Buzzwords

Question 1

fever and pleuritic chest pain that is relieved by sitting up and leaning forward

Answer 1

pericarditis

Question 2

irregularly irregular pulse

Answer 2

atrial fibrillation

Question 3

ECG shows saw tooth baseline and 150 bpm

Answer 3

atrial flutter

Question 4

alveolar bat’s wings, Kerley b lines, cardiomegaly, dilated prominent upper lobe vessels, pleural effusion

Answer 4

pulmonary oedema

Question 5

raised JVP or hepatojugular

Answer 5

right-sided heart failure

Question 6

sense of impending doom

Answer 6

MI

Question 7

saddle-shaped ST elevation

Answer 7

pericarditis

Question 8

broad complex tachycardia

Answer 8

ventricular problem

Question 9

mid-diastolic murmur with a tapping undisplaced apex

Answer 9

mitral stenosis

Question 10

past medical history of rheumatic fever

Answer 10

mitral stenosis

Question 11

broad QRS with slurred upstroke on R wave (delta wave)

Answer 11

Wolf-Parkinson-White syndrome

Question 12

tall, tented T waves

Answer 12

hyperkalaemia and wide QRS complexes

Question 13

patient gets pericarditis 4-6 weeks post MI

Answer 13

Dressler’s syndrome

Question 14

blurred yellowing vision with headache

Answer 14

digoxin toxicity

Question 15

Janeway lesions and Osler’s nodes

Answer 15

subacute bacterial infectious endocarditis

Question 16

continuous machine-like heart murmur

Answer 16

patent ductus arteriosus

Question 17

rib notching on the CXR

Answer 17

coarctation of the aorta

Question 18

crescendo descendo murmur

Answer 18

aortic stenosis

Question 19

slow rising pulse

Answer 19

aortic stenosis

Question 20

early diastolic murmur

Answer 20

aortic regurgitation

Question 21

alcohol/ dilated cardiomyopathy murmur

Answer 21

pan systolic/ mitral regurgitation

Question 22

diminished or absent lower limb pulses

Answer 22

coarctation of the aorta

Question 23

radio-femoral delay

Answer 23

coarctation of the aorta

Question 24

radio-radial delay

Answer 24

coarctation or aortic dissection

Question 25

systolic murmur radiates to neck

Answer 25

aortic stenosis

Question 26

suspected endocarditis with Bovis positive blood culture

Answer 26

do colonoscopy as colon cancer could be causing the infective endocarditis

Question 27

sudden tearing or ripping chest pain that radiates to back

Answer 27

aortic dissection

Question 28

soft S1

Answer 28

mitral regurgitation

Question 29

soft S2

Answer 29

aortic stenosis

Question 30

malar flush and atrial fibrillation

Answer 30

mitral stenosis

Question 31

Jones criteria: migratory poly arthritis, carditis, subcutaneous nodules, erythema marginatum ok skin

Answer 31

rheumatic heart disease

Question 32

large ‘v’ wave and raised JVP

Answer 32

tricuspid regurgitation

Question 33

tetralogy of fallot

Answer 33

RVH, ventricular septal defect, pulmonary stenosis, over-riding aorta

Question 34

LAD ECG parts

Answer 34

anterior

V1-4

Question 35

circumflex ECG parts

Answer 35

Lateral

I, V6, V5

Question 36

RCA ECG parts

Answer 36

Inferior

II, III, aVF

Question 37

active arthritis, systemic lupus erythematosus, ankylosing spondylitis

Answer 37

aortic regurgitation

Question 38

triphasic systolic and diastolic murmur

Answer 38

acute pericarditis

Question 39

muffled or distended heart sounds, distended JVP, low blood pressure

Answer 39

cardiac tamponade

Question 40

left side systemic circulation murmurs loudest on

Answer 40

Expiration

Question 41

right side pulmonary circulation murmurs loudest on

Answer 41

Inspiration