Cardiology Rotation 4 Contains 222 QUESTIONS and SOLUTIONS

Cardiology Rotation 4  222 QUESTIONS| WITH COMPLETE SOLUTIONS

Farxiga

(generic) Correct Answer: Dapaglaflozin

Jardiance

(generic) Correct Answer: Empaglaflozin

Entresto

(generic) Correct Answer: Valsartan + Sacubitril

ARB + Neprolysin inhibitor

- Requires 3-day ACE holiday

- Only indicated in EF <35%

Improves outcomes in patients with heart failure

Ozempic

(generic) Correct Answer: Semaglutide

Which SGLT-2 is also indicated for heart failure? Correct Answer: Dapaglaflozin (Farxiga)

What kind of monitoring is required with Sotalol? Correct Answer: Requires EKG monitoring due to risk of prolonged QT

Can Amiodarone and Digoxin be given together? Correct Answer: Yes, but start out in the hospital setting for close monitoring of Digoxin levels

Amiodarone may increase risk of Dig toxicity

Which diuretic is beneficial for "gut edema"? Correct Answer: Torsemide

Brand name of Spironolactone Correct Answer: Aldactone

Bare metal stent vs. Drug-eluding stent Correct Answer: Bare metal:

- Can stop anticoagulation meds earlier

- Longevity is not as good

Drug-eluding:

- Better longevity

- Longer anticoagulation

AVNRT Correct Answer: AV nodal reentrant tachycardia

How often to repeat an echocardiogram for a patient with aortic or mitral regurgitation Correct Answer: Severe: 6 mo - 1 yr

Moderate: 1-2 yr

Mild: 3-5 yr

Ticagrelor Correct Answer: Brillenta

- Antiplatelet

- Stroke/MI prevention

Main AE: SOB

When do you treat PVC's? Correct Answer: Symptomatic OR

Holter monitor shows PVC > 20%

A significant PVC burden on holter monitor is > ____% Correct Answer: 20%

Limited Echocardiogram Correct Answer: Shows only the EF

- Doesn't look at valves

What is the management goal with chronic a-fib? Correct Answer: Rate control

- Goal is 80 bpm at rest

- 110 bpm with exertion

How does Xarelto affect INR? Correct Answer: Xarelto does not affect INR

What's another EKG finding that is equivalent to a STEMI? Correct Answer: New LBBB

What is concerning about finding PAC's on a holter monitor? Correct Answer: Risk of atrial fibrillation

How to treat/manage PVCs Correct Answer: Beta blocker

Check electrolytes and TSH

(Treat if symptomatic or burden > 20%)

Metformin protocol before surgery Correct Answer: Hold Metformin 48 hr before and after surgery

- Interacts with contrast, risk of lactic acidosis

HEART Score Correct Answer: Used to assess risk of MI

History - slight 0/ moderate, 1 / high 2

ECG - normal 0 / nonspecific, 1 / ST depression 2

Age - <45 0 / 45-65, 1 / >65

Risk factors - none 0 / 1-2, 1 / >2 2