Card 81
Question
What situation should we assume in patients with pathological Q wave and persistant ST elevation in leads monitoring anterior myocardial wal?
Answer
Anterior wall aneurysm formation following acute STEMI
Internal Credit
Second Faculty of Medicine
- Subject
- No category / Others
- Language of creation
- English
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Cards in this set
Card 82
Question
What is the first symptom of valvular regurgitant defects?
Answer
HEART MURMUR
Card 83
Question
List at least three causes for development of mitral insufficiency.
Answer
DILATED CARDIOMYOPATHY, MYXOMATOUS DEGENERATION, LHF, RUPTURE OF PAPILLARY MUSCLE AFTER MI
Card 84
Question
In patient suffering from obstruction of calf arterial bed where is claudicatory pain localized?
Answer
PLANTAR AREA OF THE FOOT
Card 85
Question
In patient suffering from obstruction of superficial femoral artery where is claudicatory pain localized?
Answer
CALF
Card 86
Question
In patient suffering from obstruction of iliac arteries where is claudicatory pain localized?
Answer
THIGHS + BUTTOCKS
Card 87
Question
What kind of pain does the patient with ischemic pain in lower limbs in rest describe?
Answer
DIFFUSE BURNING LIKE PAIN AT NIGHT ESPECIALLY IN TOES, alleviation when the limb is lowered and worsening with elevation of the limb
Card 88
Question
What kind of complaints does the patient with claudicatory pain describe?
Answer
CRAMPING PAIN (AFTER WALKING AND RELIEVED BY REST)
Card 89
Question
At what time do we observe filling of dorsal veins during the performance of modified Ratschow´s test?
Answer
10s
Card 90
Question
What value of ankle-brachial index (ABI) do we consider as diagnostic for periphery artery disease?
Answer
LESS OR EQUAL TO 0.9
Card 91
Question
What is necessary to take into the consideration in patient with proven PAD? What other diagnostic angiological procedures do you recommend?
Answer
ATHEROSCLEROTIC INVOLVEMENT OF OTHER ARTERIES. CHECK CORONARY (coronarography) and CAROTID (Doppler US) arteries
Card 92
Question
List at least three measures belonging to non-pharmacological intervention in patients with PAD?
Answer
STOP SMOKING, AEROBIC EXERCISE, AVOID EXTREME COLD, WEAR APPROPRIATE SHOES, REDUCE FAT INTAKE, PTA + STENTS
Card 93
Question
What is the most common cause of acute arterial occlusion in extremities?
Answer
EMBOLISM (AF, AORTIC ATHEROSCLEROSIS, THROMBI AFTER MI)
Card 94
Question
Which clinical stage of PAD do we consider angiography in?
Answer
FONTAINE III – PAIN AT REST
Card 95
Question
What is the most common cause of aortic dissection?
Answer
ARTERIAL HTN
Card 96
Question
What does the term "abdominal angina" mean?
Answer
POSTPRANDIAL SHARP ABDDOMINAL PAIN DUE TO CHRONIC MESENTERIC ISCHEMIA
Card 97
Question
What is predisposig factor for development of thrombangiitis obliterans?
Answer
SMOKING
Card 98
Question
List the components of Wirchov-Rokitanski triad?
Answer
ENDOTHELIAL DAMAGE, HYPERCOAGULABLE STATE, BLOOD STASIS
Card 99
Question
List at least three inborn hypercoagulable states?
Answer
LEIDEN V MUTATION, DEFICIENCY OF PROTEIN C, PROTEIN S, ANTITHROMBIN III, prothrombin G20210A
Card 100
Question
List at least three acquired hypercoagulable states?
Answer
HORMONAL CONTRACEPTIVES, MALIGNANCY, PREGNANCY, EXTENDED IMMOBILIZATION, SMOKING
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