Cardiology Quiz Based on Pocket Medicine
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Questions and Answers

What is the main purpose of Pocket Medicine?

  • To provide comprehensive medical education
  • To replace the need for clinical judgment
  • To guide during initial diagnosis and management (correct)
  • To serve as the only resource for medical practitioners

    • The recommendations in Pocket Medicine are exclusively based on personal experience.

    False

    Who is recognized as the Chief Resident by the author?

    Marc S. Sabatine

    A systematic approach is vital when assessing _____ in cardiology.

    <p>electrocardiography</p> Signup and view all the answers

    Match the following components of an electrocardiogram with their descriptions:

    <p>Rate = Determines if the heart is tachycardic or bradycardic Rhythm = Involves analyzing P waves and regularity Intervals = Includes PR, QRS, and QT measurements Axis = Identifies left axis deviation (LAD) or right axis deviation (RAD)</p> Signup and view all the answers

    Pocket Medicine is created solely by faculty experts in the medical field.

    <p>False</p> Signup and view all the answers

    Who is the Surgeon-in-Chief at Boston Medical Center?

    <p>Tseng, MD, MPH</p> Signup and view all the answers

    _____ is the Endocrinology Fellow at Massachusetts General Hospital.

    <p>Armen Yerevanian, MD</p> Signup and view all the answers

    Match the following individuals with their titles or positions:

    <p>Tseng, MD, MPH = Surgeon-in-Chief, Boston Medical Center Armen Yerevanian, MD = Endocrinology Fellow, Massachusetts General Hospital Kimon C. Zachary, MD = Assistant Professor of Medicine, Infectious Disease Division, Massachusetts General Hospital</p> Signup and view all the answers

    Which inotropes can be used in heart failure despite diuresis and decreased afterload?

    <p>All of the above</p> Signup and view all the answers

    The intraaortic balloon pump (IABP) has been shown to provide a significant survival benefit if used early.

    <p>False</p> Signup and view all the answers

    What is the primary purpose of optimizing preload in heart failure management?

    <p>To improve cardiac output.</p> Signup and view all the answers

    The target MAP for proper heart function is greater than ____ mmHg.

    <p>60</p> Signup and view all the answers

    Match the following complications with their associated conditions:

    <p>Heart block = RCA supplying AV node RV infarct = Proximal RCA occlusion Pulmonary vasodilators = Inhaled NO Mechanical support = IABP or RVAD</p> Signup and view all the answers

    What is the incidence of high-grade AV block in patients post-myocardial infarction?

    <p>20%</p> Signup and view all the answers

    Dopamine should be used to optimize preload in patients with RV infarcts.

    <p>False</p> Signup and view all the answers

    The goal of pulmonary capillary wedge pressure (PCWP) in acute MI is ______ mmHg.

    <p>14-18</p> Signup and view all the answers

    Who holds the position of Director of ICU Nephrology at Massachusetts General Hospital?

    <p>Allegretti, MD, MSc</p> Signup and view all the answers

    Sarah J. Carlson is an Assistant Professor of Surgery at Harvard Medical School.

    <p>False</p> Signup and view all the answers

    What is the primary role of Jean M. Connors at the Brigham and Women’s Hospital & Dana-Farber Cancer Institute?

    <p>Medical Director of Anticoagulation Management Services</p> Signup and view all the answers

    ______ is the Chief of the Division of Leukemia at Dana-Farber Cancer Institute.

    <p>Daniel J. DeAngelo, MD, PhD</p> Signup and view all the answers

    Match the following individuals with their positions:

    <p>Alison C. Castle, MD = Internal Medicine Resident at Massachusetts General Hospital Kristin Galetta, MD = Neurology Resident at Partners Neurology Residency Kristen Hysell, MD = Infectious Disease Fellow at Massachusetts General Hospital Stella K. Kim, MD = Joe M. Green Jr.</p> Signup and view all the answers

    Which individual is the Vice-Chair of Ob/Gyn Education at Icahn School of Medicine?

    <p>Katherine T. Chen, MD, MPH</p> Signup and view all the answers

    Michael P. Bowley is an Instructor in Neurology at Massachusetts General Hospital.

    <p>True</p> Signup and view all the answers

    Lawrence S. Friedman holds the position of ______ at Newton-Wellesley Hospital.

    <p>The Anton R. Fried, MD, Chair, Department of Medicine</p> Signup and view all the answers

    What is the recommended duration of mechanical ventilation before considering tracheostomy in critically ill patients?

    <p>14 days</p> Signup and view all the answers

    Early initiation of enteral nutrition is essential for all critically ill patients.

    <p>False</p> Signup and view all the answers

    What should be delayed until after day 8 to reduce the risk of infections?

    <p>Parenteral nutrition</p> Signup and view all the answers

    The Berlin definition characterizes ARDS with hypoxemia quantified by the ratio of PaO2 to FiO2, where a PaO2/FiO2 value of _______ indicates mild ARDS.

    <p>200-300</p> Signup and view all the answers

    Match the following sedatives with their associated risks:

    <p>Benzodiazepines = Risk of oversedation and delirium Propofol = Hypotension and propofol infusion syndrome Dexmedetomidine = No clear benefit on vent-free days</p> Signup and view all the answers

    Which of the following statements is false regarding enteral feeding in critically ill patients?

    <p>There is a clear benefit to checking gastric residuals.</p> Signup and view all the answers

    A PaCO2 value of 12k is commonly used in assessing shock in critically ill patients.

    <p>False</p> Signup and view all the answers

    What is a common complication associated with high doses of propofol?

    <p>Hypotension</p> Signup and view all the answers

    What is the primary treatment for Peptic Ulcer Disease (PUD)?

    <p>PPI: 40 mg PO or IV BID</p> Signup and view all the answers

    Emergent exploratory laparotomy is the first choice of treatment for life-threatening bleeding with no localization.

    <p>False</p> Signup and view all the answers

    What are the risk factors for Erosive gastropathy?

    <p>NSAIDs, ASA, alcohol, cocaine, gut ischemia, radiation therapy</p> Signup and view all the answers

    The tagged RBC scan can identify a general luminal location if the bleeding rate is equal to or greater than _____ mL/min.

    <p>0.04</p> Signup and view all the answers

    Match the following types of ulcers with their risk classification:

    <p>High-risk ulcer = Arterial spurting, visible vessel Intermediate-risk ulcer = Oozing, stable patient Low-risk ulcer = Clean-based or flat</p> Signup and view all the answers

    Which procedure allows for localization of the exact vessel if the bleeding rates are greater than or equal to 0.5 mL/min?

    <p>Arteriography</p> Signup and view all the answers

    Endoscopic therapy is recommended for low-risk ulcers.

    <p>True</p> Signup and view all the answers

    What is the recommended PPI treatment duration after endoscopy for high-risk ulcers?

    <p>IV PPI for 72 hours</p> Signup and view all the answers

    Study Notes

    Book Title and Edition

    • Pocket Medicine, Seventh Edition
    • Edited by Marc S. Sabatine, MD, MPH
    • Professor of Medicine, Harvard Medical School

    About the Book

    • The Massachusetts General Hospital Handbook of Internal Medicine
    • Published by Wolters Kluwer

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    Pocket Medicine 7th Edition 2020 PDF

    Description

    Test your knowledge on cardiology concepts as outlined in Pocket Medicine. This quiz covers key topics such as heart failure management, electrocardiogram components, and critical positions in the medical field. Assess your understanding of the systematic approaches and recommendations provided in this essential resource for healthcare professionals.

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