Acute medical presentation 1

Question 1

What are the risk factors for an MI?

Answer 1

Question 2

Risk factors for PE?

Answer 2

Question 3

Which murmur is more likely in aortic dissection?

Answer 3

AR

Question 4

Which murmur is more likely in exertional angina?

Answer 4

AS

Question 5

What heart sounds would you hear in pericarditis?

Answer 5

Rub

Question 6

What would you suspect with a pleural rub?

Answer 6

Pleurisy

Question 7

What would you suspect with bronchial breathing?

Answer 7

pneumonia

Question 8

Type of pain in aortic dissection?

Answer 8

Severe central chest, tearing.
May radiate to back (interscapular)

Question 9

What are the risk factors for aortic dissection?

Answer 9

HTN
Collagenopathies (e.g. marfans)

Question 10

What are the signs of an aortic dissection?

Answer 10

Question 11

What is the acute management of an aortic dissection?

Answer 11

Question 12

How does a type A vs type B aortic dissection differ in management?

Answer 12

Question 13

Cause of VT?

Answer 13

Myocardial scar

Question 14

Cause of VF?

Answer 14

Acute MI

Question 15

What at the 4 Hs and 4 Ts?

Answer 15

Question 16

When do you give adrenaline in cardiac arrest?

Answer 16

Every 3-5 mins

Question 17

When do you give amiodarone in cardiac arrest?

Answer 17

After 3rd shock

Question 18

Types of neuromuscular failure?

Answer 18

Guillain Barre
Myasthenia gravis

Question 19

What are the potential differentials of pleuritic chest pain?

Answer 19

Question 20

What are the sizes of small and large pneumothorax?

Answer 20

Question 21

What is the definition of pneumothorax?

Answer 21

Question 22

What is the different between primary and secondary pneumothorax?

Answer 22

Primary - normal lungs
Secondary - Underlying lung disease e.g. COPD, Pulmonary fibrosis, CF

Question 23

What are the risk factors of primary pneumothorax?

Answer 23

Question 24

Is primary or secondary pneumothorax more serious?

Answer 24

Secondary

Question 25

90% of patients who have a primary pneumothorax have what on imaging?

Answer 25

Question 26

what is the typical presentation of a pneumothorax?

Answer 26

Question 27

What are the signs of pneumothorax?

Answer 27

Question 28

What are the signs of tension pneumothorax?

Answer 28

Question 29

What type of imaging would you do if suspecting a pneumothorax?

Answer 29

Question 30

What would you see on an ABG in a pneumothorax?

Answer 30

Question 31

What discharge advice is given in primary pneumothorax?

Answer 31

Question 32

When would you aspirate a primary pneumothorax?

Answer 32

Question 33

How would you manage a secondary pneumothorax?

Answer 33

Question 34

What are the indications for a chest drain?

Answer 34

Question 35

What is the management for a tension pneumothorax?

Answer 35

Question 36

What is the definiton of a PE?

Answer 36

Question 37

How is the severity of a PE determined?

Answer 37

Question 38

In what symptoms would you consider a PE?

Answer 38

Question 39

What is the signs of a PE?

Answer 39

Question 40

Which investigations would you do in a suspected PE and what would you expect to find?

Answer 40

Question 40

What Wells score indicates low, intermediate and high risk of a PE?

Answer 40

Question 41

What is the management of an acute PE?

Answer 41

Question 42

How would you manage a severe PE?

Answer 42

Question 43

What is the PESI scoring for PE?

Answer 43

Question 44

What happens in the cells in anaphylaxis?

Answer 44

Histamine released from Mast Cells -> increased vascular permeability -> swelling

Question 45

What is the presentation of anaphylaxis?

Answer 45

Question 46

How is anaphylaxis managed?

Answer 46

Question 47

What is a biphasic reaction in anaphylaxis?

Answer 47

a second reaction/wave 6-12hr later

Question 48

Which bloods do you test for in anaphylaxis?

Answer 48

Mast Cell Tryptase, 3 samples between 2-4 hours

Question 49

What type of puncture could you do in severe upper airway obstruction?

Answer 49

Crico-thyroid membrane puncture