Looking for cardiovascular information. Basic, Med Surg 1 information. CABG, HTN, Right and Left sided Heart Failure, etc.
This is just the tip of the iceberg…
MARCH 10TH, 2014407 NOTES
From the LearnTheHeart.com Cardiology Blog
So you are on the wards rounding and happen to have one of those cardiology attendings that gets some evil pleasure out of asking questions randomly to students (commonly known as “pimping”). I have seen some attendings get upset if students don’t know the correct answer and basically will send them to the library, tell them to look it up, then come back when they are smarter!
As a medical student, you MUST get these questions right if you are looking to get into a competitive residency/fellowship or just want to avoid embarrassment in front of your peers. Here is a list of the top 50 pimp questions that you may get on a cardiology rotation…know them and impress everyone! Want to really knock everyone’s socks off? I included some “Bonus” tidbits that are interesting and most people don’t know and links for those gunners who want to read more.
I have organized all of this into general cardiology pimps, physical exam pimps and ECG pimps. This is a lot to know, but should prepare you well!
General Cardiology Pimps
1. What are the toxicities of amiodarone?
I dare you to look your attending in the eye with a serious face and say “BITCH” if asked this question! It is probably not wise to do this unless you are sure they have a good sense of humor. Remember the mnemonic BITCH to recall the issues with amiodarone
Bradycardia/Blue man syndrome
Interstitial lung disease
Thyroid (hyperthyroid OR hypothyroid)
Another way to remember is “Check PFTs, TFTs and LFTs” for pulmonary, thyroid and liver function tests. But really the only monitoring that is done is a TSH level every 6 months as routine PFTs and LFTs are not recommended.
2. What are the causes of atrial fibrillation?
Remember PIRATES for the causes of atrial fibrillation. This is quite a comprehensive list:
Pulmonary embolism, Pulmonary disease, Post-operative
Ischemic heart disease, Idiopathic (“lone atrial fibrillation”), IV central line (irritating the right atrium)
Rheumatic valvular disease (mitral stenosis or regurgitation)
Anemia, alcohol (“holiday heart”), Age, Autonomic tone (vagal atrial fibrillation)
Thyroid disease (hyperthyroidism)
Elevated blood pressure (hypertension), Electrocution
Sleep apnea, Sepsis, Surgery
3. What are the different types of shock and their treatment?
This picture summarizes it all: