Cardiology Jeopardy

1. Don’t Go Failing My Heart Acute Coronary Syndromes Name that Rhythm Cardiac Numbers All About Valves Cardiology Jeopardy 100 100 100 100 100 200 200 200 200 200 300 300 300 300 300 400 400 400 400 400

2. Name That Rhythm - 100

3. Name That Rhythm - 200

4. Name That Rhythm - 300

5. Name That Rhythm - 400

6. Cardiac Numbers - 100 Q: Indications for biventricular pacemaker-defibrillator placement include NYHA class III or IV heart failure, a QRS width greater than 120 msec, and an ejection fraction less than or equal to this percent.

7. Cardiac Numbers - 200 • In asymptomatic patients, repair is indicated for abdominal aortic aneurysms with this transverse diameter or larger, or those demonstrating an expansion rate of more than 0.5 cm/year.

8. Cardiac Numbers - 300 • Thrombolytic therapy has not shown a clear benefit for patients presenting more than this many hours from symptom onset.

9. Cardiac Numbers - 400 • Exercise stress testing is only diagnostic at an adequate workload, defined as achieving this percent of the maximum predicted heart rate.

10. Don’t Go Failing My Heart - 100 • A set of major and minor findings used to charaterize the clinical syndrome of heart failure, named after a landmark cardiologic study

11. Don’t Go Failing My Heart - 200 • While this class of medications has been shown to decrease mortality in Class III and IV heart failure patients, they were shown in a recent study to improve mortality even in patients with class I or II NYHA heart failure

12. Don’t Go Failing My Heart - 300 • Grade 2 diastolic heart failure is often referred to on echo reports as this

13. Don’t Go Failing My Heart - 400 • This electrocardiographic finding automatically disqualifies a patient for cardiac resynchronization therapy

14. All About Valves - 100 • Physical examination features of this disease includes a mid- to late-peaking systolic murmur, an S4, a single S2 and delayed timing and decreased amplitude in the carotid pulses (pulsus parvus et tardus)

15. All About Valves -200 • The echocardiographic appearance of the cardiac sequelae of this "hot" disease is one of commissural fusion, leaflet thickening, calcification, and restricted leaflet motion.

16. All About Valves - 300 • This procedure, used to establish coronary perfusion and afterload reduction, is contraindicated in patients with aortic valve regurgitation

17. All About Valves - 400 • In discussion of this syndrome, which is a constellation of nonspecific symptoms including palpitations, atypical chest pain, dyspnea, fatigue, orthostatic symptoms, and neuropsychiatric complaints, something usually clicks

18. Acute Coronary Syndromes - 100 • This process, thought to be responsible for most cases of in-stent restenosis, is the target for the drugs eluted by drug eluting stents

19. Acute Coronary Syndromes - 200 • Sometimes mistaken for ischemic ST elevation in the anteroseptal leads, this syndrome is a relatively rare but significant cause of sudden cardiac death, particularly in males of Southeast Asian descent

20. Acute Coronary Syndromes - 300 • This constellation of findings includes biphasic t waves in the anteroseptal leads transitioning to inverted t waves in the anterolateral leads and often denotes an acute proximal LAD occlusion

21. Acute Coronary Syndromes - 400 • A 67 year old male whose parents have no cardiac history; with a personal history of hypertension and current smoking who takes no medications and presents with severe intermittent crushing chest pain for the last two days, no ST changes, and an troponin of .6 has this TIMI risk score