Cardiology, Step 2 CK Kaplan

No t e b o o k: Cre at e d : DIT STEP2 CK 04-03-2012 AM 04:40 Up d at e d : 20-09-2012 PM 07:39

Cardiology-----DIT ------------------------------------------------------Day 4 Review Quiz 1) Rx for hyperparathyroidism due to Parathyroid hyperplasia (4 gland adenoma): Generally remove 3 1/2 gland and leave the rest marked with clip.In case its required to remove the rest. Autotransplant another option to forearm. (MEN 1--autotransplant) in recurrent hyperparathyroidism 2) Antipsychotics-High potency---More extrapyramidal symptoms like --Dystonias, Akathisias, acute dyskinesias, parkinsonism symptoms Lesser anticholinergic issues e.g. HD F(ace)T(ime)---Haloperidol, Droperidol, Fluphenazine, Thiothixene Medium Potency--- Melindone, Trifluphenazines, Loxapine Lower Potency-- More anticholinergic issues--not to be give to Pts with low grade dementia or elderly patients. Lesser extrapyramidal effects e.g. Chlorprozmazine, Thioridazine Atypical Antipsychotics-- Clozapine, Olanzapine,Respirodone, Quetiapine, Ziprasidone, Aripiprazole, Palaperidone 3) Mineralocorticoid used in aldeosterone deficiency like Adrenal insufficiency--Fludrocortisone 4) Lesion in Contralateral Subthalamic nucleus-- Hemiballismus Hemispatial neglect syndrome-- Non dominant parietal lobe Coma-- Reticular activating system-- Pontine lesion Poor repetition-- Arcuate fasciulus Poor comprehension--Wernicke area--left lobe Poor vocal expression-- Broacas area--left lobe Resting tremor--- Basal ganglia Intention tremor--cerebellar hemispheres Hyperorality, Hypersexuality, Loss of inhibitions-- Kluver Bucy syndrome-- B/L amygdala lesion Personality Changes-- Frontal lobe lesions Dysarthria--Cerebellar Vermis Agraphia, Acalcuia, Finger agnosia, Inability to calculate-- Left Parietal lobe 5) Age at which dosage of steroids before antibiotics for meningitis to be initiated--- 6 months of age

4(most common site of occlusion. no Ca because of bradycardia . Calcium. Nausea. in severe cases digoxin Fab fragments Iron--Deferroxamine Copper--Penicillamine.Leads V 2. No cal. streptokinase -.Calcium carbonate. dehydration. ELSE NO RX REQUIRED. severe cases dialysis Beta blockers and verapimil overdose-.Aminocaproic acid CARDIOLOGY Coronary arteries-.Charcoal 24 hours. altered mental status. PACEMAKER IF NO ATROPINE EFFECT SEEN Inc Vagal tone causes Acute MI--Diaphragmatic Carotid sinus pressure vomiting valsalva maneuver phenothiazines digitalis beta blockers ca channel blockers dec sinus node automaticity . tPa.atropine to raise heart due to bradycardia main--Glucagon. NaHCO3. rate < 60/min Rx----------------------------------ATROPINE IF SYMPTOMS SEEN.Left coronary---> Left anterior-descending -supplies ant wall.2.3.ventricular complexes--normal width and evenly spaced. citrate as it increases aluminum absorption 7) Aspirin Overdosse Presentation-. inter ventricular septum RATE AND RHYTHM DISORDERS SINUS BRADYCARDIA --. calcium acetate.1) Tinnitus 2) Resp alkalosis due to hyperventilation ---->mixed mixed respiratory alkalosis and metabolic acidosis and elevated anion gap.3.6) Drugs in Renal disease to bind phosphate to prevent hyperphoshpatemia-. Vomiting. 3) Hyperthermia. Insulin and glucose given together. MI ) -----> septal branch--spetal MI V1. Digoxin-. Antidote---Charcoal to bind salicylates enterically.

PATENT DUCTUS ARTERIOSUS--MACHINERY TYPE MURMUR AT LEFT UPPER STERNAL BORDER AND INCREASED VASCULAR MARKINGS.FIRST. MITRAL VALVE PROLAPSE. swimming normal variant AV BLOCK---.DILATED OR ISCHEMIC CARDIOMYOPATHY. . PERICARDITIS --ST ELEVATION IN ALL LEADS. CAUSES MITRAL REGURGITATION.hypothyroidism marathon running. TRAUMA AND MYOCARDIAL INFARCTION) AND MITRAL ANNULUS CALCIFICATION AND MYXOMATOUS DEGENERATION OF VALVE AND CHORDAE TENDINAE. SECOND. THIRD DEGREE HYPERTROPHIC CARDIOMYOPATHY--CRESCENDO-DECRESCENDO MURMUR AT LEFT LOWER STERNAL BORDER-INCREASES INTENSITY OF MURMUR ON VALSALVA MANEUVER (INCREASES INTRATHORACIC PRESSURE THUS BLOCKING RETURN OF BLOOD CAUSING DECREASED PRELOAD) DILATED MITRAL ANNULUS. MITRAL REGURGITATION ALSO SEEN IN RUPTURE OF CHORDAE TENDINAE AND (INFECTIVE ENDOCARDITIS. HOLOSYSTOLIC MURMUR AT APEX RADIATING TO AXILLA.1) ANATOMIC BASED ON SITE OF BLOCKAGE AS KNOWN BY HIS BUNDLE ECG 2) CLINICALLY BASED ON ROUTINE ECG-.