Cardiology — Flashcards

Flashcard 1971: What is the prophylactic management against rabies for a patient with a dog, cat, or ferret bite and an animal that is available? _____

Answer: Quarantine and treat accordingly

Flashcard 1972: What is the likely diagnosis in a young adult female with prolonged bleeding and ecchymoses and isolated thrombocytopenia on laboratory exam? _____

Answer: Idiopathic thrombocytopenic purpura (ITP)

Flashcard 1973: Pretest probability of coronary artery disease is intermediate in women with atypical angina > age _____ or typical angina age 30 - 50

Answer: 50

Flashcard 1974: Myocardial contusion is evaluated with _____ to screen for arrhythmias and myocardial injury

Answer: ECG and troponin

Flashcard 1975: Granulomatosis with polyangiitis (Wegener) is managed with _____

Answer: steroids and cyclophosphamide

Flashcard 1976: The episodes of Ménière disease last _____ than BPPV

Answer: longer

Flashcard 1977: What is the recommended treatment for patients with SIADH who have severe hyponatremia (e.g. seizures, coma)? _____

Answer: Hypertonic (3%) saline

Flashcard 1978: Which pneumococcal vaccines are indicated for patients with HIV? _____

Answer: PCV13 and PPSV23

Extra: Current ACIP guidelines for adults with HIV (immunocompromised) recommend: - PCV20 alone OR - PCV15 followed by PPSV23. Historically (and often still tested on exams), this was taught as **PCV13** followed by **PPSV23**. *Note: This differs from immunocompetent patients with chronic conditions (like COPD or DM) who historically received PPSV23 alone before age 65.*

Flashcard 1979: Holosystolic murmur that increases on inspiration = _____

Answer: tricuspid regurgitation

Flashcard 1980: _____ may be confirmed via flow cytometry, which detects a lack of CD-55 and CD-59

Answer: Paroxysmal nocturnal hemoglobinuria