CARDIO

Question 1

Angina 1st Line Investigation?

Answer 1

CT Coronary Angiogram

Question 2

Angina Management?

Answer 2

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

Question 3

Heart Failure 1st Line Investigation?

Answer 3

NT-Pro BNP

Question 4

Heart Failure 1st Line Treatment?

Answer 4

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

Question 5

Heart Failure Additional Treatment?

Answer 5

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

Question 6

HTN 1st Line Treatment [DIABETICS]?

Answer 6

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

Question 7

HTN 1st Line Treatment > 55?

Answer 7

1) Calcium Channel Blocker [Amlodipine]

Question 8

HTN 1st Line Treatment < 55?

Answer 8

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

Question 9

Heart Sounds - Loud P2?

Answer 9

Pulmonary HTN

Question 10

Heart Sounds - Fixed Split S2?

Answer 10

Atrial Septal Defect

Question 11

Heart Sounds - Continuous Machine Murmur?

Answer 11

Patent Ductus Arteriosus

Question 12

ECG - T Wave Inversion + Epsilon Wave?

Answer 12

Arrhythrogenic Right Ventricular Cardiomyopathy

Question 13

ECG - Convex ST Elevation + T Wave Inversion?

Answer 13

Brugada Syndrome

Question 14

QRISK > 10% Management?

Answer 14

Statin [Atorvastatin]
[20mg ON]

Question 15

Pulmonary HTN - Diagnostic Intervention?

Answer 15

Right Heart Catheterisation

Question 16

Unstable Tachyarrhythmia Management?

Answer 16

Synchronised DC Cardioversion
[3 Attempts]

Question 17

Stable Regular Narrow Tachycardia Management?

Answer 17

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

Question 18

Torsades des Pointes Management?

Answer 18

IV Mag Sulfate 2g STAT

Question 19

ECG - Short PR + Delta Wave?

Answer 19

Wolf-Parkinson White Syndrome

Question 20

NT-Pro BNP > 2000?

Answer 20

High Risk = 2WW Assessment + Echocardiogram

Question 21

HTN 2nd Line Treatment?

Answer 21

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

Question 22

HTN 3rd Line Treatment?

Answer 22

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

Question 23

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

Answer 23

Angina

Question 24

SOB + Worse on Exercise + Oedema?

Answer 24

Heart Failure