3 LOBS

Question 1

Develop a differential diagnosis for chest pain.

Question 2

Outline the pathogenesis of coronary atherosclerosis and coronary thrombosis

Question 3

Define typical and atypical angina

Question 4

Describe both typical + atypical the presentations of angina, NSTEMI and
STEMI.

Question 5

Describe which populations present atypically. (Note: Atypical = abdominal
discomfort, jaw pain, altered mental status. Populations that tend to present atypically:
elderly, female, diabetic etc)

Question 6

Describe the investigations and diagnosis of angina, NSTEMI and STEMI including 12-lead ECG changes/territories and cardiac markers (specifically troponin).

Question 7

List classes of drugs which treat myocardial infarction in both the short term and long term.
Include the mechanisms of action, any potential significant side effects and rationale for each drug class.

Question 8

Broadly describe the difference between the mechanism of the drugs for anticoagulation,
thrombolysis and anti-platelet. (eg, , streptokinase, aspirin, clopidogrel etc)

Question 9

Explain coronary angioplasty and list the indications for and contraindications to coronary reperfusion therapy (PCI/thrombolysis).

Question 10

Relate the pathology of myocardial infarction to the clinical complications of (a) impaired
cardiac function with left ventricular failure and (b) arrhythmias.

Question 11

What are implantable cardiac defibrillators and pacemakers? When are they used?

Question 12

Please describe the pathophysiology & ECG findings of Ventricular tachycardia

Question 13

Please describe the pathophysiology & ECG findings of Ventricular fibrillation

Question 14

Please describe the pathophysiology & ECG findings of Paroxysmal supraventricular tachycardia

Question 15

Please describe the pathophysiology & ECG findings of Atrial ventricular block

Question 16

What is a cardiac arrest and what generally happens during one? (signpost BLS +ILS)

Question 17

Following a myocardial infarction what are some of the ECG changes that can occur?

Question 18

What is a transthoracic echo? When is it used? What information does it tell us? What
other forms of Echo are there?

Question 19

Define ischaemia and infarction

Question 20

Define infarction

Question 21

Why is nausea a symptom of MI, describe physiology

Question 22

What is the difference between an NSTEMI and STEMI and is there a difference of management strategies

Question 23

What are narcotic analgesics

Question 24

Describe the management of an acute MI

Question 25

Explain how a PCI works

Question 26

What is the mechanism of action of ticagrelor and why is it used in PCIs

Question 27

What is a triple coronary bypass

Question 28

What medications do we give following an MI

Question 29

Define akinetic

Question 30

What are the shockable rhythms and what do they look like on ECG

Question 31

What is a cardiac arrest? What happens?

Question 32

Define inotropic

Question 33

Define chronotropic

Question 34

Give as many causes of chest pains as possible (come up with a methodological way of coming up with them.. VINDICATE, etc)

Question 35

Give as many causes of shortness of breath as possible (come up with a methodological way of coming up with them.. VINDICATE, etc)