another CVS review Flashcards

1
Q

why does chest pain with angina come on with exercise

A

blood flow through left coronary artery because diastole is shorter

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2
Q

flow in the left coronary artery occurs mainly in

A

diastole

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3
Q

how does a beta blocker alleviate myocardial ischaemia

A

reduce heart rate and force of contraction to reduce oxygen demand and improve perfusion of coronary arteries

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4
Q

what does GTN spray do

A

dilate systemic veins

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5
Q

what findings would be consistent with unstable angina

A

ST depression and normal troponin levels

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6
Q

ST elevation in leads 1, aVL, V5 and V6 suggests

A

lateral STEMI

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7
Q

which findings would be consistent with an acute anterolateral NSTEMI

A

ST depression in leads 1, aVL, V3, V4, V5 and V6 and presence of troponins

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8
Q

A man with congestive heart failure develops pulmonary oedema due to raised hydrostatic pressure in the pulmonary capillaries. Why

A

increased left atrial pressure

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9
Q

best medications for heart failure and pulmonary oedema

A

ACEi and diuretics

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10
Q

what would you hear on auscultation of heart in a patient with aortic stenosis

A

systolic murmur in 2nd intercostal space to right of sternum

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11
Q

what would you hear on auscultation of a patient with mitral valve stenosis

A

diastolic murmur in 5th intercostal space in midclavicular line on the left

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12
Q

cause of lubdub

A

AV valves opening and closing

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13
Q

man is stabbed and bleeding out, what will his aBP, CVP and TPR be

A

aBP and CVP low, TPR high

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14
Q

man stabbed in chest with little bleeding. What type of shock. veins in neck distended

A

mechanical

high CVP- cardiac tamponade

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15
Q

map =

A

HR x SV x TPR

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16
Q

how to work out map

A

diastolic pressure + 1/3 pp

pp = diastolic = systolic

17
Q

at a normal hr, how much time spent in diastole

A

2/3

18
Q

what does QRS represent

A

ventricular depolarisation