3rd year cards nuggets

Question 1

Pink cheeks suggests what valvular disease

Answer 1

MS

Question 1

Anti-emetic for MI

Answer 1

IV metoclopramide

Question 2

Most common form of pericarditis

Answer 2

Fibrinous

Question 3

What would you see in longer term PAD as opposed to acute

Answer 3

Hair loss
Muscle wasting

Question 4

What does tapping apex beat suggest

Answer 4

MS

Question 5

What are cannon waves on JVP seen in

Answer 5

3rd degree HB

Question 6

Drugs used to manage WPWS

Answer 6

Amiodarone
Flecainide
Preferred as less blockage at AVN

Question 7

What indicates LBBB on ECG

Answer 7

WILLIAM
Widened QRS

Question 8

Pathophysiology of WPW

Answer 8

Defect where accessory pathway joins the atria to ventricles prior to AVN- early excitation of the ventricles

Question 9

What is rare presentation of mitral stenosis

Answer 9

Get hoarse voice and dysphagia from LA enlargement

Question 10

Paroxysmal AF management

Answer 10

Pill in pocket- flecainde

Question 11

What presents with ST elevation, unraised trop and chest pain at nigth

Answer 11

Variant angina

Question 12

Radiofemoral delay causes

Answer 12

Aortic dissection and coarctation

Question 13

What happens to pulse pressure as get older

Answer 13

Widens

Question 14

What parts of virchows triad are antiplatelets vs DOACs aimed at

Answer 14

Antiplatelets- vessel injury
DOACs- coagulopathy

Question 15

What layers shears in aortic dissection

Answer 15

Tunica intima

Question 16

Wires over sternum on CXR indicate what

Answer 16

Previous sternotomy

Question 17

What considered reduced EF HF

Answer 17

Less than 40%

Question 18

Differentiating between pericarditis and myocarditis on bloods

Answer 18

Troponin and CKMB much more elevated in myocarditis

Question 19

Genetic causes of long QT

Answer 19

Change in K+ channel

Question 20

Causes of long QT

Answer 20

Electrolytes- low K, Mg, Ca
Drugs- TCA, antihistamines, antipsychotics, methadone
Raised ICP
Genetic

Question 21

Causes of constrictive pericarditis

Answer 21

TB
Sarcoid
Malignancy

Question 22

When is pericarditis pain worse

Answer 22

Lying down
Breathing in

Question 23

How administer flecainide or amiodarone for AF

Answer 23

IV

Question 24

8 reversible causes of cardiac arrest

Answer 24

4 Hs
- hypothermia
- hypovolaemia
- hypoxia
- hyperkalaemia (metabolic causes)

4 Ts
- tamponade
- thrombous
- toxins
- tension pneumothorax

Question 25

Causes of fibrosis in the lung apices

Answer 25

BREAST
Berryliosis
Radiation
EAA
Ank spond
Sarcoid
TB

Question 26

Infections causing cavitating lesion

Answer 26

Klebsiella
S aureus
TB

Question 27

Youngs syndrome triad

Answer 27

Bronchiectasis
Sinusitis
Infertility

Question 28

Sail sign

Answer 28

Left lower lobe collapse

Question 29

What does a purpuric rash or petechiae suggest about haemoptysis

Answer 29

Vasculitis

Question 30

What is most likely lobe for aspiration pneumonia

Answer 30

Right lower

Question 31

Mixed sclerotic and lytic lesion

Answer 31

Pagets

Question 32

Pagets management

Answer 32

Bisphosphonates

Question 33

What is spondylolisthesis

Answer 33

When vertebrae gets forced forward and can compress chord

Question 34

How can spondyloisthesis present

Answer 34

Trauma
Back pain
Neuro signs

Question 35

What is only alpha and beta blocker

Answer 35

Labetalol