Cardio

Question 1

fever and pleuritic chest pain relieved by sitting up and leaning foreward

Answer 1

pericarditis

Question 2

irregularly irregular

Answer 2

AF

Question 3

saw tooth base line on ECG

Answer 3

Atrial flutter

Question 4

Alveolar bat wings
Kerly B lines
Cardiomegaly
Dilated prominent upper lobe vessels
Pleural effusion

Answer 4

pulmonary oedema (left sided heart failure)

Question 5

Raised JVP and hepatjugular reflex

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 undisplaced apex beat

Answer 9

mitral stenosis (bicuspid valve)

Question 10

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

Answer 10

WPW syndrome

Question 11

Tall tented T waves

Answer 11

Hyperkalaemia (wide QRS)

Question 12

Pericarditis 4-6 weeks post MI

Answer 12

dresslers syndrome

Question 13

blurred yellow vision headache

Answer 13

digoxin toxicity

Question 14

Janeway lesions, osler’s nodes

Answer 14

sub acute bacterial endocarditis

Question 15

machine like heart murmur

Answer 15

patent ductus arteriosus (pulmonary artery to descending aorta)

Question 16

rib notching on CXR

Answer 16

coarctation of the aorta

deformation of the inferior surface of the rib due to trauma or masses

Question 17

Radio-femoral delay

Answer 17

coarctation of the aorta

Question 18

Radio-radio delay

Answer 18

coartcation of aorta

aortic dissection

Question 19

MRS ASS

Answer 19

mitral regurgitation systolic

aortic stenosis systolic

Question 20

Sudden tearing/ripping chest pain radiating to the back

Answer 20

aortic dissection

Question 21

Chest leads and artery for inferior MI

Answer 21

II, III, aVF

right coronary artery

Question 22

Leads and artery for lateral MI

Answer 22

I, aVL, 5, 6

circumflex

Question 23

Leads and artery for anterior MI

Answer 23

3, 4

left main stem

Question 24

Leads and artery for septal MI

Answer 24

1, 2

Left anterior descending

Question 25

Correct paper speed of ECG

Answer 25

25mm per second

Question 26

How many seconds in small box?

Answer 26

0.04

Question 27

How many seconds in a large box?

Answer 27

0.2

Question 28

How many large boxes in a second?

Answer 28

5

Question 29

How many large boxes in a minute?

Answer 29

300

Question 30

What ECG changes are seen in hypothermia?

Answer 30

J waves

Question 31

Chest pain radiating to jaw investigations?

Answer 31

ECG & troponin

Question 32

When does st depression occur?

Answer 32

subendocardial damage (ischaemic damage to only the inner layer of the heart)

Question 33

When does ST elevation occur?

Answer 33

transcardial damage (ischaemic damage to all the layers of the heart)

Question 34

Management of stable angina?

Answer 34

aspirin + statin
GTN
BBlock or CCB (verapamil if a mono, nifidepine if combined therapy)

Question 35

Why should BBlocker and verapamil not be co-prescribed?

Answer 35

increased risk of heart block