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2010-04-27 18:21:00
USMLE Step2 Cardiology

cards for stepII
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  1. Harsh blowing holosytolic murmur, S3, Wide split S2. Type of murmur?
    Mitral Regurgitation
  2. Opening snap after S2, Diastolic rumble, Loud S1, possible a-fib.
    Mitral Stenosis
  3. Bounding pulses, S3, widened pulse pressure, early diastolic decrescendo murmur @ apex/l sternal border; capillary pulses in nail beds.
    Aortic regurge
  4. Weak prolonged pulse, weak S2, valsalva decreases murmur, dilated Aorta on CXR, ejection click
    Aortic Stenosis
  5. Which murmur is associated with panic disorder?
    Mital Prolapse
  6. S4, systolic murmur, apical impulse; Boot heart on CXR.
    Hypertrophic obstructive Cardiomyopathy
  7. S3, systoic and diastolic murmurs possible, balloon like heart on CXR.
    Dilated Cardiomyopathy
  8. CHF symptoms, Ascites, JVD; normal heart on CXR.
    Restrictive (Sarcoidosis or Amyloidosis)
  9. Pansystolic murmur at lower left sternal border, loud pulmonic S2, systolic thrill
  10. Strong impulse over lower L sternal border, wide fixed split S2, systolic ejection murmur at upper left sternal border
  11. Wide pulse pressure, continuous murmur at second L intercostal space, loud S2, bounding pulses
  12. Early cyanosis, dyspnea, fatigue, child squats for relief during hypoxemic event; systolic ejection murmur at left sternal border; single S2.
    Tetralogy of Fallot
  13. Name three a-blockers. What are the side effects?
    • Prazosin, Doxazosin, terazosin
    • SE: postural hypotension, headache, rebound HTN
  14. What are the side effects of beta blockers?
    • sexual dysfunction
    • bronchoconstriction
    • HDL reduction
    • increased Triglycerides
  15. Give examples of Ca channel blockers. What are the side effects?
    • Nondihydropyridines: Diltiazem, verapamil
    • Dihydropyridines: nifedipine, amlodapine
    • SE: Hypotension, headache, constipation, increased reflux
  16. What are the side effects of statins?
    • Myositis
    • increased LFTs
  17. What are the effects of statins?
    • Big decrease in LDL
    • Little increase in HDL
    • Little decrease in trig
  18. Benefits and side effects of Ezetimibe?
    • decreases LDL
    • can cause myalgias
  19. Name two fibric acids. Benefits. Side effects.
    • Gemfibrozil, Fenofibrate
    • Big decrease in trig, mod decrease in LDL
    • SE: Myositis, increase LFT
  20. Benefits of Niacin? Side effects?
    • Increases HDL, Mod decrease to LDL
    • SE: facial flushing, nausea, paresthesias, pruritis, insulin resistance, increased gout