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PANCE Cardiology Treatments and 100% correct Tests of Choice.

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PANCE Treatments and Tests of Choice Cardiology: Dilated cardiomyopathy treatment: Correct Answer: ACE inhibitors, beta blockers, diuretics , dig, stop offending agent HOCM treatment: Correct Answer: Beta Blockers Defibrillators Dilated Cardiomyopathy test of choice: Correct Answer: TT...

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  • July 25, 2022
  • 5
  • 2021/2022
  • Exam (elaborations)
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PANCE Treatments and Tests of Choice
Cardiology:
Dilated cardiomyopathy treatment: Correct Answer: ACE inhibitors, beta blockers, diuretics ,
dig, stop offending agent

HOCM treatment: Correct Answer: Beta Blockers
Defibrillators

Dilated Cardiomyopathy test of choice: Correct Answer: TTEcho (LVH dilation, reduced EF)

HOCM test of choice: Correct Answer: Doppler echo

Restrictive cardiomyopathy test of choice: Correct Answer: Echo

Restrictive cardiomyopathy treatment: Correct Answer: None specific
Symptomatic diuresis, vasodilators

First degree AV block treatment: Correct Answer: None

Second degree AV block/Mobitz 1/wenkebach treatment: Correct Answer: None; Atropine or
Transcutaneous pacing if asymptomatic

Second degree AV block/Mobitz 2 treatment: Correct Answer: Permanent pacemaker

Third degree AV block treatment: Correct Answer: Permanent pacemaker

SVT treatment: Correct Answer: 1. Vagal maneuvers
2. Adenosine
AVN blockers
amiodarone
cardioconversion

Aflutter treatment: Correct Answer: Stable:Vagal, BB,CCB
Unstable: Synchronized Cardioversion

Afib treatment: Correct Answer: Stable: Vagal, BB, CCB
Unstable: Synchronized cardioversion

Aflutter definitive treatment: Correct Answer: Radiofrequency ablation

Stable V tach treatment: Correct Answer: Stable: Procainamide, Lidocaine, Amiodarone

, Vfib treatment in setting of acute ischemia or infarction: Correct Answer: Unsynchronized
cardioversion (defibrillation) + CPR

Vfib treatment if there is no identifiable cause: Correct Answer: Implantable cardioverter
defibrillator "

Polymorphic vtach treatment: Correct Answer: Cardiovert/defibrillate if unstable

Torsades de pointes treatment: Correct Answer: Mg

Recurrent vtach with no reversable cause treatment: Correct Answer: Implantable
cardiodefibrillator

Sinus Sick Syndrome treatment: Correct Answer: PPM
PPM with AICD if alternating vtac

Bundle Branch Block treatment: Correct Answer: Transcutaneous pacing

Intra-aterial thrombus test of choice: Correct Answer: TEE

Paroxysmal SVT treatment: Correct Answer: Valsalva maneuve, splashing water on face,
vasovagal maneuver
Adenosine (if physical measures fail)

PVC treament (if sx): Correct Answer: BB

PDA test of choice: Correct Answer: Echo

PDA treatment CHF picture: Correct Answer: Diuretics (Furosemide)

PDA treatment: Correct Answer: Indomethacin (premature infants)
Surgical ligation

Tetrology of fallot test of choice: Correct Answer: Echo

Tetrology of fallot treatment: Correct Answer: Prostaglandin E1 to open duct and stabilize--
>surgery

"Tet spell" treatment: Correct Answer: BB
Children will often be squatting

Coarctation of the aorta test of choice: Correct Answer: Angiogram

Coarctation of the aorta treatment (infants): Correct Answer: Prostaglandin E1 to open duct and
stabilize-->balloon angioplasty

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