17.12.13

Question 1

Does MAT need anticoagulation?

Answer 1

No

Question 2

Diff btw FAT and SVT due to reentry

Answer 2

FAT terminates in a QRS complex

Question 3

Ventricular rate in non paroxysmal junctional tachycardia

Answer 3

70-130

Question 4

Ventricular rate in focal junctional tachycardia

Answer 4

110-250

Question 5

Regularisation of RR interval in AF

Answer 5

junctional tachycardia

Question 6

Rx of non paroxysmal junctional tachy due to digitalis toxicity

Answer 6

phenytoin

Question 7

DD for SVT with retrograde P waves and RP=PR

Answer 7

Atrial flutter with 2:1 AV block
AVRT
FAT
Junctional tachycardia
Atypical AVNRT

Question 8

Retrograde p waves with AV wenkebach

Answer 8

Focal atrial tachycardia

Question 9

Dabigatran is eliminated by

Answer 9

kidneys

Question 10

Switching from warfarin to dabigatran

Answer 10

stop warfarin and start dabigatran when INR is less than 2

Question 11

Dabigatran should be started _______ hrs before switching from parenteral anticoagulant

Answer 11

0-2hrs

Question 12

When switching back to parenteral anticoagulant from dabigatran a gap of _______ hrs is required

Answer 12

12-24 hrs

Question 13

site of re entry in typical atrial flutter

Answer 13

Cavo tricuspid isthmus

Question 14

Atrial flutter mimics

Answer 14

parkinson

infusion pumps

Question 15

Rapid ventricular rate in Atrial flutter

Answer 15

accessory pathway

thyrotoxicosis

Question 16

Most effective rhythm control drug for atrial flutter

Answer 16

ibutilide

Question 17

uncommon types of atrial flutter

Answer 17

odd conduction ratios like 1:1 ,3:1,5:1

Question 18

cause of atrial flutter with 1:1 conduction

Answer 18

class 1A or Class 1C antiarrythmic agent use

Question 19

size of delta wave and site of bypass tract

Answer 19

small- left sided

large- right sided

Question 20

What should be suspected in pts of WPW syndrome with rt sided bypass tract

Answer 20

Ebstein anomaly

Question 21

Cardiac diseases associated with pre excitation?

Answer 21

ebstein anomaly
MVP
hypertrophic cardiomyopathy

Question 22

Ascultatory changes in pre excitation

Answer 22

rt sided: soft s1,reverse splitting of S2

lt sided: loud s1,wide fixed split of S2

Question 23

drug of choice for wide complex AVRT

Answer 23

procainamide