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Family Med PAEA: Questions & Answers
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Family Med PAEA: Questions & Answers
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Family Med PAEA: Questions & AnswersWhat is first line imaging studies for DVT? Correct Ans - Venous
duplex US
What will DVT show on venous duplex duplex US? Correct Ans -
noncomplressible echogenicity
What test for DVT is sensitive but not specific? Correct Ans - D-Dimer
What is the gold standard test for dx DVT? Correct Ans - venography
What is the gold standard test for PE? Correct Ans - pulmonary angio
What is the most useful test to dx heart failure? Correct Ans -
Echocardiogram
What is most important in determining prognosis for heart failure?
Correct Ans - Ejection fraction
What is a normal ejection fraction? Correct Ans - 55-60%
What are causes of systolic heart failure? Correct Ans - decreased EF
think ventricular walls
dilated LV
What sound is assc with systolic heart failure? Correct Ans - S3
What is assc with diastolic heart failure? Correct Ans - normal or
INCREASED EF
thick ventricular walls
small LV chamber
What sound is assc with diastolic HF? Correct Ans - S4
What is the blood pressure in HTN urgency? Correct Ans - > or = 180
(Systolic)
> or = 110 (Diastolic)
, What is the difference between HTN urgency and emergency? Correct Ans
- Emergency has END organ damage
Is HCM systolic or diastolic HF? Correct Ans - diastolic
What is HCM diastolic HF? Correct Ans - Impaired ventricular
relaxation/filling
What is the MC initial complaint in HCM? Correct Ans - Dyspnea
Describe the HCM murmur Correct Ans - harsh systolic crescendo-
decrescendo murmur @ LUSB
Does HCM increase or decrease with squatting? Correct Ans - decrease
Does HCM increase or decrease with valsalva? Correct Ans - increase
Does HCM increase or decrease with standing? Correct Ans - increase
What is the pathophysiology of pulmonary HTN? Correct Ans -
Increased pulmonary vascular resistance --> RVH --> R-side Heart failure
MCC of pulmonary HTN? Correct Ans - idiopathic
Classic presentation of pulm HTN? Correct Ans - Mild aged women
with sudden dyspnea, CP, weakness, fatigue, cyanosis, syncope and dementia
What abnl heart sound will be present in pulm HTN? Correct Ans -
accentuated S2 with fixed/paradoxical split
SXS of pulm HTN? Correct Ans - RIGHT-SIDED heart failure
JVP
Peripheral edema
ascites
systolic ejection click
pulmonary regurg
What will show on EKG in pulm HTN? Correct Ans - Cor pulmonale
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