100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
NBME CBSE, ANSWERED $10.04   Add to cart

Exam (elaborations)

NBME CBSE, ANSWERED

 5 views  0 purchase
  • Course
  • NBME CBSE
  • Institution
  • NBME CBSE

NBME CBSE, ANSWERED-Bulbus cordis - Smooth parts (outflow tract) of left and right ventricles endocardial cushions - Atrial septum, membranous interventricular septum; AV and semilunar valves neural crest left horn of the sinus venosus - coronary sinus posterior, sub cardinal, and supra...

[Show more]

Preview 4 out of 34  pages

  • December 28, 2023
  • 34
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NBME CBSE
  • NBME CBSE
avatar-seller
ProfMiaKennedy
NBME CBSE, ANSWERED
Bulbus cordis - Smooth parts (outflow tract) of left and right ventricles

endocardial cushions - Atrial septum, membranous interventricular septum; AV
and semilunar valves

neural crest

left horn of the sinus venosus - coronary sinus

posterior, sub cardinal, and supra cardinal veins - IVC

Right common cardinal vein and right anterior cardinal vein - SVC

Right horn of sinus venosus - Smooth part of right atrium (sinus venarum)

Patent foramen ovale - failure of septum primum and septum secundum to fuse
after birth

Transposition of the great vessels
Tetralogy of Fallot
Persistent truncus arteriosus - Conotruncal abnormalities associated with failure of
neural crest cells to migrate

ductus venosus - connects the umbilical vein to the inferior vena cava, bypassing
the liver

becomes ligamentum venosum

phrenic nerve - innervates the diaphragm and pericardium

S3 heart sound - Increased ventricular filling pressure (e.g., mitral regurgitation,
HF), common in dilated ventricles

,normal in kids and pregnant women

S4 heart sound - atrial kick late diastole, right before S1

best heard at apex in LLD position

High atrial pressure.

Stiff/hypertrophic ventricle (aortic stenosis, restrictive cardiomyopathy)

Always abnormal

atria contract - a wave of JVP

c wave - RV contraction (closed tricuspid valve bulging into atrium) wave of JVP

x descent - JVP wave corresponding to downward displacement of closed tricuspid
valve during rapid ventricular ejection phase

reduced or absent in tricuspid regurge

V wave - JVP wave corresponding to inc'd RA pressure due to filling against
closed tricuspid valve

y descent - JVP wave corresponding to RA emptying into RV

absent in cardiac tamponade

plusus parvus et tardus - pulses are weak with delayed peak

Aortic stenosis

PR interval - 0.12-0.20 seconds

,120 milliseconds

QT interval length - 9 - 11 squares = .36 to .44 seconds

Hypokalemia - U wave present on ECG

Mg sulfate - for torsades de pointe, hypokalemia (can lengthen QT and cause
torsades), and pre-eclampsia (prevent seizures)

Romano-Ward syndrome - -Congenital long QT syndrome
-Autosomal dominant, pure cardiac phenotype (no deafness).

Jervell and Lange-Nielsen syndrome - -Congenital long QT syndrome
-Autosomal recessive, sensorineural deafness

Brugada syndrome - -Autosomal dominant disorder affecting Na channels most
common in Asian males.
-ECG pattern of pseudo-right bundle branch block and ST elevations in V1-V3
(anterior ventricular septum)
-inc risk of ventricular tachyarrhythmias and sudden cardiac deatgh

Prevent SCD with implantable cardioverter-defibrillator (ICD).

Wolff-Parkinson-White Syndrome - Most common type of ventriuclar pre-
excitation sydnrome. Abnormal fast accessory conduction pathway from atria to
venricle bypasses the rate-slowing AV node causing a delta wave and widening
QRS with shortened PR interval. Could lead to a reentrant circuit and
suprvaventicular tachy.

First degree AV block - - PRI >5 boxes/.20 sec (200 msec)
- Fixed but prolonged PRI
(consistent but long)
- normally get bradycardia here

second degree AV block mobitz type 2 - -PR interval is constant

, -atrial conduction to ventricle is intermittent: dropped QRS without increasing PR
interval length
-disease below AV node in His bundle

may progress to 3rd degree/complete AV block

Second Degree AV Block Mobitz Type 1 (wenckebach) - Progressive lengthening
of pr interval leading to dropped QRS

third degree AV block - The atria and Ventricles are totally dissociated.
-So, the QRSs and the P waves have no relation to each other.

PCWP - 4-12 mmHg
est of LA pressure

Williams Syndrome - a genetic condition characterized by mental retardation in
most regards but surprisingly good use of language relative to their other abilities,
elfin facies
Chromosome 7
assoc with supravalvular aortic stenosis

DiGeorge Syndrome - Maldevelopment of 3 and 4 pharyngeal pouches, fascial
dysmorphia, cardiac shunt (trunks arteriosus, tetralogy of Fallot), lack of T-cells,
undeveloped paracortex

Corneal arcus - Lipid deposits in the cornea. Common in the elderly, but appears
earlier in life with hypercholesterolemia

Stanford A aortic dissection - Dissection of the ascending aorta
Tx with surgery

Stanford B aortic dissection - Dissection of the descending aorta below the level o
the left subclavian artery
Tx: Beta Blockers then vasodilators

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

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.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller ProfMiaKennedy. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $10.04. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

73314 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
$10.04
  • (0)
  Add to cart