Your destination for #cardiology education and quizzes. Learn the Heart has the tools you need to test your cardiology IQ. #USMLE #FOAMed #CardioTwitter
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Which is the next management step?
A. Emergent cardiac catheterization
B. Intravenous glycoprotein IIb/IIIa inhibitor
C. Intravenous nitroglycerine drip
D. Subcutaneous enoxaparin 1 mg/kg every 12 hours
...Normal lung sounds and an S4 gallop.
ECG shows 1 mm ST segment depressions in leads V1 to V4.
She was given aspirin immediately.
Troponin levels remain negative.
She is currently free of chest pain and is admitted to a telemetry unit...
🔎72-yo diabetic ♀️ presented to the ER with 4 hours of intermittent chest pain at rest, shortness of breath and diaphoresis.
HR: 59 bpm, BP: 134/72, respirations 20 breaths per min and O2 saturation 95% on room air...
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Angina pain is gradual onset and gradual offset. If sudden, severe substernal chest pain occurs, then aortic dissection should be suspected (especially if the pain radiates to the mid-upper thoracic region).
✅ The answer to our quiz question is A: Sudden onset substernal chest pressure radiating to the left arm...
C. “Tightness,” “discomfort, not pain,” “squeezing,” “indigestion,” “heaviness,” or an “elephant sitting on my chest”
D. Chest pain worse with emotional upset
E. All of the above are typical descriptions of angina
🔎Which is NOT a typical description of angina?
A. Sudden onset substernal chest pressure radiating to the left arm
B. Chest pain linked with shortness of breath and diaphoresis...
🔎Which of the following is a functional cause of mitral regurgitation?
A. Mitral valve endocarditis
B. Dilated cardiomyopathy
C. Mitral valve prolapse
D. Rheumatic mitral valve disease
✅The correct answer to our quiz question is D: All of the above!
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🔎Which of the following does this ECG represent?
A. Atrial fibrillation with rapid ventricular response
B. Low voltage
C. Electrical alternans
D. All of the above
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With dilation of the ascending aorta, the aortic valve annulus may also enlarge, causing loss of valve leaflet coaptation and resulting in aortic regurgitation.
✅The answer is C: Ascending aortic aneurysm!
Marfan syndrome is associated with mitral valve prolapse and aortic aneurysms. The dilated ascending aorta predisposes patients with Marfan syndrome to acute aortic dissection, which can be fatal...
Which of the following is associated with his condition?
A. Aortic valve stenosis
B. Coarctation of the aorta
C. Ascending aortic aneurysm
D. Ventricular septal defect
E. Ebstein’s anomaly
Can you solve this quiz question?
🔎29-yo man with ectopia lentis presents for a routine physical exam.
He has a pectus excavatum, pes planus, a high arched palate and a positive wrist and thumb sign...
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Also, if a person is actively having myocardial ischemia, adequate ATP can't be synthesized to allow for the release of myosin from actin, thus the myocardium is not able to relax, and a S4 will be present.