1 PANCE Treatments and Tests of Choice Cardiology:
Dilated cardiomyopathy treatment: Correct Answer: ACE inhibitors, beta blockers, diuretics , dig,
... [Show More] 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
ASD test of choice: Correct Answer: TEE
ASD treatment (young): Correct Answer: None (50% close spontaneously)
Surgery/patch
VSD treatment: Correct Answer: Close spontaneously
Surgery
Sx sinus bradycardia first line treatment: Correct Answer: Atropine
Sx sinus bradycardia second and third line treatment: Correct Answer: Transcutaneous pacing
Permanent pacemaker
Wolfparkinson White definitive treatment: Correct Answer: Radiofrequency ablation
Wolfparkinson White initial treatment: Correct Answer: Vagal maneuvers
Procainamide
Pulseless Vtac treatment: Correct Answer: Defib/CPR
Unstable VT w/pulse treatment: Correct Answer: Synchronized cardioversion
PEA treatment: Correct Answer: CPR, epi, check for shockable rhythm every 2 minutes
Asystole treatment: Correct Answer: CPR, epi, check for shockable rhythm every 2 minutes
1 or 2 vessel disease NOT involving the Left Main CA and a normal left ventricular function treatment: Correct Answer: PCTA/PCI
Left Main CA involvement, 3 vessel disease, or left EF<40% treatmentL Correct Answer: CABG
Acute angina treatment: Correct Answer: SL nitroglycerin
Chronic angina first line treatment: Correct Answer: Beta blockers
HF test of choice: Correct Answer: Echo
HF first line treatment: Correct Answer: ACEi
HF most effective symptomatic treatment: Correct Answer: Diuretics
HF EF <35% treatment: Correct Answer: Implantable defibrillator
Acute CHF failure: Correct Answer: Lasix
Morphine
Nitrates
Oxygen
Position
Nesiritide used in ED or inpatient if severe
Transposition of the great vessels treatment: Correct Answer: Prostaglandin E1 -->surgery
Treatment of HTN in a patient with gout: Correct Answer: CCB
First line therapy for uncomplicated HTN: Correct Answer: Thiazide diuretic (HCTZ, chlorthalidone)
First line HTN therapy for AAs: Correct Answer: Thiazide diuretics
Hypertensive Emergency drug of choice if unspecified issue: Correct Answer: Sodium Nitroprusside
HTN Urgency drug of choice: Correct Answer: Captopril
Clonidine
Labetolol
Nicardipine
HTN Emergency drug of choice encephalopathy: Correct Answer: Sodium Nitroprusside + Nicardipine (slow rate and reduce swelling)
HTN Emergency drug of choice cerebral infarct or hemorrhage: Correct Answer: Labetalol
HTN Emergency drug of choice aortic dissection: Correct Answer: Labetalol + Sodium Nitroprusside (reduce wall stress)
HTN Emergency drug of choice due to cocaine overdose: Correct Answer: Benzos (NO BB!)
Hypertensive Emergency drug of choice due to eclampsia: Correct Answer: Labetalol or hydralazine
Give mg
Hypertensive Emergency drug of choice due to ACS: Correct Answer: Nitroglycerine
Addisonian crisis treatment: Correct Answer: IV hydrocortisone
Most useful non-invasive test for angina pectoris: Correct Answer: Stress test (EKG)
Angina pectoris definitive diagnosis/gold standard: Correct Answer: Coronary angiography
Normal EKG with angina pectoris, next best diagnostic step: Correct Answer: Stress test (EKG)
Abormal EKG with angina pectoris, next best diagnostic step: Correct Answer: Pharmacologic stress testing w/vasodilators (adenosine, dypyrimadole)
Mainstay treatment of STEMI: Correct Answer: PCI or thrombolytics (Reperfusion therapy w/in 12 hours of symptom onset )
6 main pharmacologic treatments of STEMI: Correct Answer: Thombplytic (reperfusion)
Heparin (anti-thrombotic)
ASA (anti-thrombotic)
Nitroglycerin
BB
ACE-I [Show Less]