Cardio

Question 1

Fever, pleuritic chest pain relieved by leaning forward

Answer 1

Pericarditis

Question 2

Saddke shaped ST elevation

Answer 2

Pericarditis

Question 3

Irregularly irregular pulse/no clear P waves

Answer 3

AF

Question 4

ECG sawtooth baseline + 150bpm

Answer 4

Atrial Flutter

Question 5

Alveolar bat wings, kerley B lines, Cardiomegaly, Dilated upper lobe vessels, pleural Effusion

Answer 5

Pulmonary Oedema

Question 6

Raised JVP

Answer 6

Right heart failure

Question 7

Impending doom

Answer 7

MI

Question 8

Broad complex tachycardia

Answer 8

Ventricular problem

Question 9

Narrow QRS

Answer 9

Atrial origin

Question 10

Mid-diastolic murmur with a tapping, undisplaced apex + Malar flush

Answer 10

Mitral Stenosis

Question 11

Broad QRS with slurred upstroke on R wave (delta wave)

Answer 11

Wolff-Parkinson-White Syndrome

Question 12

Tall, tented T waves

Answer 12

HypERkalaemia

Question 13

Flattened T waves

Answer 13

HypOkalaemia

Question 14

Pericarditis 4-6 weeks post MI

Answer 14

Dressler’s Syndrome

Question 15

Janeway lesions/osler nodes

Answer 15

Subacute bacterial endocarditis

Question 16

Blurred yellowing vision + headache

Answer 16

Digoxin toxicity

Question 17

Continuous machine like murmur

Answer 17

Patent Ductus Arteriosus

Question 18

Rib notching on CXR

Answer 18

Coarctation of the aorta, notching due to dilation of intercostal arteries

Question 19

Crescendo-decrescendo murmur, slow rising pulse

Answer 19

Aortic Stenosis

Question 20

Collapsing pulse

Answer 20

Aortic regurge

Question 21

Bounding pulse

Answer 21

Acute CO2 retention, heart failure, aortic regurgitation, increased stroke volume

Question 22

Diminished absent lower limb pulses, radial/femoral delay

Answer 22

Coarctation of the Aorta, intermittent claudication

Question 23

Tetralogy of fallot

Answer 23

pulmonary stenosis, ventricular septal defect, overriding aorta, right ventricular hypertrophy