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MSRA 25 > CARDIO > Flashcards

CARDIO Flashcards

1
Q

Angina 1st Line Investigation?

A

CT Coronary Angiogram

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2
Q

Angina Management?

A

1) Bisoprolol [Beta Blocker - Caution in Asthma]
2) Amlodipine / Nifedipine [Calcium Channel Blocker]
3) Angiography +/-Revascularisation

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3
Q

Heart Failure 1st Line Investigation?

A

NT-Pro BNP

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4
Q

Heart Failure 1st Line Treatment?

A

1) Ramipril [ACE Inhibitor] + Bisoprolol [Beta Blocker]

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5
Q

Heart Failure Additional Treatment?

A

1) Spironolactone / Eplerenone [Mineralcorticoid Receptor Antagonists]
2) Seek Specialist Advice [Dapaglifozin - SGLT 2 Inhibitor or Digoxin for AF]

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6
Q

HTN 1st Line Treatment [DIABETICS]?

A

1) Ramipril [ACE Inhibitor] Or Losartan [Angiotensin Receptor Blocker IF Afro-Caribbean]

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7
Q

HTN 1st Line Treatment > 55?

A

1) Calcium Channel Blocker [Amlodipine]

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8
Q

HTN 1st Line Treatment < 55?

A

1) Ramipril [ACE Inhibitor] Or Losartan [Angiotensin Receptor Blocker]

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9
Q

Heart Sounds - Loud P2?

A

Pulmonary HTN

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10
Q

Heart Sounds - Fixed Split S2?

A

Atrial Septal Defect

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11
Q

Heart Sounds - Continuous Machine Murmur?

A

Patent Ductus Arteriosus

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12
Q

ECG - T Wave Inversion + Epsilon Wave?

A

Arrhythrogenic Right Ventricular Cardiomyopathy

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13
Q

ECG - Convex ST Elevation + T Wave Inversion?

A

Brugada Syndrome

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14
Q

QRISK > 10% Management?

A

Statin [Atorvastatin]
[20mg ON]

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15
Q

Pulmonary HTN - Diagnostic Intervention?

A

Right Heart Catheterisation

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16
Q

Unstable Tachyarrhythmia Management?

A

Synchronised DC Cardioversion
[3 Attempts]

17
Q

Stable Regular Narrow Tachycardia Management?

A

1) Vagal Manoeuvres
2) Adenosine 6mg > 12mg > 18mg

18
Q

Torsades des Pointes Management?

A

IV Mag Sulfate 2g STAT

19
Q

ECG - Short PR + Delta Wave?

A

Wolf-Parkinson White Syndrome

20
Q

NT-Pro BNP > 2000?

A

High Risk = 2WW Assessment + Echocardiogram

21
Q

HTN 2nd Line Treatment?

A

1) Add ACE Inhibitor [Ramipril] OR Calcium Channel Blocker [Amlodipine]
2) Add Thiazide Like Diuretic [Indapamide]

22
Q

HTN 3rd Line Treatment?

A

1) K >4.5 = Alpha Blocker [Tamsulosin] or Beta Blocker
2) K <4.5 = Spironolactone

23
Q

Central Chest Pain + Worse on Exercise + Improves on Rest?

A

Angina

24
Q

SOB + Worse on Exercise + Oedema?

A

Heart Failure

MSRA 25 (18 decks)

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