Cardio

Question 1

Patient has fever and pleuritic chest pain that is relieved by sitting up and leaning forward

Answer 1

Pericarditis

Question 2

Irregularly irregular pulse

Answer 2

Atrial fibrillation

Question 3

ECG - saw tooth baseline + 150 bpm

Answer 3

Atrial flutter

Question 4

Alveolar bat’s wings, Kerley B lines, cardiomegaly, dilated prominent upper lobe vessels pleural effusion

Answer 4

Pulmonary oedema

Question 5

Raised JVP/hepatojugular

Answer 5

Right sided heart failure

Question 6

Sense of impending doom

Answer 6

MI

Question 7

Saddle shaped ST elevation

Answer 7

Pericarditis

Question 8

Broad complex tachycardia

Answer 8

Ventricular problem

Question 9

Mid-diastolic murmur with a tapping, undisplaced apex

Answer 9

Mitral stenosis

Question 10

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

Answer 10

WPW

Question 11

Tall, tented T waves

Answer 11

Hyperkalaemia

Question 12

Patient gets pericarditis 4-6 weeks post MI

Answer 12

Dressler’s syndrome

Question 13

‘Blurred yellowing vision headache’

Answer 13

Digoxin toxicity

Question 14

Janeway Lesions/Osler’s Nodes

Answer 14

Subacute bacterial endocarditis

Question 15

Continuous Machine like Heart Murmur

Answer 15

Patent ductus arteriosus

Question 16

Rib Notching on CXR

Answer 16

Coarctation of the aorta

Question 17

Crescendo decrescendo murmur

Answer 17

Aortic stenosis

Question 18

Diminished absent lower limb pulses

Answer 18

Coarctation of the aorta

Question 19

Heaving apex beat

Answer 19

Left ventricular hypertrophy

Question 20

Ejection systolic murmur which can radiate to the carotids

Answer 20

Aortic stenosis

Question 21

Pansystolic murmur which can radiate to the apex

Answer 21

Mitral regurgitation

Question 22

Mid diastolic rumbling diastolic murmur localised to apex

Answer 22

Mitral stenosis

Question 23

Early diastolic murmur left sternal edge

Answer 23

Aortic regurgitation