Cardio

Question 1

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

Answer 1

Automatic supraventricular tachycardia

Question 2

Unstable angina and a type 2 license?

Answer 2

No license until exercise testing and needs to inform the DVLA

Question 3

Pulse in pulm HTN secondary to ASD?

Answer 3

Collapsing

Question 4

Most common ECG abnormality associated with congenital myotonic dystrophy?

Answer 4

PR prolongation

Question 5

Dicrotic notch corresponds to?

Answer 5

Aortic valve closure

Question 6

Commonest site for radiofrequency ablation in AF?

Answer 6

Pulmonary veins

Question 7

What can you not give with sildenafil?

Answer 7

Nicorandil
Nitrates

Question 8

Methadone cardiac cause of death?

Answer 8

Long QT

Question 9

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

Answer 9

Beta blocker

Question 10

Mention of prominent x and y descents =?

Answer 10

Restrictive pericarditis

Question 11

Clopidogrel action?

Answer 11

P2Y12 inhibitor

Question 12

Best drug for acute VT?

Answer 12

Amiodarone

Question 13

Biventricular hypertrophy?

Answer 13

VSD

Question 14

Biphasic QRS in V2-5?

Answer 14

Biventricular hypertrophy (VSD)

Question 15

PDA pulse character?

Answer 15

Collapsing

Question 16

Fixed wide splitting of second heart sound?

Answer 16

RBBB or ASD

Question 17

Reverse of second heart sound?

Answer 17

LBBB

Question 18

Long QT and deafness?

Answer 18

JLN

Question 19

Epsilon potential?

Answer 19

Right ventricular dysplasia

Question 20

Blood finding in cholesterol emobolism?

Answer 20

Eosinophilia

Question 21

Screening for HCOM?

Answer 21

Echo
Genetics only where demonstrated on echo in relatives

Question 22

First line for SVT in an asthmatic?

Answer 22

Verapamil

Question 23

Most likely channel abnormality in LQT?

Answer 23

Potassium

Question 24

Most common cause of restrictive cardiomyopathy in UK?

Answer 24

Amyloid

Question 25

INR requirement for DCCV (electively)?

Answer 25

At least 2.0

Question 26

Initial Ix of choice for PHTN?

Answer 26

Doppler echo

Question 27

Most common cardiac Marfans abnormality?

Answer 27

Aortic root dilatation

Question 28

Palmar crease xanthomas?

Answer 28

Broad B disease (type III hyperlipdaemia)

Question 29

Widened pulse pressure?

Answer 29

Aortic Regurg
PDA

Question 30

Biggest thrombosis risk in pregnancy?

Answer 30

Post delivery (6 weeks)

Question 31

WPW and family history or high risk job?

Answer 31

Ablation

Question 32

Most anterior heart valve (highest risk in stabbing)?

Answer 32

Pulmonary

Question 33

Travel, fever/myalgia, swollen eye, TWI?

Answer 33

Trypanosomiasis

Question 34

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

Answer 34

TWI

Question 35

Feature of pericarditis ECG (not ST or TWI)

Answer 35

PR depression

Question 36

Adenosine mechanism

Answer 36

G protein coupled receptor agonist

Question 37

Cardiac changes in ank spon?

Answer 37

Aortic regurg
AV block

Question 38

MI with complete heart block, most likely culprit?

Answer 38

Proximal RCA

Question 39

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

Answer 39

LCx STEMI

Question 40

Persistent ST elevation following MI but with no chest pain?

Answer 40

LV aneursym

Question 41

Treatment for magnesium sulphate induced respiratory depression?

Answer 41

Calcium gluconate

Question 42

Treatment for pulmonary hypertension if negative response to vasodilator testing?

Answer 42

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

Question 43

Frequency of lithium level checking?

Answer 43

6 monthly