CARDIOLOGY BOARDS ABIM EXAM 2 LATEST VERSIONS ACTUAL EXAM 350 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES|ALREADY GRADED A+
Processing
CARDIOLOGY BOARDS ABIM EXAM 2 LATEST VERSIONS ACTUAL EXAM 350 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES|ALREADY GRADED A+
CARDIOLOGY BOARDS ABIM EXAM 2 LATEST VERSIONS
2023-2024 ACTUAL EXAM 350 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES|ALREADY
GRADED A+
VERSION A
How do positional maneuvers affect blood flow and murmurs?
a) Standing/Valsalva
b) Squatting/Lying down
c) Sustained handgrip - ANSWER- -standing/valsalva - decreased
cardiac filling, decreases most murmurs except MVP and HOCM
-squatting/ lying down - increase cardiac volume, increased
murmurs except MVP, HOCM
-sustained handgrip - increases systemic resistance, decreases
murmur in HOCM, AS
What are the stages of the Valsalva maneuver? - ANSWER- -Phase one
is the onset of straining with increased intrathoracic pressure. The heart
rate does not change but blood pressure rises.
-Phase two is marked by the decreased venous return and consequent
reduction of stroke volume and pulse pressure as straining continues.
The heart rate increases and blood pressure drops.
-Phase three is the release of straining with decreased intrathoracic
pressure and normalization of pulmonary blood flow.
-Phase four marks the blood pressure overshoot (in the normal heart)
with return of the heart rate to baseline.
What causes a physiologic split S2? - ANSWER- Increased blood
volume in the RV prolongs systole and delays pulmonary valve closure
What causes a fixed split S2? - ANSWER- Pulmonary stenosis, PE, LV
pacer, RBBB, MR (early AV closure), ASD, RV failue
What causes a paradoxic split S2 - ANSWER- LBBB, RV pacing,
HOCM
What causes an S3? - ANSWER- Rapid LV filling - acute ventricular
decompensation, severe AR or MR
What causes a S4? - ANSWER- Decreased ventricular compliance
during atrial contraction - ischemic heart dz, AS, MR, HOCM,
hypertrophic or diabetic cardiomyopathy, HTN heart dz, concentric
LVH
Can you have a S4 with atrial fibrillation? - ANSWER- No - no atrial
contraction
What are the parts of the venous waveform? - ANSWER- A wave -
atrial contraction
X descent - atria relax, RV fills rapidly; Bottom/middle of x descent is
TC valve closure (c wave)
V wave - ventricle contacting against closed TC valve
Y descent - TC valve opens, passive emptying into ventricle
What gives elevated a and v waves - ANSWER- Pulmonary HTN, RV
infarction
What leads to Large r side v waves - ANSWER- Septal rupture
What diseases lead to Large v waves - ANSWER- TR (right), MR (left)
Rapid x and y descent - ANSWER- Constrictive pericarditis, restrictive
cardiomyopathy, tamponade (x descent only, loss of y descent)
Large a waves - ANSWER- TS, severe RVH (on right), MS
Cannon a waves - ANSWER- AV disassociation - complete heart block,
ventricular pacing
Slow Y descent - ANSWER- Delayed atrial emptying - TS
Most important prognostic factor with CAD - ANSWER- Degree of LV
dysfunction
Causes of resting ST elevation - ANSWER- MI, pericarditis, LV
aneurysm, LBBB, ventricular pacing, LVH, early repolarization
Giving nitrates causes severe decompensation in a IWMI pt. What
happened? - ANSWER- Pt had R side infarction as well, the preload
reduction from the nitrate now meant little flow getting to the L side of
the heart
MR due to papillary muscle rupture is most common with MI in this
region - ANSWER- Inferior; posteromedial papillary muscle has only
single vessel supply (RCA) while the anterolateral has two vessels
VSD is more likely with MIs here - ANSWER- Anterior, inferior
Contraindications for B-blockers - ANSWER- Bradycardia,
hypotension, 2nd or 3rd degree AVB, pulmonary edema, asthma. NOT
DM
When to use non-dihydropyridne CCBs in ACS - ANSWERContraindications to B blockers, continued ischemia, but NO LV
dysfunction
What anticoagulant to use with ACS - ANSWER- Enoxaparin good, but
have to stop 12-24 hrs before CABG
Fondaparinux is increased risk of bleeding, do not use if going to do PCI
- increased risk of catheter thrombosis and coronary complications
If using Fondaparinux and decide to do PCI, change to heparin or
bivalirudin
jordancarter 7 months ago
This study guide is clear, well-organized, and covers all the essential topics. The explanations are concise, making complex concepts easier to understand. It could benefit from more practice questions, but overall, it's a great resource for efficient studying. Highly recommend!
Q. What will I receive when I purchase this document?
A. You will receive a PDF that is available for instant download upon purchase. The document will be accessible to you at any time, from anywhere, and will remain available indefinitely through your profile.
Q. Satisfaction guarantee: how does it work?
A. Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Q. Who am I buying these notes from?
A. you are buying this document from us learnexams
Q. Will I be stuck with a subscription?
A. No, you only buy these notes for $ indicated . You are not obligated to anything after your purchase.
Q. Can learnexams be trusted?
A. check our reviews at trustpilot
Price
$31.00
Add To Cart
Buy Now
Regular licenses
| Category | Exams and Certifications |
| Comments | 0 |
| Rating | |
| Sales | 0 |
Buy Our Plan
Share on
Similar items
Loading
{{ userMessage }}