Dr. Marish Asudani
Dr. Marish Asudani

@AsudaniMarish

18 Tweets 8 reads Aug 29, 2024
I studied 5.5 months for my Step2CK
Scored 254
Here’s a list of all the Super High Yield Stuff for
CARDIOLOGY 🫀
That you should know before sitting for your exam!!
They’re in line with FA Step 1 except the 1st thread!
🧵🧵🧵⬇️⬇️⬇️
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#USMLE
#Step2CK
#MedTwitter
Anti arrythmics
•I recommend doing them from @SketchyLearning pharmac!
•All the side effects
•Various drug-drug interactions .
•Indications for various Arrhythmias( ventricular or atrial)
Sketchy is the most efficient way to finish Anti Arrhythmics !
Trust me
#USMLE
Heart Sounds Part 1
•Types & Locations
(I can’t stress enough how important these are because they help cancelling out half of the options in any CVS question)
•KeyWords such as
Diastolic,HoloSystolic,3/6 or above, are all clues for pathological murmurs!
#USMLE
#MedX
Heart Sounds Part 2
• Differentiate by preload & afterload changes (Super HY)
• Right vs Left murmurs
Differentiate based on inspiration
• Loud P2 means Pulmonary Hypertension !!!!
• Splitting is HY .
#USMLE
#MedTwitter
#Step2CK
Congenital Cardiac Associations
And Coarctation of Aorta.
Signs and Presentation of Coarctation are Super HY!
Congenital Heart Problems always divide into
Cyanotic vs Acyanotic Babies
Understanding how acyanotic babies end up with Eisenmenger,
is ULTRA HY !🔥
#USMLE
Hypertension
This image is more than amazing!
Has all the HY stuff
Aortic Dissection and Aneurysm
The risk factors and screening is SUPER HY!!!
Presentation, Diagnostic NBS,Tests and T/t also HY!
Also a/w cholesterol emboli syndrome!
(Cholesterol Emboli Synd itself is Super HY)
All these were on my Actual Step2 Exam!
#USMLE
#MedTwitter
ACS and Angina
•Diagnosis and When to Admit
•Exact treatment protocol for STEMI
•Exact treatment protocol for
UA and NSTEMI
•Location of the STEMI and corresponding Treatment first line!
(Eg Don’t give Nitroglycerin in Inferior MI)
Was On my Actual Step2 Exam!
#USMLE
Post MI complications
•Rough Timeline,Location and Symptoms.
•MCC death - Ventricular Fibrillation
•Treatment of pericarditis (early and late both)
•Aneurysm ECG changes
#USMLE
#MedTwitter
#Step2CK
Atrial Fibrillation
•Exact Treatment Protocol (Rate &Rhythm)
•Identifying on an ECG
•A-fib relation to Stroke/TIA
•Do echo after 48hrs of constant A-fib
•When to give aspirin vs anticoagulants
•Differentiate from A-Flutter
#USMLE
#MedTwitter
Arrhythmias (Part1)
• Identification on ECG of various AV blocks and WolfParkinsonWhite!
• Treatment for AV blocks &WPW
->Tip
If it has 1 ( First degree or
Mobitz type1) then NO Treatment needed!
If not-> then pacemaker
#USMLE
#MedTwitter
Arrhythmias Part2
• Torsades de pointes!
ECG identification, Drugs Causing it and T/t
•V tach vs V Fib
Exact T/t
In stable and Unstable Patients!
When to Defibrillate vs When to do Synchronised Cardioversion !
#USMLE
#MedTwitter
Cardiomyopathy
• Dilated CM signs (displaced apex) , Etio and T/t.
•Stress cardiomyopathy ( pathophysiology, changes on ECG and Echo)
•HOCM -> MCC death(V- arrythmia) and T/t and Prevention.
(B-Blocker or ICD)
•Amyloidosis ->Restrictive CM
Was on My Step2 Exam
#USMLE
Shock
• Be able to identify the Cause of all kinds of shocks by just looking at various CVS parameters!
•Treatment of Shock (treatment differs with diff causes)
Best video for shock ⬇️⬇️
youtu.be
#USMLE
#MedTwitter
Myocardial & Pericardial Problems
•Cardiac Tamponade (Diagnosis tests and Treatment)
•Pericarditis (Types,Causes,Diagnosis and Treatment)
•Pulsus Paradoxus signs (what does it do to radial pulse)
•Viral Myocarditis
Causes and Complications.
#USMLE
#MedTwitter
Infective Endocarditis & others
• Identification using Various Key Signs !! (SuperHY)
•Different causes( Acute vs Subacute)
• Collect Blood Culture first
Then Treat!! (SUPER HY)!!
•Valves involved
•Chagas Latent stage and NBS
On my Real Step2 Exam
#USMLE
PHARMAC
•CCB side effects
•Nitroprusside and Cyanide Poisoning
•Statins
All the indications (Each and Every indication ) !!
Eg
•Diabetes in > 40 give statin
•ASCVD risk >7.5
Statin
(High or low dose depends on age)
If You loved this thread,
Like,Repost and Share with your friends studying for Step2CK!
For any personalised help for
Step1 or Step2CK
DM !!
📥📥📥
#USMLE
#MedTwitter

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