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CDm- Cardiology

Total questions: 13

Worksheet time: 26mins

Name
Class
Date
1.

You have a 75-year-old woman come into your ED complaining of constant chest pain and shortness of breath for the past 30 minutes. She says she immediately came to the ED because this happened last week to her husband and it ended up killing him. On the EKG you see ST elevation in lead V1, V2, V3 and V4 and her troponins come back normal. A STEMI is ruled out, what will you most likely see on an echo for this patient?

a)

A coronary artery twisted

b)

Apical Left Ventricular Ballooning

c)

Fluid all around the heart

d)

Apical Right Ventricular Ballooning

2.

Select all of the options that can potentially cause secondary hypertension.

a)

Estrogen

b)

Erythropoietin

c)

Beta-Blockers

d)

Alcohol

e)

Naproxen

3.

A 28-year-old African American woman comes in and she would like to begin contraceptive use. You begin a thorough history and everything is unremarkable except for her 20 pack-year history. Which contraceptive would you NOT give her?

a)

Copper IUD

b)

Progestin Implant

c)

LNG IUD

d)

Estrogen-Progestin Contraceptive Pill

4.

You just discharged Margaret after her acute episode of HF. What is something you should recommend Margaret do every day to monitor herself?

a)

Take her BP

b)

See a doctor every day

c)

Weigh Herself

d)

Check the color of her urine

5.

Why are thiazide diuretics and CCB indicated for African Americans and some of the elderly over other medications?

a)

They have different vasculature

b)

They have high calcium hypertension

c)

They have hypervolemia hypertension

d)

They have low renin hypertension

6.

You have a 10-year-old boy come into your office for a wellness check-up and you hear a systolic murmur at the right sternal border that radiates to the carotid. What is the most likely pathology and etiology?

a)

Aortic Stenosis

b)

Aortic Regurgitation

c)

Congenital

d)

Calcification of a valve

7.

You have a 80-year-old male come into your office with complaints of chest pain that can come but gets better with rest. On physical exam, you hear a systolic murmur at the right sternal border that radiates to the neck. What is the most likely etiology and pathology?

a)

Aortic Stenosis

b)

Aortic Regurgitation

c)

Aortic Insufficiency

d)

Congenital

e)

Calcification of a valve

8.

You have a patient come in with complaints of chest pain and just got over a viral infection two weeks ago. You work them up and you have diffuse ST elevation on the EKG and cardiac enzymes are normal. A MI has been ruled out. They are stable. How are you going to treat, select all that apply?

a)

NSAIDs

b)

Colchicine

c)

Steroid

d)

Restrict Activity

9.

You have a 26-year-old female come into your ED complaining of chest pain. You work her up for a MI and she has diffuse ST elevation on her EKG. She states that she is really concerned about her pain and is very nervous because she is so young. Her temperature is 100.6 degrees. An MI is ruled out. How will you treat?

a)

Admit her and start treatment right away

b)

Tell her to take some NSAIDs

c)

Prescribe her a steroid and send her on her way

d)

She is a lost cause :/

10.

You just diagnosed your patient with myocarditis what are the etiologies that can cause this?

a)

Medications

b)

Autoimmune

c)

Viral

d)

Bacterial

e)

Myocardial Infarction

11.

You have a 23-year-old male come into your clinic complaining of flu-like symptoms for the past two weeks that is not getting better. He notes that he has was trying to exercise yesterday and was so out of breath he had to stop within the first five minutes. The EKG shows sinus tachycardia and the CXR shows cardiomegaly. What are you most suspicious of that caused this?

a)

Rheumatoid Arthritis

b)

Bacterial Pneumonia

c)

Enterovirus

d)

Pericarditis

12.

Your patient is in AFib and you are thinking of doing chemical cardioversion. What is a contraindication for chemical cardioversion?

a)

Symptomatic patient

b)

Started anticoagulation 3 weeks ago

c)

Has had Afib for over a month

d)

Is 58 years old

13.

You have a patient who comes in with a rash on their inner thigh. Your preceptor says it is jock itch. How would you treat?

a)

Griseofulvin

b)

Itracanazole

c)

Terbinafine

d)

This was last semester, I dont need to know this