Which of the following physical findings would support this diagnostic hypothesis?
A palpable diastolic murmur maximal in the second intercostal space (ICS) at the left sternal border
A harsh, rumbling, diastolic murmur heard maximally in the fourth ICS at the left sternal border
A holosystolic systolic murmur heard maximally in the fifth ICS at the midclavicular line
4. The most common ECG finding in a patient with a cardiomyopathy is an ST-elevation MI.
True
False
5. Nina Martinez is a 70-year-old female who experienced an episode of acute pulmonary edema following an endovascular aneurysm repair. She was discharged on furosemide 60 mg daily and instructed to follow up with cardiology. She is now seen in the office at 2 weeks post discharge. Her metabolic panel includes the following lab values:
· Na 126 mEq/L
· K 4.0 mEq/L
· Cl 93 mEq/L
· CO2 28 mEq/L
· BUN 40 mg/dL
· Cr 1.3 mg/dL
Question: This patient has which of the following abnormalities as a likely consequence of diuretic overuse?
Hyponatremia
Hypokalemia
Metabolic acidosis
6. Which of the following are primary cardiomyopathy categories, as described by the World Health Organization (WHO) in 1995?
Dilated cardiomyopathy
Symbol Hypertrophic cardiomyopathy (HCM)
Symbol Restrictive cardiomyopathy
Symbol Arrhythmogenic right ventricular dysplasia
Symbol Unclassified
All of the above
7. What is the most common cause of sudden cardiac death in young people?
What is the most common cause of sudden cardiac death in young people?
Myocardial infarction
Hypertrophic cardiomyopathy
Supraventricular tachycardia
Arrhythmogenic right ventricular dysplasia; aka arrhythmogenic right ventricular cardiomyopathy (ARVC)
8. Which of the following are treatment options for a patient who presents with peripartum cardiomyopathy while still carrying the fetus? (Select all that apply.)
ACE inhibitors
Induction if stable
Emergent cesarean section if unstable
Digoxin
Nitroglycerin
9. What are the 3 major clinical complications related to cardiomyopathies?
Arrhythmias; including ventricular tachycardia and ventricular fibrillation
Thromboembolic complications; including DVT, PE, and ventricular thrombi
Acute pulmonary edema
10. Some patients with primary cardiomyopathies remain asymptomatic throughout their lifetime.
True
False
11. A 38-year -old woman comes to the emergency department complaining of a rapid heartbeat, tremors, and chest tightness. She reports earlier in the day she was feeling a migraine starting so she took a pill given to her by her friend who also experiences migraines. Her medical history reveals that she is currently taking a monoamine oxidase inhibitor for depression. Which migraine medication did she most likely take?
Acetaminophen and caffeine (Excedrin ® Migraine)
Naproxen sodium (Aleve ® )
Almotriptan (Axert ® )
Butalbital, acetaminophen and caffeine (Fioricet ® )
12. You are seeing a 68-year-old woman for treatment of an uncomplicated urinary tract infection (UTI). She has well-controlled hypertension, type 2 diabetes mellitus, and dyslipidemia and takes an angiotensin-converting enzyme inhibitor (ACEI), statin, biguanide, and low-dose aspirin (ASA). She worked in a dry cleaning facility until approximately 8 years ago. During her evaluation, she mentions that she sometimes has difficulty understanding conversation, especially in noisy environments. This is likely a:
Drug-related reaction.
Consequence of occupational chemical exposure.
Early sign of dementia.
Normal age-related change in hearing
13. While evaluating a 33-year-old female with a 2-day history of dysuria, which of the following findings in urinalysis is most suggestive of urinary tract infection (UTI) caused by a Gram-negative organism?
Nitrites
30 mg/dL protein
Epithelial cells
pH>8
14. All of the following are examples of primary prevention strategies except:
Counseling an elderly patient prior to discharge about fall risk at home and how to prevent falls through adequate illumination.
Performing a hemoglobin A1C for all patients admitted to the hospital.
Conducting a study to identify the leading cause of mortality in teenagers and how to reduce risk.
Immunizing all adults ?60 years with zoster vaccine.
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