1MBChB Cardiology

Question 1

Fever, pleuritic chest pain, relieved by sitting up and leaning forward

Answer 1

Pericarditis

Question 2

Irregularly irregular pulse

Answer 2

Atrial fibrillation

Question 3

Saw-tooth baseline on ECG

Answer 3

Atrial flutter

Question 4

Alveolar bat’s wings, Kerley B-lines, cardiomegaly, dilated upper lobe vessels and effusion

Answer 4

Pulmonary oedema

Question 5

Raised JVP

Answer 5

Right heart failure

Question 6

Sense of impending doom

Answer 6

Myocardial infarction

Question 7

Saddle-shaped ST elevation

Answer 7

Pericarditis

Question 8

Mid-diastolic murmur with a tapping apex

Answer 8

Mitral stenosis

Question 9

Broad QRS complex with delta-wave/slurred R-wave

Answer 9

Wolf-Parkinson-White syndrome

Question 10

Tall, tented T-waves

Answer 10

Hyperkalaemia

Question 11

Pericarditis 4-6 weeks post-MI

Answer 11

Dressler’s syndrome

Question 12

Blurred yellow vision

Answer 12

Digoxin toxicity

Question 13

Machinery murmur

Answer 13

Patent ductus arteriosus

Question 14

Rib-notching on CXR

Answer 14

Coarctation of the aorta

Question 15

Crescendo-decrescendo murmur

Answer 15

Aortic stenosis

Question 16

4H’s and 4T’s of reversible causes of cardiac arrest

Answer 16

Hypovolaemia
Hypothermia
Hyper/hypo- kalaemia
Hypoxia
Tamponade
Tension pneumothorax
Thromboembolism
Toxin