Cardio 3 Flashcards

1
Q

pulmonary oedema you get a ?

A

wheeze

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2
Q

aortic dissection cxr findings

A

widened mediastinum

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3
Q

side effects of ACE inhibitors

A

angioedema

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4
Q

longer-acting dihydropyridine calcium channel blocker

A

amlodipine
nifedipine

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5
Q

rate-limiting one CCB

A

verapamil
diltiazem

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6
Q

symptomstiv aortic stenosis mx?

A

furosemide

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7
Q

why are nitrates contraindicated in AS?

A

potent vasodilators
reduce bp

increase strain on heart

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8
Q

Proximal aortic dissections are managed ?

A

surgical aortic root replacement

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9
Q

stable chest pain of suspected coronary artery disease aetiology

first line imaging?

A

contrast enhanced CT coronary angiogram

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10
Q

which HF class when you experience symptoms at rest?

A

NYHA Class 4

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11
Q

what is coarctation of the aorta?

A

congenital abnormality

> hypoperfusion
weakened femoral pulses

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12
Q

initial blind treatment for infective endocarditis?

A

IV amoxicillin

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13
Q

what type of CCB should not be added to beta blockers and why?

A

rate limitig CCB like verapamil / dilatezem

= bradycardia
= HF

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14
Q

what is indapamide?

A

thiazide like diuretic > preferred over thiazide diuretics in the first instanceq

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15
Q

patients undergoing fibrinolysis should be given what?

A

alteplase
fondaparinux

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16
Q

when is prasugrel given

A

if not taking any oral anticoagulation and undergoing PCI as part of DAPT prior to PCI

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17
Q

Nicorandil is what type of medication?

A

potassium channel activator
vasodilatory affect on coronary arteries

18
Q

The interaction between clarithromycin and simvastatin can increase the risk

A

myopathy
rhabdomyolysis

19
Q

causes of torsades de pointes

imbalances?

A

hypocalcaemia
hypokalaemia
hypomagnesaemia

20
Q

when can / should you thrombolyse PE?

A

massive PE with hypotension

21
Q

what is a LMWH?

A

enoxaparin

22
Q

what is a DOAC?

A

rivaroxaban
apixaban

23
Q

what is fondaparinux?

A

indirect

antihtrombin 3

enhances its ability to inhibit factor xa

24
Q

what is Wellens syndrome?

A

Critical stenosis of left anterior descending artery
> IHD and resolving chest pain

25
deep t wave inversion in leads v1-v5
wellens syndrome requires urgent PCI
26
in over 80 year olds why do you not treat stage 1 htn?
vascular calcification > too many would need treatment > slightlybhigher baseline HTN serves brain perfusion
27
stage 2 htn
160/100
28
Offer ABPM / HBPM
if >140/90
29
what is an early sign of LVF?
S3 loud gallop rhythm
30
why is an S3 an early sign for left ventricular failure?
dilated chamber / ineffective pumping action
31
why heart sound is associated with HOCM
s4 extra sound caused by atrial contraction against a stiff ventricle
32
what is next for a symptomatic bradycardia when atropine fails?
external pacing
33
mx of bradycardia severe
atropine upto 3mg transcutaneous pacing isoprenaline / adrenaline infusion
34
what hypertensive medication can worsen glucose tolerance?
thiazide like diuretics - indapamide
35
what is the effect of digoxin?
reverse tick > down sloping ST depression > flattened / inverted t waves
36
how is cardiac tamponade best imaged
echocardiogram
37
why are ACEi contraindicated in HOCM?
reduce afterload > worsen LVOT gradient
38
bisferiens pulse
double pulse / systolic beats associated with HOCM
39
prosthetic valve infective endocarditis organism
staph epidermis <2 month
40