two peaks in systole.) ?
Dicrotic pulse

seen in?
seen in dilated cardiomyopathy
What valve is most commonly involved in Rheumatic heart disease?
Mitral then aortic
Stable coronary atherosclerotic plaque acutely ruptures and thromboses, name the condition?
Unstable angina
What type of medication is used in the management of HTN in a patient with an aortic dissection?
B-blockers
(Esmolol, Labetolol)
What is the GOLD standard for diagnosing aortic dissection?
Angiography
What medications should post-MI patients be prescribed to reduce mortality?
1. Antiplatelet therapy: aspirin indefinitely and clopidogrel for 1 month (BMS) and 12 months for (DES)
2. B-blockers
3. ACE Inhibitors
4. Aldosterone inhibitors
5. Statin
What is the most common murmur heard in a newborn?
Pulmonary stenosis
What systolic ejection murmur is heard in a newborn at the right and left first second interspaces, and it radiates to back and axilla?
Pulmonary stenosis
What is the first cardiac sign of Left Heart Failure?
S3
What is the most common cause of death in CHF?
Ventriculr aneurysm
What is the most common congenital heart disease in adults?
ASD
Janeway lesions, Osler Nodes, Splinter hemorrhages?
Acute Endocarditis
What are the three types of therapy shown to reduce morbidity and mortality in patients with heart failure?
ACE
Spironolactone (Aldosterone antagonist
Beta Blocker
Macular papular skin rash in a bathing suit distribution, Name the Rash and the associated disease?
Erythema Marginatum Rheumatic Fever
Treatment for hepatic encephalopathy?
Lactulose and oral potassium