Cardio

Question 1

fever and pleuritic chest pain relieved by leaning forward

Answer 1

pericarditis

Question 2

irregularly irregular pulse/no clear p waves

Answer 2

af

Question 3

saw-tooth ecg >150bpm

Answer 3

atrial flutter

Question 4

alveolar bat wings
kerley b lines
cardiomegaly
dilated prominent upper lobe vessels
pleural effusion

Answer 4

pulmonary oedema

Question 5

raised jvp/hepatojugular reflex

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 tapping, undisplaced apex

Answer 9

mitral stenosis

Question 10

broad qrs with slurred upstroke on r wave (delta wave)

Answer 10

wpw syndrome

Question 11

tall, tented t waves

Answer 11

hyperkalaemia

Question 12

pericarditis 4-6 weeks post-mi

Answer 12

dressler’s syndrome

Question 13

janeway lesions/osler nodes

Answer 13

subacute bacterial endocarditis

Question 14

continuous machine-like heart murmur

Answer 14

patent ductus arteriosus

Question 15

rib notching on cxr

Answer 15

coarctation of aorta

Question 16

crescendo decrescendo murmur, slow rising pulse

Answer 16

aortic stenosis

Question 17

collapsing pulse

Answer 17

aortic regurgitation

Question 18

bounding pulse

Answer 18

acute co2 retention

Question 19

diminished absent lower limb pulses, radiofemoral delay

Answer 19

coarctation of the aorta

Question 20

tetralogy of fallot

Answer 20

pulmonary stenosis
right ventricular hypertrophy
overriding aorta
ventricular septal defect