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MRCP 1 > Cardio > Flashcards

Cardio Flashcards

1
Q

Tachyarrhythmia which accelerates after initiation? (warm-up phenomenon)

A

Automatic supraventricular tachycardia

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2
Q

Unstable angina and a type 2 license?

A

No license until exercise testing and needs to inform the DVLA

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3
Q

Pulse in pulm HTN secondary to ASD?

A

Collapsing

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4
Q

Most common ECG abnormality associated with congenital myotonic dystrophy?

A

PR prolongation

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5
Q

Dicrotic notch corresponds to?

A

Aortic valve closure

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6
Q

Commonest site for radiofrequency ablation in AF?

A

Pulmonary veins

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7
Q

What can you not give with sildenafil?

A

Nicorandil
Nitrates

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8
Q

Methadone cardiac cause of death?

A

Long QT

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9
Q

First line approach to long QT type 1 and 2 to prevent VT?

A

Beta blocker

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10
Q

Mention of prominent x and y descents =?

A

Restrictive pericarditis

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11
Q

Clopidogrel action?

A

P2Y12 inhibitor

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12
Q

Best drug for acute VT?

A

Amiodarone

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13
Q

Biventricular hypertrophy?

A

VSD

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14
Q

Biphasic QRS in V2-5?

A

Biventricular hypertrophy (VSD)

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15
Q

PDA pulse character?

A

Collapsing

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16
Q

Fixed wide splitting of second heart sound?

A

RBBB or ASD

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17
Q

Reverse of second heart sound?

A

LBBB

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18
Q

Long QT and deafness?

A

JLN

19
Q

Epsilon potential?

A

Right ventricular dysplasia

20
Q

Blood finding in cholesterol emobolism?

A

Eosinophilia

21
Q

Screening for HCOM?

A

Echo
Genetics only where demonstrated on echo in relatives

22
Q

First line for SVT in an asthmatic?

A

Verapamil

23
Q

Most likely channel abnormality in LQT?

A

Potassium

24
Q

Most common cause of restrictive cardiomyopathy in UK?

A

Amyloid

25
Q

INR requirement for DCCV (electively)?

A

At least 2.0

26
Q

Initial Ix of choice for PHTN?

A

Doppler echo

27
Q

Most common cardiac Marfans abnormality?

A

Aortic root dilatation

28
Q

Palmar crease xanthomas?

A

Broad B disease (type III hyperlipdaemia)

29
Q

Widened pulse pressure?

A

Aortic Regurg
PDA

30
Q

Biggest thrombosis risk in pregnancy?

A

Post delivery (6 weeks)

31
Q

WPW and family history or high risk job?

A

Ablation

32
Q

Most anterior heart valve (highest risk in stabbing)?

A

Pulmonary

33
Q

Travel, fever/myalgia, swollen eye, TWI?

A

Trypanosomiasis

34
Q

Later change on ECG in pericarditis (once ST elevation resolving)?

A

TWI

35
Q

Feature of pericarditis ECG (not ST or TWI)

A

PR depression

36
Q

Adenosine mechanism

A

G protein coupled receptor agonist

37
Q

Cardiac changes in ank spon?

A

Aortic regurg
AV block

38
Q

MI with complete heart block, most likely culprit?

A

Proximal RCA

39
Q

Cardiac chest pain, tall R waves V1-3 with ST depression?

A

LCx STEMI

40
Q

Persistent ST elevation following MI but with no chest pain?

A

LV aneursym

41
Q

Treatment for magnesium sulphate induced respiratory depression?

A

Calcium gluconate

42
Q

Treatment for pulmonary hypertension if negative response to vasodilator testing?

A

prostacyclin analogues: treprostinil, iloprost
endothelin receptor antagonists: bosentan, ambrisentan
phosphodiesterase inhibitors: sildenafil

43
Q

Frequency of lithium level checking?

A

6 monthly

MRCP 1 (24 decks)

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