4th Year PE and Pulmonary Hypertension

Question 1

CXR in PE

Answer 1

most are normal
can have dilated pulmonary arteries
linear atelectasis
small effusion
wedge shaped opacities

Question 2

criteria for PE?

Answer 2

Well’s

Question 3

management of PE if stable

Answer 3

unfractionated heparin or LMWH for 5 days then DOAC

Question 4

management of PE if unstable

Answer 4

thrombolysis e.g. alteplase

Question 5

two ways thrombolysis can be performed?

Answer 5

peripheral cannula

central cannula

Question 6

5 grouped causes of pulmonary hypertension

Answer 6

1. primary or connective tissue diseases
2. LHF
3. chronic lung diseases
4. pulmonary vascular diseases
5. miscellaneous

Question 7

ECG in pulmonary hypertension

Answer 7

RBBB
RVH
right axis deviation

Question 8

management of pulmonary hypertension

Answer 8

IV prostanoids e.g. epoprostenol
endothelin receptor antagonists e.g. macitentan
PDE-5 inhibitors e.g. sildenafil