CV/PULM QUIZ BOWL REVIEW

Which of the following enzymes is most specific for injury or death of the heart muscle?

55yoF w HIV c/o prod cough +dyspnea x 2 weeks. Which of the following is the most appropriate tx?

What is the most common artery involved in embolic ischemic stroke?

What is the most common cause of congestive heart failure?

A 38yo F with stage II pulmonary sarcoidosis has a CXR completed. What findings would be most consistent with her dx?

What is the most potent drug class available for the lowering of LDL cholesterol?

The tx of choice for influenza is Oseltamivir 75mg po twice daily

60yo M w ESRD missed 3 dialysis sessions. ER w fatigue+cramping. Which of the following therapies is most appropriate?

Which beta blocker is most likely to cause ventricular dysrhythmias?

20yo F hx of CF. C/o chronic cough with foul-smelling sputum. + crackles at bases. CXR=dilation+thickening. Likely dx?

Which of the following is the most important treatable risk factor for prevention of stroke?

9yoF dx with asthma awakes 2x per week and uses her albuterol inhaler daily for SOB. How is her asthma classified?

32yo M with persistent cough x 4 weeks + night sweats. CXR = mediastinal and L hilar lymphadenopathy + LUL consolidation

55yo pt 3days post MVA is c/o SOB. Diaphoretic+mild distress. Rales RLL + tachycardia. Hx:Lung CA. Which will confirm dx

What is the most likely cause of acute pericarditis in a patient who recently moved to the United States from India?

Samter’s triad is characterized by which three features?

A 61yo female had an ECG done as part of preop workup. Which of the following is the most appropriate next step?

What is an alternative to macrolide therapy in adults with Mycoplasma pneumoniae pneumonia?

For sulfa-allergic patients with mild-mod pneumocystis, trimethoprim in combination with what other drug can be given?

What maneuvers will move the click of mitral prolapse later into systole?

You suspect giant cell arteritis and start pt on high dose steroids. What is most definitive test to dx this condition?

A pt was started on a statin for hyperlipidemia. The pt is c/o muscle aches and dark urine. Which serum test is best?

Which of the following is the most common cause of primary valvular heart disease in industrialized countries?

67yoM presents:cough, wheeze, malaise, + SOB x 4 mos. + daily cigar x 30yrs. Same sxs last yr. Most likely exam finding?

Acidemia shifts potassium from the extracellular to intracellular space

According to JNC 8, which class of medications is considered first-line for HTN in patient w DM and proteinuria?

What hormone is measured to help differentiate dyspnea caused by heart failure from other potential causes?

An 84yo M in ED after syncopal episode. VS: BP 86/48 mm Hg, RR 20 BPM, and T 98.6°F. Which is best initial management?

A 16yo M presents for a physical. He is active & never has SOB or CP. EKG findings below. What is most likely dx?

Which of the following differentiates hypertensive emergency from hypertension?

A 10yo F presents with fever+sore throat+cough+HA and malaise x 4 days. Exam=rales LLL. Which is most likely pathogen?

A 20yo PA student gets a TB skin test. She denies any pulm sxs. >15mm induration at 48 hrs is noted. CXR neg. Which tx?

What dz process most commonly seen in patients with HIV or immunosupression conveys a significant risk for pneumothorax?

Which of the following is a risk factor for the development of aortic regurgitation?

Which of the following is an anatomic finding seen in Tetralogy of Fallot?

Which of the following physical exam findings is most suggestive of emphysema?

Which of the following is a risk factor for the development of deep vein thrombosis?

What is the initial treatment for infective endocarditis caused by staph spp?

True or false: Minor elevations of troponin can be seen after triathlons or marathons in some individuals.

Pts with heart failure may have a combination of syst and diast fx. Which study should be used in diagnosing heart fx?

Which of the following contributes most to the development of pulmonary carcinoid tumors?

Which of the following signs and symptoms is associated with digoxin toxicity?

A 26yoM ill-appearing in ER w fever. PE: Grade 3 murmur. Echo reveals 1.5cm veg on tricuspid valve. Organism likely?

In patients without cystic fibrosis, what is the most common organism recovered in patients with bronchiectasis?

26yo F @ ER w sharp CP+press x 2 days, worse w inspir+cough. Mild cough x 1 wk. Can't lie flat. Which test MOST helpful?

What physical finding is most consistent with polyarteritis nodosa?

A pt with SUDDEN onset of CP and SOB. On exam, you note decr breath sounds on the R. What is the GREATEST risk factor?

What is the classic first antidote for patients with beta blocker toxicity?

13yo M c/o pain in legs with activity. Exam: high BP; heart- ejection click; weak femoral pulses. Most likely diagnosis?

82yoM w altered mental state. EKG reveals bradycardia w/o ST changes. Overdose of which med is most likely causing this?

Which med is given to newborns with coarctation of the aorta in order to maintain patency of the ductus arteriosus?

Which of the following is the most common pulmonary complication of influenza?

Which med is given to control vasospasm in a patient with a subarachnoid hemorrhage secondary to a cerebral aneurysm?

What is the normal QRS duration?

In the United States, hypertension affects men and women equally.