Cardiac clinical Flashcards

1
Q

What is the most specific blood test for myocardial necrosis?

A

Cardiac troponin

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2
Q

What is the initial treatment for an MI?

A
Morphrin
Oxygen
Nitrates
Aspirin
Clopidogrel
Primary PCI if it can occur within 90 mins
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3
Q

What mediation should a patient be given on discharge, after having had an MI?

A

Aspirin
Beta blockers
ACEI
Statin

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4
Q

How do you treat sinus bradycardia after an MI?

A

Atropine

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5
Q

What kind of MI do you most often get the development of 1st degree heart block?

A

Inferior

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6
Q

Central chest pain, relieved by sitting forwards

A

Pericarditis

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7
Q

Saddle shaped ST elevation

A

Pericarditis

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8
Q

Mid-diastolic murmur with a tapping, undisplaced apex

A

Mitral stenosis

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9
Q

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

A

Wolf parkinson white syndrome

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10
Q

What is dresslers syndrome?

A

Pericarditis 4 - 6 weeks post MI

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11
Q

What drug causes yellow/green vision?

A

Digoxin

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12
Q

Continuous Machine like Heart Murmur

A

Patent ductus arteriosus

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13
Q

Crescendo decrescendo murmur

A

Aortic stenosis

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14
Q

Systolic murmur, radiates to the neck

A

Aortic stenosis

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15
Q

How do you treat supraventricular tachycardia?

A

Vagotonic manoevres

IVadenosine or verapamil

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16
Q

How do you treat rate in AF?

A

Digoxin

17
Q

How do you treat ventricular tachycardia

A

IV amioderone of IV lidneocaine

18
Q

What is Mobitz Type 1 heartblock?

A

With each successive QRS the PR interval become wider until eventually you miss a beat

19
Q

What is mobitz type 2?

A

There is a ration of beats to missed beats 2:1 or 3:1

20
Q

What is type 3 heart block?

A

No correlation between the atria and ventricles

21
Q

What is the first line treatment for broad complex tachycardia?

A

Amioderone

22
Q

What is the treatment for someone in AF who is very ill?

A

Emergency cardioversion of IV amioderone